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Home Source documents Identification Cards for Qualified Retiring and Separating OIG Law Enforcement Officers — DHS OIG Directive

Identification Cards for Qualified Retiring and Separating OIG Law Enforcement Officers — DHS OIG Directive

Summary

Department of Homeland Security Office of Inspector General Directive 257, issued July 31, 2014, setting procedures for qualified law enforcement officers who retire or separate to obtain an identification card under the Law Enforcement Officers Safety Act of 2004. The Act exempts qualified officers who separated after 10 years of service, and retired officers, from most state and local bans on carrying concealed firearms, but not from federal rules such as airline restrictions. The office will not issue a card to anyone barred by federal law from receiving a firearm. Holders must meet their state's firearms qualification standards each year at their own cost, and applicants must sign an indemnification agreement. The Assistant Inspector General for Investigations approves applications, and the Deputy Inspector General decides appeals.

Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used

Cite this document

“Identification Cards for Qualified Retiring and Separating OIG Law Enforcement Officers — DHS OIG Directive.” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/dhs-oig-cuffari-testimony-2022-testimony-of-inspector-general-dr-josep-1ef2c15d13/, SHA-256 1e2ca07e6c633ece554c7c99881521f5fc7845d83a00e81155b4ffab650be773.

Full text

 SUBJECT: Identification Cards for Qualified Retiring       DIRECTIVE NUMBER:
        and Separating O IG Law Enforcement Officers
                                                            257

DISTRIBUTION: All Employees                                 DATE ISSUED:
                                                             July 31, 2014



I.       Purpose

This directive establishes policy and procedures for qualified law enforcement officers
( LEOs) who are retiring or separating from the Department of Homeland Security ( O HS)
Office of Inspector General (O IG) to obtain an identification card for the purposes of the
Law Enforcement Officers Safety Act of 2004, as amended ( LEOSA).


With certain limitations and conditions, LEOSA exempts qualified LEOs who separated
after 10 years of law enforcement service and retired LEOs from most State and local
laws that prohibit the carrying of concealed firearms. The LEOSA, however, does not
exempt these individuals from other Federal laws or regulations, including any
restrictions on carrying firearms on transportation systems such as commercial airlines,
nor does it extend to these individuals any authority for the use of firearms or any law
enforcement powers.


II.      Scope

This directive applies to all retiring and separating O IG LEOs who meet the
requirements of LEOSA.


Ill.     Authorities

A. 18 U.S.C. § 926C, "Carrying of Concealed Firearms by Qualified Retired Law
       Enforcement Officers," as amended.

B. OHS Directive 257-0 1, '' Law Enforcement Officers Safety Act," October 10, 2008,
       except as superseded by law.

C. O HS Instruction 257-07-00 1, " Instruction Guide on the Law Enforcement Officers
       Safety Act," November 5, 2008, except as superseded by law.


IV.      Policy

A. Regardless of an O IG LEO's years of service or employment status, O HS O IG will
       not issue a LEOSA credential to persons prohibited by Federal law from receiving a
       firearm.


B. OHS O IG will issue a Federal Law Enforcement Officer (Retired or Separated)
       Identification Card (Attachment 3, LEO ID Card) which will be separate and distinct
       from an employee's retired credentials.


DATE: July 31, 2014                         1                                OIG # 257
C. Each LEO ID Card shall, at a minimum, include the name of the individual, the
     individual's photograph, and the date the individual retired or separated in good
     standing from O HS O IG.


D. To meet LEOSA requirements, retired or separated LEOs must annually be tested or
   otherwise found to meet standards by a non- O HS entity authorized by the state in
     which the retiree/separated LEO resides to issue a certification indicating that he or
     she meets the standards for training and qualification for active LEOs. It is the
     responsibility of the retiree/separated LEO to meet the requirements of his or her
     state. O HS O IG will not reimburse retired/separated LEOs for any cost associated
     with the State firearm qualification requirements or provide firearm qualification
     testing. O HS O IG will not certify a retiring or separating LEO's firearm qualifications.


E. O HS O IG shall not issue a LEO ID Card unless the applicant signs attachment 1,
     agreeing to indemnify O HS O IG for, and hold O HS O IG harmless from, any resulting
     liability for use of or possession of a firearm carried under LEOSA authority
     (Attachment 1 ).


