Meriden, CT · New Haven County
LEOSA HR-218 Application
This seven-page application is for qualifying former law enforcement officers seeking Meriden Police Department review and qualification under the Law Enforcement Officers Safety Act program.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The application collects personal and law-enforcement service details, eligibility confirmations, firearm information, and the applicant’s sworn statement. Former Meriden officers and other qualifying officials who reside in Meriden or Connecticut are instructed to complete it and submit it to the Meriden Police Department’s Professional Development Unit. Applications are due at least four weeks before announced qualification dates, and the form lists email and hand-delivery options.
Who needs it
Qualifying former Meriden Police Department officers and other qualifying officials residing in Meriden or Connecticut who seek HR-218 qualification should complete this application.
Why it needs a notary
The form has a sworn statement and a notary signature section; the applicant signs and swears to the statements before the notary.
How to get this notarized
- 1
Download the Application
Get the seven-page LEOSA HR-218 application from the City of Meriden website.
- 2
Complete the Form
Fill in personal and service details, initial the requirements, provide firearm information, and review the sworn statement.
- 3
Book an Online Notary
Schedule an appointment with a commissioned online notary and have the completed application ready.
- 4
Sign on Video
Sign and swear to the applicant statement during the online notarization appointment.
- 5
Submit to the Police Department
Send or hand-deliver the notarized application to the Meriden Police Department as directed by the form.
Preview the form
The blank PDF straight from Meriden. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the completed LEOSA HR-218 application?
- The form lists email and hand delivery to the Meriden Police Department’s Professional Development Unit. It says to submit the application at least four weeks before announced qualification dates.
- Do I need to sign the application in front of a notary?
- Yes. The application says it must be notarized and includes a notary signature section. Sign and swear to the statement before the notary.
- Can I use a commissioned online notary for this application?
- Connecticut authorizes remote online notarization for its own notaries under Public Act 23-28, effective October 1, 2023. Ask the Meriden Police Professional Development Unit whether it accepts an online-notarized application; confirm with the town clerk if unsure.
- Who can apply for Meriden’s HR-218 qualification?
- The form describes former Meriden officers and other qualifying officials who reside in Meriden or Connecticut, have separated or retired in good standing, and meet the stated criteria.