"*" 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 Membership Agency Program Manager InformationAgency Program Manager* First Last Agency Program Manager Email* Agency Program Manager Phone*Head of Agency's Supervisor Name* For Agreement Contract SignatureHead of Agency's Supervisor Email* Agency Accounts Payable Email* For Annual Fee Payment BillingAgency Accounts Payable Phone*TPCA Region*Find your region at: TML Texas Regions# of Sworn Officers 1-10 – $600 11-19 – $750 20-25 – $1,000 26-50 – $2,000 51-100 – $2,500 101-200 – $3,000 201 or more – $3,500 # of Non-Sworn Officers*# Total Personnel*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 or online?* Yes No If yes, please provide the date of training the Agency Program Manager attended. 👉 Click here for Accreditation Program Training 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*InitialOriginal Accreditation Date*(date)Last Accreditation Date*(date)Head of Agency's Electronic Signature*Today's Date* MM slash DD slash YYYY Other Agency Contact Information Steps After Re-Accreditation Application Submission Annual fee payment history is reviewed. Head of Agency TPCA membership is verified as current. TPCA Accreditation Agreement is sent for signature by the Head of Agency and supervising authority and returned to TPCA for execution. Annual accreditation fee is due within 30 days of the agreement signature. PMAM access is validated. Standard 0 is submitted in PMAM. All standards, policy documentation, and supporting evidence must be submitted in PMAM no later than six (6) weeks prior to the last approved accreditation date. TPCA assigns Assessors. Δ