F. To obtain the benefits of LEOSA, retired/separated LEOs must have the O HS O IG
     LEO ID Card and a state firearms testing certification in their possession when
     carrying a concealed firearm as well as meet all other LEOSA requirements.


G. D HS-OIG will issue a LEO ID card if the retired/separated LEO meets all
     requirements. Issuing a LEO ID Card is within the sole discretion of O HS O IG.


V.     Responsibilities

A. The Deputy Inspector General will decide appeals from decisions denying LEO ID
     Cards.


B. Office of Investigations.


     1. The Assistant Inspector General for Investigations (AIGI) will:


        a. determine whether an applicant is separating or retiring as a LEO in good
              standing, and approve or deny the application in writing. If the application is
              denied, the A IG I will include an explanation of the decision and the appeal
              rights;


        b. review complaints against retired/separated LEOs with a O HS O IG issued
              LEO ID Card related to eligibility or misuse of the card and take appropriate
              action; and


        c. maintain records, including initial and appeal decisions, supporting
              documentation, and recertification forms.


     2. Special Agents in Charge (SACs) will:



DATE: July 31, 2014                          2                                OIG # 257
         a. provide this directive to all retiring or separating LEOs under their supervision,


         b. coordinate with the Human Resources Division, the Special Investigations
             Division, and the Security Division to determine if applicants meet the
             qualifications for a LEO ID Card;


         c. make a written recommendation to the AIG I for approval or denial of each
             application explaining the rational for the recommendation; and


         d. submit their own applications directly to the A IGI.


C. Office of Management.

      1. The Human Resources Division will assist SACs in determining applicant
         qualifications for a LEO ID Card.


      2. The Security Division will:


         a. assist SACs in determining applicant qualifications for a LEO ID Card; and


         b. upon receipt of an approval from the A IG I or the Deputy Inspector General,
             issue a LEO ID Card (Attachment 3).


D. The Office of Counsel will:


      1. provide legal advice as needed; and


      2. make a written recommendation to the Deputy Inspector General on deciding
         appeals of initial determinations.


E. Retiring or Separating LEOs will:


      1. submit a completed application (Attachment 1) to the SAC if he or she wishes to
         have a LEO ID Card issued by D HS O IG;


      2. if issued a LEO ID Card, annually certify to D HS O IG Office of Investigations in
         writing, by completing Attachment 2, that Federal law does not prohibit him or her
         from receiving a firearm; and


      3. submit any appeal in writing to the Deputy Inspector General within 30 days of
         the denial. Provide a detailed description and evidence supporting why a LEO ID
         Card should be issued.


VI.     Procedures

A. Retiring or separating LEOs who wish to have a LEO ID Card must submit a
      complete application using Attachment 1 to their SAC. The application must have



DATE: July 31, 2014                           3                              OIG # 257
     original signatures; electronic signatures will not be accepted. Retiring or separating
     SACs should submit their own applications directly to the A IG I.


B. The SAC will coordinate with the Human Resources Division, the Security Division,
     and the Special Investigations Division to ensure that all necessary information is
     obtained to make a recommendation of good standing. At a minimum, O HS O IG will
     check the National Criminal Information Center and O HS O IG investigative and
     disciplinary records. The SAC will forward the application and relevant
     documentation to the A IG I.


C. The AIG I will determine whether an applicant is separating or retiring as a LEO in
     good standing, and approve or deny the application in writing. If the application is
     approved, it will be forwarded to the Security Division for issuance of the LEO ID
     Card. If the application is denied, the A IG I will provide the applicant with an
     explanation of the decision and the appeal rights.


D. After issuing the LEO ID Card, the Security Division will forward the application and
     supporting documentation to the Office of Investigations for record keeping.


E. Upon receipt of an appeal, the Deputy Inspector General may coordinate with the
     Office of Counsel to issue a final decision. If the decision is to approve the
     application, the entire file will be forwarded to the Security Division for issuance of
     the LEO ID Card. If the decision is to deny the appeal, the Deputy Inspector
     General will issue a final decision, including reasons for the denial, to the applicant.
     The Deputy Inspector General will issue the final decision within 60 days of receipt
     of the appeal. If additional time is needed to make a decision, the Deputy Inspector
     General will notify the applicant and provide an estimated timeframe in which the
     decision will be made. The appeal record shall be maintained by the Office of
     Investigations.


