Recognizing the Cannabis Impaired Motorist

If you have difficulty completing this registration, please contact Renee Borden by email at Renee.Borden@dmv.ny.gov or 518.486.6718

Completion of this registration DOES NOT guarantee you a seat in the class. Confirmation notices will be e-mailed approximately 2 weeks prior to the class. Please remember to check your junk/spam folder.

1. Date and Location: (Select location from dropdown) *

*Pursuant to NYS Personal Privacy Protection Law, DCJS is authorized to collect personal identifying information as part of a public safety agency record. Personal identifying information on this form shall not be revealed, released, transferred, disseminated or otherwise communicated orally, in writing, or by electronic means other than to the registrant. Disclosure of personal identifying information is voluntary. Refusal to provide personal identifying information shall not result in the denial or any right, benefit or privilege.

2. Attendee *This question is required.

Title/Rank

Last Name *This question is required*

First Name *This question is required*

Birthdate (Please enter as MM/DD/YYYY) *This question is required.*

Date

Person ID: (Please enter in the following format - Last name-DOB-Last 4 of SSN Example: Smith-01011999-1234 (No hashtags please) *This question is required*

Agency Name *This question is required*

Agency Street Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Attendee E-Mail Address *This question is required.*

example@example.com

Phone Number *This question is required.*

Please enter a valid phone number.

Position *This question is required.*

PolicePeaceCivilian

If you are a peace officer, please indicate the type (i.e. Probation, Corrections, Parole, etc):

If you are a civilian please indicate your job title or relationship to the material (i.e. Investigator, Forensic Accountant, etc):

3. Supervisory Approval - Name*

First NameLast Name

Title*

Email Address*

example@example.com

4. Attendance Confirmation (E-Mail Address) *This question is required

example@example.com

Training Certificates

Certificates of completion for any DCJS hosted training event will be available for download for any police or peace officer listed on the NYS Police/Peace Officer Registry through the DCJS Acadis Portal. Please contact your agency Acadis Point of Contact to access and download your certificate.

Civilian attendees may request a copy of their certificate by contacting DCJS at the email listed below.

Any questions or assistance regarding obtaining a DCJS hosted course certificate may be directed to ops.generalpolicing@dcjs.ny.gov.

Civilian attendees may request a copy of their certificate by contacting DCJS at email listed

Any questions or assistance regarding obtaining a DCJS hosted course certificate may be directed to ops.generalpolicing@dcjs.ny.gov