REINSTATEMENT REQUEST FORM — POLICE OFFICER
(Rev 12/2024)
SECTION 1: PERSONAL
- 1. YOUR FULL NAME:
- Last: Dobbs
First: Anthony
Middle: James
- Last: Dobbs
SECTION 2: DEPARTMENT HISTORY
- 2. DEPARTMENT HISTORY:
- Position: Police Officer II
Date of resignation/termination: 28/DEC/2024
Resignation/termination record: Access
- Position: Police Officer II
SECTION 3: STATE AGENCY POSITIONS
- NOTE: If you have been employed by another state agency during your length of absence, you are required to fill the fields below.
- 3. LIST AGENCIES:
- Name of agency: D.N.A
Position: D.N.A
Date of resignation/termination: D.N.A
Name of agency: D.N.A
Position: D.N.A
Date of resignation/termination: D.N.A
- Name of agency: D.N.A
SECTION 4: OUT OF CHARACTER
- The information in this section is Out of Character information only.
Your admin record may only be edited to blackout/blur your IP Address.
- 4. OUT OF CHARACTER INFORMATION:
- Link to your LS-RP forum account: Access
List all current and past character names, on every account, and their levels:
plhdr(flacko204)
plhdrWebster Fordham
plhdrMalakai Smith
plhdrAnthony Dobbs
plhdrRaheeb Naciri
Link an unedited screenshot of your admin record for all your characters on every account:Spoiler: show
Why did you previously leave the faction?: Breach of UPR Regulations.
If you are currently in another official faction, what is the name of the faction?: No.
If yes, provide the link to your double faction approval from the LSPD: Access.
Are you currently banned from any other legal factions? If so, provide their name(s): No.
Are you attempting to reinstate under a different name? If so, what name?: No.
Desired rank and assignment? (Only if applicable.) PO III, since I was in the last phase of PO II and was about to be promoted to FTO.
- Link to your LS-RP forum account: Access