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State of Iowa

info@iowa.gov

200 E Grand, Des Moines , IA, 50309, US

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05/29/2024Click to Sign
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05/29/2024
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Additional Signatures Required

Minimum Medical Requirements Form completed and signed by a licensed physician, physician’s assistant or surgeon. Click Here to Upload
Any and all documentation pertaining to an arrest or criminal record. Click Here to Upload
If the MMPI was administered by a local clinic and not ILEA, attach the MMPI scales and narrative provided to you by the licensed psychologist who administered and evaluated the testing. Click Here to Upload
If a Level II basic academy has been selected as the route to certification, attach a college transcript. Click Here to Upload