Forms

Applied Technology

• Rights Relating To The Chemical Test For Impairment Rev 8 2024 Fillable-Effective August 1, 2024
• Notice To Withdraw Blood Form

Background Checks

IdentiGO Background Check Information

LSP Internet Background Check

• Authorization Form - to be used in conjunction with the appropriate Disclosure Form when requesting background checks
• General Disclosure Form - to be submitted when an employer is requesting a background check on an employee
• Rap Disclosure Form - is to be submitted when requesting background checks for various boards such as State Board of Medical Examiners, State Board of Nursing, La. Board of Pharmacy, State ABC Board, etc.
• Right to Review Authorization Form - to be used when requesting a Right to Review pursuant to Louisiana Revised Statute 15:588 Right of Individual Access.
• Right to Review Disclosure Form - to be used in conjunction with the Right to Review Authorization form
• Right to Review Attorney or Authorized Representative Form - to be used when applicant has authorized a personal representative or an attorney to request the Right to Review
• Agency Privacy Requirements for Noncriminal Justice Applicants
• Civil Agency User Agreement
  
• CJIS Security Policy
• Local Agency Security Officer (LASO) Appointment
• Louisiana Noncriminal Justice Agency Guide
• LSP NCJA Sample CHRI Policy
• Noncriminal Agency Coordinator (NAC)
• Noncriminal Justice Applicant's Privacy Rights
• OTS Information Security Policy
• Privacy Act Statement
• Security Incident Reporting Form
• Statement of Misuse
• Security and Management Control Outsourcing Standard for Channelers
• Security and Management Control Outsourcing Standard for Non-Channelers

Concealed Handgun

• Law and Rule Booklet
• Medical Summary Form
• Concealed Handgun Permit Application
• Change of Address
• Instructor Information Form
• Suspension/Revocation Affidavit DPSSP 4646 (Law Enforcement Use Only)
• Instructors List
• Instructors Requirements 

Crash Reports

LSP Statewide Crash Reports and Photos

Crime Lab

• Forensic Lab Services Guide
• DNA Supplemental Form
• Lab Evidence Submittal Form
• Fire Debris Case Information
• DNA Unit Evidence Submission Policy

Emergency Services

Hazardous Materials

• Uniform Hazardous Materials Reporting Form
• Local Emergency Planning Committees (LEPC)
• LEPC Emergency Release Notification Phone List

Fixed Site Facility

• Release and Incident Reporting Criteria
• Louisiana Administrative Code (LAC) - Title 33 Part V Subpart 2 Chapter 101
• Louisiana Revised Statues (RS) 30:2361 - 2380

Transportation

• Release and Incident Reporting Criteria
• Louisiana Revised Statues (RS) 32:1501 - 1525
• Louisiana Administrative Code (LAC) - Title 33 Part V Subpart 2 Chapter 103
• Title 49 CFR - Code of Federal Regulations

ESS Forms

Tier II Inventory

• Tier II Inventory Filing Web Site
• Summary of Right-to-Know Law Pertaining to Tier II Inventory Filing

Useful Documents

• E-Filing Process
• Filing Instructions
• Filing Form (For Information Only – Use only by Small Business Filing Hard Copy)
• Fees - Calculation Worksheet (For Information Only - Use only by Small Business Filing Hard Copy)
• LEPC-LSP Repository Agreement
• Tier II Confidential Location Information Form

Gaming

• Audit Forms
• Indian Forms
• Licensing Forms
• Technical Forms

Internal Affairs

• Personnel Complaint Affidavit
• Retired ID Card Application (DPSSP 6679)
• Public Notice of Title VI Program Rights
• Title VI Complaint Form (PDF)
• Title VI Complaint Form (Online)

LSP CJIS Centralized Vendor Vetting Program

• Blank LSP Vendor Sponsorship Form
• LSP CVVP Frequently Asked Questions (FAQ)
• LSP Vendor Agreement
• Vendor Change Form

Recruitment

• Cadet Prep Manual
• Cadet Application

Transportation Safety

MVI - Forms

• Requirements to become a Motor Vehicle Inspection Station
• Motor Vehicle Inspection Weekly Report
• Record of Annual Commercial Inspection
• Semiannual School Bus Inspection Report

TRU - Forms

• Requirements to Become an Official Storage Facility
• Towing and Recovery Complaint Form - handwritten
• Towing and Recovery Complain Form - typed
• Tow Truck License Plate Application Affidavit
• Troop Tow Rotation List - New Company Application - Microsoft Word or PDF
• Troop Tow Rotation List - Renewal Application Packet
  • Company Application Request (TR1) - Microsoft Word or PDF
  • Tow Company Owner, Drivers, and Employees List - Microsoft Word or PDF
  • Application for Approval (DPSSP 3614) - Microsoft Word or PDF

Window Tint Exemptions

• Medical Window Tint Exemption Form

  • For step-by-step instructions, click here.
  • WALK-INS NOT ACCEPTED (per Criminal Background Dept)
  • After your affidavit has been accepted, you will receive information on further instructions.

• Security Window Tint Exemption Form 

All Window Tints applications to be mailed to:
DPS/Window Tint
PO Box 66614 A-26
Baton Rouge, LA 70896

**Any exemption granted shall not apply to the area below the top 6 inches of a motor vehicle windshield; see (R.S. 32:361.2D)

Homemade Trailer

• Homemade Trailer Affidavit

Miscellaneous

• Petition for Rulemaking
• Underground Utilities Complaint Form