F.   O HS O IG LEO ID Card holders must annually certify to the Office of Investigations in
     writing, by completing Attachment 2, that Federal law does not prohibit them from
     receiving a firearm. O HS O IG may revoke the LEO ID Card based on a card
     holder's failure to recertify or an inability to meet the requirements of LEOSA. In
     either of these circumstances, the A IG I will send a written decision of the revocation
     to the card holder's last known address and request immediate return of the LEO ID
     Card.


VII. Definitions

A. Good Standing. For purposes of this Directive, a O HS O IG LEO shall be deemed
     to have separated or retired in good standing, unless at the time of separation or
     retirement:


        1. There was a determination made or action initiated to remove, or proposing to
             remove, the employee from federal employment or the employee was subject
             to another adverse action resulting from a substantiated claim of misconduct;


DATE: July 31, 2014                         4                                 OIG # 257
      2. The employee's security clearance was suspended or revoked, or a proposal
         to suspend or revoke the clearance had been issued because of the
           employee's actions or inactions;


      3. The employee was the subject of a pending psychological fitness for duty
           evaluation or had been found to be not fit for duty.


B. Persons Prohibited by Federal Law from Receiving a Firearm. Under 18 U.S.C.
   § 922, a person prohibited by Federal law from receiving a firearm includes
   someone who:


      1.   Is under indictment or has been convicted in any court of a crime punishable
           by imprisonment for a term exceeding one year;


      2.   Is a fugitive from justice;


      3.   Is an unlawful user of or addicted to any controlled substance as defined in
           section 102 of the Controlled Substances Act (21 U.S.C. § 802);


      4.   Has been adjudicated as a mental defective or who has been committed to a
           mental institution;


      5.   Is an alien illegally or unlawfully in the United States or admitted to the United
           States under a nonimmigrant visa, unless certain statutory exceptions apply;


      6.   Has been discharged from the Armed Forces under dishonorable conditions;


      7. Having been a citizen of the United States, has renounced his citizenship;


      8.   Is subject to a court order that:


              a. Was issued after a hearing of which such person received actual
                 notice, and at which such person had an opportunity to participate;


              b.   Restrains such person from harassing, stalking, or threatening an
                   intimate partner of such person or child of such intimate partner or
                   person, or engaging in other conduct that would place an intimate
                   partner in reasonable fear of bodily injury to the partner or child; and,


              c.   Includes a finding that the person represents a credible threat to the
                   physical safety of such intimate partner or child, or by its terms
                   explicitly prohibits the use, attempted use, or threatened use of
                   physical force against such partner or child that reasonably would be
                   expected to cause bodily injury.


      9.   Has been convicted in any court of a misdemeanor crime of domestic
           violence.



DATE: July 31, 2014                        5                                 OIG # 257
C. Qualified Retired or Separated Law Enforcement Officer. A qualified
   retired/separated LEO is an individual who:

       1. Is retiring or separating in good standing from service with O HS OIG as a
           LEO;

      2.   Before such separation or retirement, was authorized by law to engage in or
           supervise the prevention, detection, investigation, or prosecution of, or the
           incarceration of any person for, any violation of law, and had statutory powers
           of arrest;

      3.   Before such separation or retirement, served as a LEO for an aggregate of 10
           years or more; or retired from service with O HS O IG, after completing any
           applicable probationary period, due to a service-connected disability, as
           determined by O HS O IG;

      4. During the most recent 12-month period, has met and continues to meet, at
           the expense of the individual, standards for qualification in firearms training
           for active LEOs to carry firearms as determined by the O HS O IG, the State in
           which the individual resides or, if the State has not established standards,
           either a law enforcement agency within the State or standards used by a
           certified firearms instructor qualified to conduct firearms qualifications tests for
           active duty officers in the State;

      5. Has not been found by a qualified medical professional to be unqualified for
           reasons relating to mental health;

      6.   Has not entered into an agreement with O HS O IG acknowledging that he or
           she is not qualified for reasons relating to mental health;

      7.   Is not under the influence of alcohol or another intoxicating or hallucinatory
           drug or substance; and,

      8.   Is not prohibited by Federal law from receiving a firearm.


D. Retired or Separated Law Enforcement Officer Identification Card (LEO ID
   Card). The LEO ID card refers to the photographic card issued by O HS O IG
   stamped with the words "Federal Law Enforcement Officer ( Retired or Separated)"
   (Attachment 3). The card satisfies the identification requirements under LEOSA, but
   provides the holder with no law enforcement powers or authorities, nor any authority
   to use a firearm.




