REINSTATEMENT REQUEST FORM — POLICE OFFICER
(Rev 12/2024)
SECTION 1: PERSONAL
- 1. YOUR FULL NAME:
- Last: Riggs
First: Edward
Middle: DNA
- Last: Riggs
SECTION 2: DEPARTMENT HISTORY
- 2. DEPARTMENT HISTORY:
- Position: Police Officer III
Date of resignation/termination: (( I can't remember because I don't have access in Resignation section. ))
Resignation/termination record: (( I don't have access in Resignation section. ))
- Position: Police Officer III
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:DNA
Position: DNA
Date of resignation/termination: DNA
Name of agency: DNA
Position: DNA
Date of resignation/termination: DNA
- Name of agency:DNA
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:
plhdrXavier Cortes (past character names: Edward Riggs, Ya Lacoi) - level 25
plhdrCurtis Grim - level 10
plhdrNowak Kozlowski - level 4
plhdrCurtis Graham - level 3
plhdrPrimitivo Cazalla - level 3
Link an unedited screenshot of your admin record for all your characters on every account:Spoiler: show
Why did you previously leave the faction?: My friends went into the Sheriff's Department faction and so did I. I saw how things were going in this faction with the new leadership and it didn't sit well with me and so I said I would go back again to where I started all over again.
If you are currently in another official faction, what is the name of the faction?: DNA
If yes, provide the link to your double faction approval from the LSPD: DNA
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?: Diego Martinez
Desired rank and assignment? (Only if applicable.) Administrative or Patrol, whatever you consider.
- Link to your LS-RP forum account: Access