"*" indicates required fields Application Type*Application TypeNew ApplicationAgency InformationName of Agency*Head of Agency* First Last Head of Agency Title*Email* Phone*Agency Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is Head of Agency's REQUIRED TPCA Membership current?* Yes If no, visit TPCA’s Membership website to join.Agency Program Manager InformationAgency Program Manager* First Last Agency Program Manager Email* Agency Program Manager Phone*TPCA Region*Find your region at: www.tml.org/234/Map-OAicers# of Sworn Officers* 1-10 11-19 20-25 26-50 51-100 101-200 201+ # of Non-Sworn Officers*# Total Personnel*Is your agency CALEA Accredited?* Yes No Use TML Risk Pool for Liability or WC?* Yes No Has the Head of Agency attended the required Training in person or online?* Yes No If yes, please provide the date of training the Head of Agency attended.Has the Agency Program Manager attended the required Training in person or online?* Yes No If yes, please provide the date of training the Agency Program Manager attended.After reviewing the Best Business Practices, how many months do you anticipate needing to comply with the standards?*All agencies will be required to use PM AM software to upload their files. Every accredited agency receives the “Lite” version of PM AM at no cost, with all features needed for TPCA submissions. Optional upgrades are available directly through PM AM but are not required.Application Agreement*(Initials)Head of Agency's Electronic Signature*Today's Date* MM slash DD slash YYYY PaymentA one-time $500.00 application is required and must be received before processing begin. Your total application fee includes a one-year membership for the agency’s program manager. Please visit TPCA’s Membership site to join: [include link to site].Total Payment Method Online/Credit Card Invoice/Check This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit Card Δ