DATE: July 31, 2014                        6                                 OIG # 257
VIII. Questions

For questions about this directive, please contact the Office of Investigations.




APPROVED BY:              """
                        hn Roth
                                          )("'-.
                      Inspector General




Attachment 1: O HS O IG Federal Law Enforcement Officer ( Retired or Separated)
Identification Card Application

Attachment 2: O HS OIG Annual Federal Law Enforcement Officer ( Retired or
Separated) Identification Card Recertification

Attachment 3: O HS O IG Federal Law Enforcement Officer ( Retired or Separated)
Identification Card




DATE: July 31, 2014                         7                             OIG # 257
 Attachment 1- OHS OIG Federal Law Enforcement Officer (Retired or Separated) Identification Card
                                         Application

Last Name:                                   First Name:                                  Middle Name:




Office:                                Address (Include City, State & Zip Code) Phone Number (Desk/Mobile):




Permanent Mailing Address {Include City, State & Zip Code):        Permanent Phone Number:




Special Agent in Charge (SAC) Name:                                Phone Number (Desk/Mobile):




___      (Initials) I am submitting this request for a photographic identification card (as that
term is used in the Law Enforcement Officers Safety Act of 2004, as amended, also referred to
as LEOSA) identifying me as a law enforcement officer who retired or separated from DHS OIG
in good standing.

___          (Initials) I have read and fully understand 18 U.S.C. § 926C and DHS OIG Directive
_,        Identification Cards for Qualified Retiring and Separating OIG Law Enforcement Officers.


___       (Initials) I meet the following requirements set out in LEOSA, 18 U.S.C. § 926C, of a
"qualified retired law enforcement officer" in that I:

             A. Retired or separated (or am about to retire or separate) in good standing from
                service with the DHS OIG as a law enforcement officer, other than for reasons of
                mental instability;

             B. Before such retirement or separation, was authorized by law to engage in or
                supervise the prevention, detection, investigation, or prosecution of, or the
                incarceration of any person for, any violation of law, and had statutory powers of
                arrest;

             C. Before such retirement or separation, was regularly employed as a law
                enforcement officer for an aggregate of 10 years or more; or

             D. Retired or separated from service with DHS OIG, after completing any applicable
                probationary period, due to a service-connected disability, as determined by DHS
                OIG;

DATE:      July 31, 2014                       8                                       OIG # 257
         E. Am not under the influence of alcohol or another intoxicating or hallucinatory
            drug or substance; and,

          F.   After having read the list of categories of persons prohibited by Federal law (18
               U.S.C. § 922) from receiving a firearm, I am not prohibited by Federal law from
               receiving a firearm.

___      {Initials) At the time of my retirement or separation, there were (or, if about to retire
or separate, there are now) no actions or determinations pending against me concerning
firearms, psychological fitness for duty, suspension of security clearance, or disciplinary actions.

        If there were or are any such actions pending, please initial here   ___     and attach a
        written explanation.

____         (Initials) I authorize OHS OIG to review any external records that may affect my
fitness to carry a firearm. I further authorize OHS OIG to release the results of any derogatory
information in OHS OIG's possession to the certifying authority of the State in which I will seek
certification. In the event the State certifying agency requests additional information, OHS OIG
will provide the certifying agency with that information to the extent it is relevant to my fitness
to carry a weapon. By initialing this paragraph, I waive all Privacy Act and other legal rights and
remedies against such disclosure, and indemnify OHS OIG and hold it harmless against any
liability for such release.

____        (Initials) Concerning firearms training and certification, I understand that OHS OIG
will not conduct or assist with annual firearms testing for their retirees or separated employees.
I understand that, to meet LEOSA requirements, I must obtain a certification issued by the State
in which I reside indicating that, within one year before the date I am carrying a concealed
firearm, I have been tested or otherwise determined by the State to meet the standards
established by the State for training and qualification for active law enforcement officers to
carry a firearm of the same type as the concealed firearm I am carrying. The availability of such
certifications varies by State, and it is my responsibility to determine and meet the
requirements of my State of residence for obtaining this certification.

____       (Initials) I understand that I must have a OHS OIG issued photographic identification
identifying me as a retired or separated law enforcement officer AND my up-to-date annual
State firearms testing certification on my person at all times when I carry a concealed firearm
under the authority of LEOSA. Possession of the photographic identification alone does not
authorize me to carry a concealed firearm.

