INSTRUCTOR'S REPORT OF CERTIFIED LAW ENFORCEMENT TRAINING
PEACE OFFICER STANDARDS AND TRAINING BOARD
PFN9 (04/20)

Course Number
	Title of Course
	Instructor Number
	Beginning Date/End Date
	
Instructor Name
	Agency Name
	Mailing Address
	State
	Zip Code
	
Email:
	Work Telephone Number
	Cell Telephone Number
	Location of Training

Peace Officer License Number	Name of Peace Officer Completing the Course (Last Name, First Name, Middle Initial)	Department	Hours	

				

				

				

				

				

				

Instructor Signature/Program Coordinator

Date

Please retain a copy of this form and forward the original within thirty (30) days to the POST Board at:	POST Board
PO Box 1054
Bismarck ND 58502-1054