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The University of Texas System PoliceFirearms Qualification Score SheetandPersonal Firearm/Back-up AuthorizationOFFICER: FORMTEXT ?????BADGE #: FORMTEXT ?????DATE OF QUALIFICATION: FORMTEXT ?????Training conducted on Use of Force to include Use of Force continuum and Deadly Force? FORMCHECKBOX YES FORMCHECKBOX NODid the Officer complete a test on ODOP Policy 604? FORMCHECKBOX YES FORMCHECKBOX NO**PERSONALLY OWNED FIREARMS CARRIED ON DUTY REQUIRES THE APPROVAL OF THE CHIEF OF POLICE**PISTOLMAKE: FORMTEXT ?????MODEL: FORMTEXT ?????SERIAL NUMBER: FORMTEXT ?????COURSE OF FIRE: FORMTEXT ?????TARGET: TSRIIWEAPON INSPECTED BY: FORMTEXT ?????DEPARTMENT / PERSONAL** CIRCLE ONEON DUTY / OFF DUTY / BACK UPCIRCLE ONESCORE: FORMTEXT ?????DATE: FORMTEXT ?????RIFLEMAKE: FORMTEXT ?????MODEL: FORMTEXT ?????SERIAL NUMBER: FORMTEXT ?????COURSE OF FIRE: FORMTEXT ?????TARGET: TSRIIWEAPON INSPECTED BY: FORMTEXT ?????DEPARTMENT / PERSONAL** CIRCLE ONEON DUTY / OFF DUTY / BACK UPCIRCLE ONESCORE: FORMTEXT ?????DATE: FORMTEXT ?????SHOTGUNMAKE: FORMTEXT ?????MODEL: FORMTEXT ?????SERIAL NUMBER: FORMTEXT ?????COURSE OF FIRE: FORMTEXT ?????TARGET: TSRIIWEAPON INSPECTED BY: FORMTEXT ?????DEPARTMENT / PERSONAL** CIRCLE ONEON DUTY / OFF DUTY / BACK UPCIRCLE ONESCORE: FORMTEXT ?????DATE: FORMTEXT ?????ALTERNATE WEAPONMAKE: FORMTEXT ?????MODEL: FORMTEXT ?????SERIAL NUMBER: FORMTEXT ?????COURSE OF FIRE: FORMTEXT ?????TARGET: TSRIIWEAPON INSPECTED BY: FORMTEXT ?????DEPARTMENT / PERSONAL** CIRCLE ONEON DUTY / OFF DUTY / BACK UPCIRCLE ONESCORE: FORMTEXT ?????DATE: FORMTEXT ?????ALTERNATE WEAPON 2MAKE: FORMTEXT ?????MODEL: FORMTEXT ?????SERIAL NUMBER: FORMTEXT ?????COURSE OF FIRE: FORMTEXT ?????TARGET: TSRIIWEAPON INSPECTED BY: FORMTEXT ?????DEPARTMENT / PERSONAL** CIRCLE ONEON DUTY / OFF DUTY / BACK UPCIRCLE ONESCORE: FORMTEXT ?????DATE: FORMTEXT ?????Officer Signature:Date: FORMTEXT ?????Instructor Signature:Date: FORMTEXT ?????** Chief of Police Signature:Date: FORMTEXT ????? ................
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