police-badge

FBI-Badge

$_3

You are requesting to have access to the IPRCENTER proprietary data base. If you are a law enforcement officer (Police, Customs, DEA, FBI, etc.) you are entitled to be granted access.

Nevertheless PICA Corporation, will read your application information and contact your agency to verify that your request is legitimate.

Please fill the form below and send it when done. Note that some fields are mandatory.

Your First Name (required)

Your Last Name (required)

Your Title/Rank

Date

Law enforcement agency (required)

Agency or Office Street Address

Agency or Office City

Agency or Office State

Agency or Office Zip Code

Agency or Office Country

Your Main Phone Number (required)

Alternate/Cell Number

Your Email (required)

Agency email address - Please verify (required)

Choose a password (required)
(minimum 8 characters, must have at least 1 number and at least 1 letter)

Contact Department/Personnel (for verification) (required)

Organization Affiliations

Other Organizations

Please provide any additional information

Thank you. The IPRCENTER team.