Commission on Accreditation for Law
Enforcement Agencies, Inc.

Please provide the following contact information:

Agency Name
(If the agency is a department of public safety, provide the full name of the law enforcement component, e.g., Oak Park Department of Public Safety, Police Division.)
Street Address
PO Box			PO Box Zip/Postal Code
City
State/Province
Zip/Postal Code
Agency Telephone		Agency Fax
Special Instructions
No Blank Yes Check Yes if a PO Box delivery is preferred, but, please also include a street address  for U.P.S deliveries.
Agency's Chief Executive Officer
Name
Title
Work Phone		FAX
E-mail
Agency's Accreditation Contact
Name
Title
Work Phone		FAX
E-mail
Agree Blank (Please select) The commitment our agency must make in working with CALEA toward accreditation is understood and accepted. Also, we are prepared to promptly provide information concerning our agency that CALEA requires to make its determination of eligibility. It is also understood that our agency is entering into a nonadversarial working relationship with CALEA and that our agency can terminate its status with CALEA at any time.