____      (Initials) I understand that, in order to carry a concealed weapon under the authority
of LEOSA, it is .my responsibility (and not OHS OIG's) to ensure that, in addition to having the
required photographic identification and current State firearms testing certification in my
possession, I am also in continuing compliance with all other requirements set out in LEOSA and
OHS OIG's Directive. If at any time I no longer meet any one of these requirements or become

DATE:   July 31, 201 4                        9                                  OIG #257
subject to any one of the prohibitions, I must notify DHS OIG and the State and I will not be
covered under LEOSA.

___      {Initials) I understand that the required DHS OIG photographic identification is only
for the purpose of identifying me as a law enforcement officer retired or separated from DHS
OIG. Neither that identification nor LEOSA confer law enforcement status or arrest authority.
They do not authorize me to engage in any law enforcement activities or investigations.

___      {Initials) I understand that as a retiree I am no longer an employee of the U.S.
Government. As a retiree I cannot expect to be covered by the Federal Tort Claims Act; or to be
provided representation by the U.S. Government in any claim or suit arising from or related to
my carrying a concealed firearm under LEOSA; or to either have the U.S. Government pay or
reimburse me for payment of any judgment or settlement resulting from any such claim or suit.

____       (Initials) In consideration for the issuance of a LEOSA identification card, I hereby
agree to indemnify DHS OIG for, and hold DHS OIG harmless from, any resulting liability for use
of or possession of a firearm carried under LEOSA authority. In addition, on behalf of myself
and my heirs, executors, or administrators, I release and forever discharge the U.S.
Government, the Department of Homeland Security, DHS OIG, and their officers and
employees, from any and all claims, demands, actions, or causes of action, on account of any
claim of injury or damage to persons or property arising from my use of a firearm or DHS OIG's
issuance of LEOSA identification.

___        (Initials) I understand that LEOSA preempts State law. This means that, with certain
limitations and conditions, LEOSA exempts qualified retired and separated law enforcement
officers from most State and local laws that prohibit the carriage of concealed firearms.
However, I also understand that LEOSA does not supersede or limit State laws that permit
private persons or entities to prohibit or restrict the possession of concealed firearms on their
property, and that LEOSA does not affect State laws that prohibit or restrict the possession of
firearms on any State or local government property, installation, building, base, or park.

____      (Initials) I understand that LEOSA does not exempt qualified retired or separated law
enforcement officers from Federal laws or regulations, including any restrictions on firearms
carriage on transportation systems such as commercial airlines. I understand that possession of
DHS OIG photographic identification and a State qualification certification does not authorize
me to travel armed aboard a commercial aircraft.

____        {Initials) I understand that issuance of any photographic identification is totally
within the discretion of DHS OIG; that any photographic identification issued by DHS OIG is the
property of DHS OIG; that loss or theft of the identification must immediately be reported to
DHS OIG; that alteration, reproduction or copying of the identification is prohibited; that the
identification must be surrendered to DHS OIG upon request; and that misuse or failure to
comply with any terms, conditions, or requirements set out in this document may result in
revocation of the identification.



DATE:   July 31, 2014                       10                                  OIG #257
____       (Initials) I further state that I was not removed from Federal service by OHS OIG, did
not resign or retire after being told that I would be fired, did not leave OHS OIG by mutual
agreement because of specific problems, nor was I debarred from Federal employment by the
Office of Personnel Management or any other Federal agency. (ff this is not accurate, do not
initial. Attach a written explanation including the date, an explanation of the problem, and
reason for leaving).


____       (Initials) I am not under indictment or charges for any violation of law. (ff this is not
accurate, do not initial. Attach a written explanation including the date, explanation of the
alleged violation, place of occurrence, and the name and address of the prosecuting authority or
court involved).




APPLICANT'S SIGNATURE

I, the retiring or separating employee, confirm my understanding of and agreement with all of
the statements, terms, conditions, and requirements included above and that all of the
information I have included in this Identification Card Application (and attachments) is accurate
to the best of my knowledge.




Applicant's Signature                                         Date



SIGNATURE OF WITNESS (must be an active and permanent OHS OIG SUPERVISOR with Law
Enforcement Authority or NOTARY)

The above-named applicant,                                       appeared before me in
person, signed this application and related attachments in my presence and I verified his/her
identity via a government identification.




