REINSTATEMENT REQUEST FORM — POLICE OFFICER
(Rev 12/2024)
SECTION 1: PERSONAL
- 1. YOUR FULL NAME:
- Last: Williams
First: Mason
Middle: N/A
- Last: Williams
SECTION 2: DEPARTMENT HISTORY
- 2. DEPARTMENT HISTORY:
- Position: Police Sergeant II
Date of resignation/termination: 01/AUG/2024
Resignation/termination record: N/A
- Position: Police Sergeant 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: N/A
Position: N/A
Date of resignation/termination: N/A
Name of agency: N/A
Position: N/A
Date of resignation/termination: N/A
- Name of agency: 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 Kevin Ellsworth > Glenn Rosser > Marcus Hodges > Mason Williams - Level 37
plhdr Kevin Gibbs > Javion Brooks - Level 2
plhdr Lex Lancastrer - Level 4
plhdr Yakov Kuznetsov - Level 5
Link an unedited screenshot of your admin record for all your characters on every account:Spoiler: show
Why did you previously leave the faction?: I was playing the GTA 5 server at the time, and unfortunately, it didn't work out. I believe I tried SAMP out when it first released, but I can't remember, as at the time I had a lot of IRL things going on and switching jobs.
If you are currently in another official faction, what is the name of the faction?: N/A.
If yes, provide the link to your double faction approval from the LSPD: N/A..
Are you currently banned from any other legal factions? If so, provide their name(s): I am not.
Are you attempting to reinstate under a different name? If so, what name?: N/A.
Desired rank and assignment? (Only if applicable.) Happy with whatever is offered to me.
- Link to your LS-RP forum account: Access