Request for DLC Use

If your agency does not have a Da1687/Assumption of Command Memo on file with NCTC, please download and complete the 1687 Form. You can upload it to this form when asked about the Da1687 form.

Agency Name: *

Agency Address: *

Agency City: *

Agency State: *

Agency Zip: *

Point of Contact: *

Point of Contact Email: *

Point of Contact Phone: *

Desired Start Date: *

Desired Start Time: *

Desired End Date: *

Desired End Time: *

Event Name: *

Type of Training: *

Will a General Officer be present during the training? *

Yes No

Approximate number of personnel attending:

Component:

Equipment Needed: * Computer Podium Overhead Projector Surface Pros N/A

Da1687/Assumption of Command Memo on File? *

Yes No

Additional Information or Request:

Notes:

Verification

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