RUASI Law Enforcement RegistrationBenefits to Registration
CONTACT INFORMATIONFirst Name: *Last Name: *Position/Title/Rank: *Are you sworn law enforcement? *Yes No Phone Work: (###-###-#### - ext) *Mobile Phone: (###-###-####) Email Address: * Use agency/organization email address.Please re-type your email address: *Address: *Address 2:City: *County: *-Select County-RiversideSan BernardinoOther
AGENCY / ORGANIZATIONAgency/Organization Name: *Federal State Local MilitaryOtherAFFILIATIONSAre you registered with JRIC? *Yes No Are you a TLO *Yes No SUPERVISOR INFORMATION CONTACTFull Name: *Supervisor's Title: *Phone Work: * (###-###-####) Supervisor's Email Address: * (Organization email addresses only)WEBSITE ACCESSCreate a password for site access. (min 8 characters; 1 numeric, 1 special)Password: *
All registration information is considered strictly confidential and will not be shared.