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: Malcolm
Middle Name(s): Warren
Surname: Kolchin
Date of Birth: 21/AUG/1988
Place of Birth: Blueberry, County of Los Santos, San Andreas.
Gender: Male
Race: Caucasian
Address: Main Street 26, Blueberry.
Contact Number: TBA
First Name: Malcolm
Middle Name(s): Warren
Surname: Kolchin
Date of Birth: 21/AUG/1988
Place of Birth: Blueberry, County of Los Santos, San Andreas.
Gender: Male
Race: Caucasian
Address: Main Street 26, Blueberry.
Contact Number: TBA
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2. Previous Service Information
Last Rank Held: Undersheriff
Division/Unit: Detective Division
Date of Joining: 2019
Date of Leaving: Early 2024
Reason for Leaving: Personal issues regarding family.
Division/Unit: Detective Division
Date of Joining: 2019
Date of Leaving: Early 2024
Reason for Leaving: Personal issues regarding family.
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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?
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4. Applicant Declaration
I, Malcolm Kolchin, 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: Malcolm W. Kolchin
Date Submitted: 19/SEP/2026
Applicant Signature: Malcolm W. Kolchin
Date Submitted: 19/SEP/2026
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((5. Out-of-Character Information))
UCP Name: schizophrenic
Forum Profile Link: https://forum.southwest-roleplay.com/in ... renic.159/
Current Faction (if any): N/A
Have you been removed, suspended, or blacklisted from any faction since leaving LSSD? No. I've never been suspended or blacklisted from any faction.
Admin Record:
Forum Profile Link: https://forum.southwest-roleplay.com/in ... renic.159/
Current Faction (if any): N/A
Have you been removed, suspended, or blacklisted from any faction since leaving LSSD? No. I've never been suspended or blacklisted from any faction.
Admin Record:
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