Retired or separated NCIS Special Agents who meet the good standing criteria established in the Law Enforcement Officers Safety Act (LEOSA) are eligible to receive the DoD Law Enforcement Officer identification card.  See the  LEOSA Fact Sheet below for additional details.

Requesting personnel must submit a notarized release and waiver of liability agreement, affirmation and acknowledgement for issuance of the DoD law enforcement officer (retired/separated) identification card, and a request for NCIS credentials to Code 11A.  These forms are listed below:

 NCIS LEOSA Fact Sheet 
 NCIS LEOSA 5512-1 Credential Request
 NCIS LEOSA Affirmation and Acknowledgement
 NCIS Release- Waiver of Liability Agreement

Requesting personnel who do not have an electronic photo on file at NCIS Headquarters must submit one with their request.  Photos must be in the ".jpg" format.

Please submit your request to NCIS Headquarters at the following address:

Naval Criminal Investigative Service
Attn: Code 11A
27130 Telegraph Rd.
Quantico, VA 22134-2253

The requesting retired/separated LEO must also request a criminal history check from the FBI by sending the application (I-783 (Rev. 7-1-2013) posted below), fingerprints [obtained locally by the individual, at their own expense], and fee ($18) directly to FBI CJIS.

 I-783 (Rev  7-1-2013).pdf