12 NCAC 09I .0103 BASIC LAW ENFORCEMENT TRAINING (BLET) COURSE FORMS
The following Commission-approved forms shall be used by certified School Directors and instructors during the administration of a Commission-approved Basic Law Enforcement Training (BLET) course:
(1) Form F-13, Request for Deficiency Remediation, shall include the following:
(a) Name of certified School Director and delivery site (academy);
(b) Date of request and state exam date;
(c) Student's name and academy ID number;
(d) Block of instruction and dates of deficiency;
(e) Instructor's name and academy ID number;
(f) Remediation location and dates of remediation;
(g) Details of remediation plan; and
(h) Signature of certified School Director.
(2) Form F-14, Request for Limited Enrollment, shall include the following:
(a) Name of certified School Director and delivery site (academy);
(b) Date of request and original BLET start date;
(c) Student's name and academy ID number;
(d) Blocks of instruction for make-up training; and
(e) Delivery site (academy) where make-up training will be conducted.
(3) Form F-17, Student Evaluation of Instructors, shall include the following:
(a) Name of delivery site (academy);
(b) Instructor's name;
(c) Block of instruction and date;
(d) Evaluation of delivery of course material by instructor; and
(e) Evaluation of organization and presentation of delivery of instruction;
(4) Form F-25, Criminal Record Conviction History for BLET, shall include the following:
(a) Agency name and address;
(b) Applicant's full name and former names;
(c) Applicant's address; and
(d) Name and signature of Agency head.
(5) Form F-26, BLET Student Absence Report, shall include the following:
(a) School or academy name and class name;
(b) Student's name and academy ID number;
(c) Course topic and date;
(d) Hours missed and made up;
(e) Reason for missed time;
(f) Student's and certified School Director's signature and date; and
(g) Name of instructor conducting the make-up training.
(6) Form F-32, BLET Request for Early Enrollment, shall include the following:
(a) Name and signature of certified School Director and delivery site (academy);
(b) Student's name and date of birth; and
(c) BLET start date and date of state exam.
(7) Web Form WF-1, BLET Student Injury Report, shall include the following:
(a) Student's name, date of birth, and academy ID number;
(b) Date and details of injury;
(c) Student's status (returned to training on same day or required hospital care); and
(d) Email address of School Director.
(8) Web Form WF-2, BLET Departure Report, shall include the following:
(a) Student's name and academy ID number;
(b) Date, reason, and details of departure; and
(c) Email address of School Director.
(9) Web Form WF-3, BLET Student Enrollment Questionnaire, shall include the following:
(a) Student's demographic information, including gender and employment status;
(b) Student's education information, including highest education level, name of institution, and degree earned;
(c) Student's military service history, including dates and branch of service and current status; and
(d) Student's primary language.
(10) Web Form WF-4, BLET Student Course Completion Record, shall include the following:
(a) Student's name and academy ID number;
(b) Student's gender;
(c) Student's employment status on last day of class;
(d) Student's hiring status with a law enforcement agency; and
(e) Course completion information, including whether the student completed all course requirements and passed the state exam.
(11) Web Form WF-13B, BLET Deficiency, Report of Completed Training, shall include the following:
(a) Student's name and academy ID number;
(b) Deficiency information, including the number and names of instructional topics which the student is deficient in;
(c) Deficiency make-up information, including whether the student completed all required coursework for the instructional topic in which he or she is remediating and whether the remediation occurred outside of the scheduled course hours;
(d) Date the deficiency remediation was completed; and
(e) School Director's name, signature, and email address.
History Note: Authority G.S. 17C-6;
Eff. February 1, 2026.