Signature of Witness or Notary                         Date Witnessed or Notarized




Witness's Printed Name                 Title                                  Work Phone Number




DATE: July 31, 2014                            11                                 OIG #257
SPECIAL AGENT IN CHARGE RECOM MENDATION

Approve/ Disapprove (circle appropriate response) (If recommending disapproval, attach a
separate justification with the application)




Special Agent in Charge                                        Date Signed



ASSISTANT INSPECTOR GENERAL FOR INVESTIGATIONS DECISION

Approve/ Disapprove (circle appropriate response)




Assistant Inspector General for Investigations                 Date Signed



PRIVACY ACT STATEMENT

Authority:    The collection of this information is authorized by 18 U.S.C. § 926C.

Purpose:  OHS OIG is collecting this information to enable processing and adjudication of your
application for a LEO ID Card identifying you as a retired or separated law enforcement officer
who may carry a concealed firearm pursuant to 18 U.S.C. § 926C.

Routine Uses:   The information you provide may be shared with the certifying authority of the
state in which you seek firearms certification for the purpose of coordinating the issuance of
your photographic identification card as well as other Federal, state, and local law enforcement
agencies for the purpose of verifying that you have been issued a photographic identification
card or as otherwise authorized under the Privacy Act of 1974, 5 U.S.C. § 552a, pursuant to the
routine uses published in the OHS system of records notice, OHS/ALL-019 Payroll, Personnel,
and Time and Attendance Records.

Disclosure:  Furnishing this information is voluntary; however, failure to provide it may result in
the denial of your application.




DATE: July 31, 2014                           12                                  OIG #257
   Attachment 2     -   OHS OIG Annual Federal Law Enforcement Officer (Retired or Separated)
                                  Identification Card Recertification

Complete this certification in its entirety and return to the DHS OIG Office of
Investigations, Mail Stop 0305, 245 Murray Drive, SW, Washington, DC 20528-0305 or
transmit by facsimile to 312 886 2804.

Last Name:                               First Name:                          Middle Name:




Permanent Mailing Address (Include City, State & Zip Code):             Permanent Phone Number:




I certify that I:

    1. Am not under indictment, and have never been convicted in any court, of a crime
       punishable by imprisonment for a term exceeding one year;         (Initials)

    2. Am not a fugitive from justice;   ___       (Initials)

    3. Am not an unlawful user of, or addicted to, any controlled substance (as defined in
       section 102 of the Controlled Substances Act (21 U.S.C. § 802));        (Initials)

    4. Have not been adjudicated as a mental defective or committed to a mental institution;
        ___    (Initials)

    5. Have not been discharged from the Armed Forces under dishonorable conditions;
        ___    (Initials)

    6. Have not renounced my citizenship after being a citizen of the United States;
        ___     (Initials)

    7. Am not subject to a court order that;

             A.     Was issued after a hearing of which I received actual notice, and at which I
                    had an opportunity to participate;

             B.     Restrains me from harassing, stalking, or threatening an intimate partner of
                    mine or child of such intimate partner or person, or engaging in other
                    conduct that would place an intimate partner in reasonable fear of bodily
                    injury to the partner or child; and

            C.      Includes a finding that I represent a credible threat to the physical safety of
                    the intimate partner or child; or by its terms explicitly prohibits the use,
DATE:    July 31, 2014                        13                                  OIG #257
                     attempted use, or threatened use of physical force against the intimate
                     partner or child that would reasonably be expected to cause bodily injury;
                     ___      (Initials)

   8. Have not been convicted in any court of a misdemeanor crime of domestic violence.
         ___  (Initials)

I understand that:

   9.     Retired or separated law enforcement officers who either now or at some future time
          no longer meet any of the requirements or become subject to any of the disqualifiers
          set out in 18 U.S.C § 922 (related to prohibitions on receiving a firearm) would no
          longer be covered under the exemptions from State and local firearms laws contained
          in the Law Enforcement Officers Safety Act of 2004, as amended. Whenever the
          retired or separated law enforcement officer experiences an event that would
          disqualify him or her from receiving a firearm under 18 U.S.C. § 922, he or she must
          immediately notify DHS OIG and the certifying entity in the State of residence.
          ___      (Initials)

   10.    LEOSA does not exempt covered individuals from other Federal laws or regulations,
          including any restrictions on the carriage of firearms on transportation systems (such
          as commercial airlines) and does not confer any law enforcement power or authority
          to use the firearm.            (Initials)

I, the retired or separated law enforcement officer, certify my understanding of, and agreement
with, all of the statements, terms, conditions, and requirements included herein and that all of
the information I have included in this Recertification Form is accurate to the best of my
knowledge.




