WI LEP Program Application

WISCONSIN LAW ENFORCEMENT PHLEBOTOMY PROGRAM APPLICATION

Please complete the form below to apply for the WI LEP program.
Law Enforcement Phlebotomy (LEP) program training is an important part of the impaired driving investigation. While waiting for an individual to respond to draw blood, vital evidence is lost. The LEP program is one way to gather evidence in a timely manner that may otherwise be lost. Becoming a phlebotomist is a complex, time-consuming process and should not be entered into lightly. Please review the WI LEP Best Practices Manual before applying to the program: WI LEP Best Practices Manual

Officer Qualifications for Acceptance into the Law Enforcement Phlebotomy Program

1. Applicant must meet the following requirements:

a. Must be a commissioned officer who is off probation with their agency

b. Have a minimum of two years of experience after basic training. Reserve time may count but must be approved by the LEP State Coordinator.

c. Applicant must be free and clear of any pending internal investigations or disciplinary actions.

d. The employing agency must support the officer and the LEP program.

2. Applicants who do not meet one or more of the above requirements may be admitted into the LEP program on a case-by-case basis by submitting this application with a letter of recomentation and an explanation of how their acceptance would benefit the LEP program.

Those accepted into the Wisconsin LEP program must successfully complete the phlebotomy program provided by Madison College. This is a hybrid program that includes two courses, Basic Laboratory Safety (BLS) and the Phlebotomy Course. Light reading materials will be supplied online to students one week in advance of the course. It is expected the student will read all of the materials prior to attending the in-person portion of the training. The in-person class will meet for 1 week. Individuals that successfully complete the course will earn a digital badge in phlebotomy.

Any questions regarding the LEP program please contact Amy Miles amy.miles@slh.wisc.edu or Stevel Krecji skrejci911@earthlink.net
Which cohort would you like to attend:

January 5-9, 2026May 18-22, 2026Consider me for both, I have no preference
Full Name*

First NameLast Name
Current Law Enforcement Agency*
Rank / Hire Date*
Current Assignment*
Supervisor Name*
Supervisor Email Address*
example@example.com
Supervisor Phone Number*
Applicant Email Address*
example@example.com
Applicant Phone Number*
SFST Training Completion Date and Instructor*
ARIDE Training Completion Date and Instructor*
DRE Training Completion Date *
Summarize your prior assignments or activity related to the LEP program .*
Summarize your formal education, work or practical experience and training not included above that may be related to or of interest to the LEP program (EMT training, college, etc)*
Provide any other information the LEP program State Coordinator should now about your interest in the LEP program.*
Provide your court testimony history including number of appearances and case type.*
Upload Your CV and Letter of Support From Your Agency*

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WISCONSIN LAW ENFORCEMENT PHLEBOTOMY PROGRAM APPLICATION