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Wisconsin Department of Justice DJLE280A (Rev 1/06) SUPPLEMENTAL GANG & TERRORIST MEMBER WORKSHEET CIC AGENCY IDENTIFIER WI ENTER SUPPLEMENTAL *CIC Number *Last Name *First Name Alias Last Name Alias
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How to fill out supplemental gang terrorist member form:

01
Begin by providing your personal information, such as your full name, date of birth, and contact details.
02
Next, indicate the gang affiliation you are associated with and provide any relevant details, such as the name of the gang, your role within the gang, and any known aliases.
03
Fill out the section regarding your involvement in terrorist activities. Specify any acts or plans you have participated in or knowledge you possess related to terrorism.
04
If applicable, provide information regarding any previous or current criminal charges or convictions related to gang or terrorist activities.
05
Sign and date the form to certify the accuracy of the information provided.

Who needs supplemental gang terrorist member form:

01
Individuals who are associated with a gang and have involvement or knowledge of terrorist activities might need to fill out the supplemental gang terrorist member form.
02
This form is typically required by law enforcement agencies, intelligence services, or counterterrorism units to gather information and track potential threats related to gang affiliation and terrorist activities.
03
The form could be required in various legal processes, investigations, or security screenings to assess and address threats posed by individuals with connections to both gangs and terrorism.
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Supplemental gang terrorist member refers to an additional individual who is associated with a gang or terrorist organization.
Law enforcement agencies are required to file supplemental gang terrorist member.
To fill out the supplemental gang terrorist member form, law enforcement agencies must provide detailed information about the individual's gang or terrorist organization affiliation.
The purpose of supplemental gang terrorist member is to track and monitor individuals who are involved in gang or terrorist activities.
Information such as the individual's name, gang affiliation, criminal activities, and any terrorist connections must be reported on the supplemental gang terrorist member form.
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Wisconsin NCIC DJ-LE-280A Suffix WORKSHEET IDENTIFIER Miscellaneous SUPPLEMENTAL WI Verification Expiration

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