Signature                                             Date Signed




DATE:    July 31, 2014                       14                                 OIG # 257
PRIVACY ACT STATEMENT

Authority:    The collection of this information is authorized by 18 U.S.C. § 926C.

Purpose:  OHS OIG is collecting this information to enable processing and adjudication of your
application for a LEO ID Card identifying you as a retired or separated law enforcement officer
who may carry a concealed firearm pursuant to 18 U.S.C. § 926C.

Routine Uses: The information you provide may be shared with the certifying authority of the
state in which you seek firearms certification for the purpose of coordinating the issuance of
your photographic identification card as well as other Federal, state, and local law enforcement
agencies for the purpose of verifying that you have been issued a photographic identification
card or as otherwise authorized under the Privacy Act of 1974, 5 U.S.C. § 552a, pursuant to the
routine uses published in the OHS system of records notice, DHS/ALL-019 Payroll, Personnel,
and Time and Attendance Records.

Disclosure:  Furnishing this information is voluntary; however, failure to provide it may result in
the denial of your application.




DATE:   July 31, 201 4                        15                                  OIG #257
     Attachment 3        -   Sample - OHS OIG Federal Law Enforcement Officer (Retired or Separated)
                                               Identification Card




                                       mo T                                                                  FRONT




                           Office uf Inspector General

           FEDERAL LAW ENFORCEMENT OFFICER
                               (Rflllfll Ill lfPAllATBl




                                       BACK                                                                  BACK


         FOR THE INDIVIDUAL TO CARRY A CONCEALED WEAPON, THIS CARD MUST
                                                                              FOR THE INDIVIDUAL ro CARRY A CONCEALED WEAPON, nus CARD MUST
         BEACCOMPANIEDBYACURRENTFIREARM SQUALIFICATION CERTIFICATION          BEACCOMPANIED BYACUR.RENTF!REARMSQUAUFICATIONCERTIFICATION
         FROM THE INDIVlDUAL'S STATE OF RESIDENCE. THE INDIVlDUAL SHALL       FROM THE INDMDUAL'S STATE OF RESIDENCE. 11IE INDIVIDUAL SHALL
         NOT CARRY A FIREARM WJllLE UNDER THE INFLUENCE OF ALCOHOL OR         NOT CARRY A FIREARM WHILE UNDER 11IE fNFLUENCE OF ALCOHOL OR
         ANOTHER fNTO X!CATING OR HALLUCINATORY DRUG OR SUBSTANCE, AND        ANOTHER OO'OXICATING OR HALLUCINATORY DRUG OR SUBSTANCE, AND
         SHALL NOT CARRY A FIREARM IF PROHIBITED BY FEDERAL LAW FROM          SHALL NOT CARRY A FIREARM IF PROIDBITED BY FEDERAL LAW FROM
         RECEIVING A FIREARM                                                  RECEMNG A FIREARM.
         THESE CREDENTIALS ARE ISSUED FOR THE SOLE USE OF THE HOLDER          THESE CREDENTIALS ARE ISSUED FOR 1llE SOLE USE OF THE HOLDER
         DESIGNATED HEREON. UNAUTHORIZED USE OR POSSESSION BY ANY OTHER       DESIGNATED HEREON. UNAUTHORl7.ED USE OR POSSESSION BY ANY OTHF.R
         !NDMDUAL IS SUBJECT TO PENALTIES UNDER 13 U.S.C. 499, 506.AND 701.   INDMDUAL IS SUBJECT 1ll PENALTIES UNDER II U.S.C 499. 506. AND 701

         IF FOUND PLEASE RETIJRN TO:                                          IF FOUND PLEASE RE11JRN lll:

                                INSPECTOR GENERAL                                                     INSPEC1UR GENERAL
                      U.S. DEPARTMENT OF HOMELAND SECURITY                                  U.S. DEPARTMENT OF HOMELAND SECURITY
                      24S MURRAY DRIVE, SW, BLDG 410.STOPOJOS                               245 MURRAY DRIVE, SW. BLDG 410.STOPOJOS
                               WASHINGTON, D.C. 20528                                                WASmNGTON, D.C. 20521




DATE: July 31, 2014                                                   16                                                     OIG #257


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