Forms

Please Note: Many of the forms have been recently updated, If you have saved any forms to your computers please check and make sure they are the new forms.

If you are having trouble opening our forms please either open them in interent explorer or right click on the form you want and select the save as option to download the form. Firefox and Chrome have issues opening our forms in their browser view mode that contatin fillable elements.  Thank you for your patience as we work to find a solution to this issue.

All documents are in PDF format unless otherwise noted.

• General Forms and Documents
• Use of Force/Firearms Forms
• Vermont Crime Victims' Rights Form
• Level I and II Officer Process Forms
  • Phase One - Level I and II Academy
  • Phase Two - Core and Elective Courses
  • Phase Three - Field Training and Evaluation Program (FTEP) 
• Level III Academy Forms
• Field Training Officer Forms
• 109th Basic Training Class Field Training Officer Forms
• Waiver Process

General Forms and Documents

• Employment Notification Form (formerly Employment Registration Form )
• Instructor Certification Application
• Instructor Re-Certification Application
• Training Submittal Form (Internal use only)
• Instructional Time Submittal Form (Internal use only)
• Sample Training Log in Excel format
  • Instructions for the Sample Training Log in Word format
• Waiver Request Form
• Spillman Pre-Training Checklist
  • Spillman Pre-Training Instructions
• Records Request Form (Used to request specific records from the Vermont Police Academy)
• Records Release Form (Signed by officer to enable the Vermont Police Academy to release their records)
• In-Service Rules and Regulations
• Medical Release Form
• Faculty Standards of Conduct
• Documentation of Strangulation Form  *updated and shortend due to the fact that many VT agencies have their own risk assessment tools.
• Agency Registration Form
• Specific Level III Authority Application
• Rule 13 affidavit form
• Rule 13 information for 2021
• Act 56 Conduct Reporting Form
• Canine Detection Log and Roster

Use of Force/Firearms Forms:

• Annual Firearms Qualification Course, effective 2014
• Annual Patrol Rifle Qualification, effective 2017
• Conducted Electrical Weapon Reporting Form
• VCJTC Firearms Qualification Score Sheet in Word format
  • Example Score Sheet
• VCJTC Firearms Qualification Score Sheet modified for Backup and Off Duty Qualifications
• Use of Force and Tactics Reporting Form
  • Use of Force and Tactics Reporting Form Instructions
• Buckshot Qualification
• Less Lethal Munitions
• Back Up and Off Duty Handgun Qualification
• Qualification Report Shotgun and Rifle
• Shotgun Slug Qualification

Vermont Crime Victims' Rights Form

This customizable document was designed by victim advocates and law enforcement to assist police officers in notifying victims of crime of their rights and the support services available to them. It exceeds law enforcement’s statutory obligation as prescribed in Title 13, Chapter 165 and 167 to notify crime victims of their rights. This form has been endorsed by the Vermont Criminal Justice Training Council.

• Download the Vermont Crime Victims' Rights Form in Word format.

Directions for Use

• Agencies should fill out the highlighted portions of this document with their relevant local information.  This information includes:
  • The Agency’s name, street address, and phone number.
  • The local state’s attorney’s name, their respective county, the office’s street address, and it’s phone number.
  • The local domestic and sexual violence network program(s) information, to include, the name of the program and how to contact it.
• After filling in the agency specific information, this document should then be printed and copied as a double-sided hand-out.

Level III (Full-Time) Academy Forms

Please Note: These forms are not intended for individuals - your hiring agency will provide you with required paperwork

• 110th Deadlines
• 110th Entrance Memo *Updated 8/26/2020
• Level III registration sheet for the 110th Basic Training Course
• Statement of Completion for the 110th Basic
  • Click here for infomration on the Academy's polygraph policy.
• 111th Deadlines - Updated 11-16-2020
• Level III registration sheet for the 111th Basic Training Course
• Statement of Completion for the 111th Basic
• Medical History and Physical Examination
  • (Pages 1 - 12 & 18 to be completed by the candidate, 13 - 17 to be completed by a physician). 
  • Medicals must be completed no more than 6 months prior to being due. 
  • Anything older than 6 months will not be accepted.

Level I and II Officer Process Forms (Formerly the Part-Time Process)

Phase One - Level I and II Academy Forms

• Letter for the applicants (Includes packing list and arrival times)

Please Note: These forms are not intended for individuals - your hiring agency will provide you with required paperwork

• Level I and II Basic Training Registration
• Statement of Completion
• Pre-Academy Proficiency Firearms Checklist
• Medical History and Physical Examination
  • (Pages 1 - 12 & 18 to be completed by the candidate, 13 - 17 to be completed by a physician). 
  • Medicals must be completed no more than 6 months prior to being due. 
  • Anything older than 6 months will not be accepted.

Please Note: Effective with the January 2014, the Level I & II Academy will require the medical packet.

Phase Two - Additional Training Hours

• CEC-1 Core and Elective Courses 
• Use of Force and Tactics Reporting Form in Word format
  • Use of Force and Tactics Reporting Form Instructions

Phase Three - Field Training and Evaluation Program (FTEP)

• FTEP-1 FTO Daily Observation Report (DOR) in Word format
  • Instructions for using the FTEP-1 DOR Please Note: This is a locked form and can only be filled in. The general text cannot be modified. If you wish to have an unlocked version, please email FTEP Coordinator Ken Hawkins with your request. Please include a reason for wanting an unlocked version with your request.)
• FTEP-1 DOR Standardized Evaluation Guidelines
• FTEP-1A DOR Narration Continuation
• FTEP-1B DOR Performance Chart in Excel format
• FTEP-1C Remedial Training Plan
• FTEP-1D Field Notes
• FTEP-1E Report Log in Word format
• FTEP-1F VCVC Log
• FTEP-1G Written Warning Log
• FTEP-2 Field Training Officer (FTO) Checklist
• FTEP-3 FTO's Final Recommendation

Completion of Level l and ll Process

• LIIAR Agency Head Final Recommendation
• LIICPE Level II Certification Process Evaluation

Field Training Officer

In order to be certified as a Field Training Officer (FTO), an officer must:

• Attend the FTO Certification Course
• Submit the FTO Certification Application (see below)
  • Initial certifications are only valid for two (2) years following the completion of the Field Training Officer SChool or Certification
  • All FTO certifications expire December 31st
• To maintain a FTO certification, officers must attend a FTO Update Course every two (2) years AND submit a FTO Certification Application (see below)

Field Training Officer Forms

• FTO Certification Application
• FTO Certification Extension Request
• FTO Certification Application - Out of State

Field Training Officer Forms for the 109th Basic Training Course

The following forms are for use with the graduates of the 109th Basic Training course, they are not to be used for the traditional Field Training Officer program.

• FTEP-2 Field Training Officer (FTO) Checklist
• FTEP-3 FTO's Final Recommendation
• LIIAR Agency Head Final Recommendation

Waiver Process

• Statement of Completion for the Waiver Officer Certification Process
• Waiver Process Registration form
• Form PTW. Phase Two for the Waiver Officer 
• FTEP-3W FTO Final Recommendation - Level III - Waiver
• LIIIWAR Agency Head Final Recommendation