Citizens with Special Needs, Mental Illness, and Disabilities CT POSTC Review Form

Complete the following form below to generate your Citizens with Special Needs, Mental Illness, and Disabilities training credit form. A copy of this certificate will be emailed to you. Please email help@dlglearningcenter.com with any questions.

Name
First Last
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Email
Your Department/Agency
Please confirm the name and spelling of your Agency.
Your POST ID #
Enter your POST ID #. If you do not have your ID # please leave blank.
Signature
By signing you verify the above information is correct and the training was completed.
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Area
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Topic
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Course Hours – Field
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Credit Hours – Field
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Instructor
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Instructor ID
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Expiration Date
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Today's Date
Confirmation*
I have read and signed this form and attest that the information provided herein is true and accurate to the best of my knowledge. I understand that intentionally making a false written statement that I do not believe to be true with the intent to mislead a public servant in the performance of their official functions on a form bearing this notice is punishable by law. False Statement in the 2nd degree, under Connecticut General Statute § 53a-157b, is a class A Misdemeanor.
I have read and agree with the confirmation terms.