Become a Member Agency

Becoming a Member Agency will involve at a minimum, reviewing and signing:

The CISC Intergovernmental Agreement (IGA)
A Joinder to the CISC/Lexis Nexis Regional Data Warehouse (RDW) Agreement
A Memorandum of Understanding and addendum for NCIS/LInX
All detailed information provided following submission of the application Form

Still interested in becoming a CISC Member Agency? Please fill in and complete the information below.

* indicates required

Agency Information

Agency Name:* Enter the name of your agency.

Agency Membership:

New Colorado Agency Membership

Ex-Officio Membership

Chapter Membership

Address:

Address Line 2

City

State

Zip Code

Agency Person In Charge

First Name: *

MI:

Last Name: *

Rank/Position:

Preferred Contact

First Name: *

Last Name: *

Rank/Position:

Business Phone:*

() - () -#

Cell Phone:*

() - () -#

Preferred Email: *

Data Sources: (please list all that apply)

Agency RMS Provider:

Agency CAD Provider:

Agency LPR Provider:

Agency JMS Provider:

Other Data Source Provider:

Which data sources does your agency wish to share with the CISC?

RMS

Current Amount of Data?

CAD

Current Amount of Data?

LPR

Current Amount of Data?

JMS

Current Amount of Data?

Other

Current Amount of Data?

Peace Officers

Total number of Certified Peace Officer (Ex-Officio User FTEs)?

Total number of Certified Peace Officer FTE serving in a Detention or Corrections assignment?

Total number of non-certified peace officer FTE?

Estimated community population served (City, County, State, etc.)?

Additional Information:

Preferred Method of Payment?

Credit Card

Check

Direct Deposit

Other

Reasons for application:

Mission Statement

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