PhaZZer® Operator Practical Sign-Off
Complete this after you run an Operator’s in-person practical—PhaZZer verifies it to unlock the Operator’s certificate.
How many Operators are you signing off?
*
One Operator
Multiple Operators (roster)
Operator Roster
*
Or upload a roster file (CSV or Excel)
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of
Number of Operators signed off
*
Operator
Operator Full Name
*
First Name
Last Name
Operator Email
*
example@example.com
Agency / Department
*
Order Number
Certifying Instructor
Instructor Full Name
*
First Name
Last Name
Instructor Email
*
example@example.com
Instructor Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
PhaZZer Instructor Certificate Number
*
Date of Practical
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Practical Checklist
Checklist items apply to every Operator listed
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Function (spark) test performed correctly
Safe handling, holster draw and re-holster demonstrated
Warning arc demonstrated
Two live cartridge deployments with probes in the preferred target zone
Post-deployment procedures and probe removal reviewed
DataPort firing record download reviewed
Instructor Notes
I certify that I personally observed every Operator listed complete the practical above and that each met PhaZZer standards.
*
I certify that I personally observed this Operator complete the practical above and that they met PhaZZer standards.
Instructor Signature
*
Submit Operator Sign-Off
Submit Operator Sign-Off
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