"*" indicates required fields Agency 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: Join TPCA MembershipAgency Program Manager InformationAgency Program Manager* First Last Agency Program Manager Email* Agency Program Manager Phone*Other Agency Contact InformationHead of Agency Supervisor Name*For Agreement Contract SignatureHead of Agency's Supervisor Email* Agency Accounts Payable Email* For Accreditation Fee BillingAgency Accounts Payable Phone*TPCA Region*Find your region at: TML Texas RegionsAre you a TML Risk Pool Member and would you like to apply for TML funding to cover your first-year annual program fee?* Yes No Note: This does not include the $500 application feeNumber of Sworn Officers*1-10 Sworn Officers11-19 Sworn Officers20-25 Sworn Officers26-50 Sworn Officers51-100 Sworn Officers101-200 Sworn Officers201 or more Sworn Officers# Total Personnel*Is your agency CALEA Accredited?* Yes No This helps us understand what accreditation framework you’re already operating under and how much documentation you already have in place.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. 👉 Click here for the online Head of Agency Orientation Has the Agency Program Manager attended the required Training in person?* Yes No If yes, please provide the date of training the Agency Program Manager attended. 👉 Click here for Accreditation Program Training After reviewing the Accreditation Standards, 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.I agree to use PM AM as required for TPCA Accreditation*(Initials)Head of Agency's Electronic Signature*Today's Date* MM slash DD slash YYYY Website Accreditation Next Steps After Application Submission $500 Application Fee is submitted. Head of Agency TPCA membership is verified as current. TPCA Accreditation Agreement is sent for signature of the Head of Agency and supervising authority and returned to TPCA for execution. TML funding application is signed and submitted (if applicable). Annual accreditation fee is due within 30 days (unless TML funding applies) of the agreement signature. PMAM access is granted. Standard 0 is submitted in PMAM (this submission then automatically notifies TPCA that the agency has successfully gained access to PMAM. Without this initial submission, we cannot move to the next step). TPCA assigns a Program Coordinator (Mentor) . All standards, policy documentation, and supporting evidence must be submitted in PMAM no later than six (6) weeks prior to the expiration of the two-year contract signature date. Δ