REINSTATEMENT APPLICATION
This application is intended for former members of the Los Santos Sheriff's Department seeking to return to active duty.
All applications will be reviewed based on prior service record, reason for departure, and current eligibility. Additional steps, such as an interview or refresher training, may be required at the discretion of command staff.
Ensure all answers are truthful and complete. Failure to provide accurate information may result in the denial of your application.
1. Personal Information
First Name: Adrian
Middle Name(s): N/A
Surname: Zepeda
Date of Birth: 25/SEP/1990
Place of Birth: Los Santos
Gender: Male
Race: Hispanic
Address: TBA
Contact Number: TBA
First Name: Adrian
Middle Name(s): N/A
Surname: Zepeda
Date of Birth: 25/SEP/1990
Place of Birth: Los Santos
Gender: Male
Race: Hispanic
Address: TBA
Contact Number: TBA
Page 1
2. Previous Service Information
Last Rank Held: Detective
Division/Unit: Major Crimes Bureau
Date of Joining: Early 2023
Date of Leaving: September 2024
Reason for Leaving: Personal.
Division/Unit: Major Crimes Bureau
Date of Joining: Early 2023
Date of Leaving: September 2024
Reason for Leaving: Personal.
Page 2
3. Reinstatement Details
Why do you wish to return to the Los Santos Sheriff's Department?
What have you done since leaving the department?
Do you believe you are ready to return to active duty? Elobrate why?
Page 3
4. Applicant Declaration
I, Adrian Zepeda, confirm that all information provided in this application is truthful and accurate. I understand that any false information may result in the denial of reinstatement.
Applicant Signature: A.Zepeda
Date Submitted: 25/SEP/2026
Applicant Signature: A.Zepeda
Date Submitted: 25/SEP/2026
Page 4
((5. Out-of-Character Information))
UCP Name: barney
Forum Profile Link: https://forum.southwest-roleplay.com/in ... arney.127/
Current Faction (if any): None
Have you been removed, suspended, or blacklisted from any faction since leaving LSSD? Yes / No
If yes, provide details: No.
Admin Record:
Forum Profile Link: https://forum.southwest-roleplay.com/in ... arney.127/
Current Faction (if any): None
Have you been removed, suspended, or blacklisted from any faction since leaving LSSD? Yes / No
If yes, provide details: No.
Admin Record:
Page 5
