SWORN LAW ENFORCEMENT PARTNERS
AND ANALYST REGISTRATION

REGISTRATION INFORMATION
*required 
First Name: *

Last Name: *

Position/Title/Rank: *

Agency/Organization Name: *

State: *

HIDTA Task Force:* (N/A if not applicable)

 
  CONTACT INFORMATION

Contact Phone: (include area code)

Agency Email: *

Confirm Email: * 

Password: * (8 chars 1 numeric 1 special)


COMMENTS

I certify that the information provided above is accurate and that my present employment duties qualify me to receive information from the Central Valley California HIDTA. If at any time I separate from my current employment, I agree to notify the CVC HIDTA.  I understand that any attempts to deceive or provide misleading information on this form may be grounds for disqualification. Egregious attempts at deception may be punishable under applicable state or federal laws.
I Agree