Law Enforcement Officer's Safety Act (LEOSA)

The Wisconsin Division of Criminal Investigation only issues the LEOSA cards to retired DCI agents.  Retired federal agents must submit their application to the Division of Law Enforcement Services (DLES) to obtain the LEOSA card.  For information about LEOSA (a/k/a/ HR-218), check FAQ documents and other instructions.




For retired DCI agents wanting to attend one of the four DCI LEOSA qualification courses listed below, the agent is required to electronically submit the following forms, as well as a recent photograph (full face, digital in .jpg format, sized 2000x3000) to prior to the deadline.  The agent will also need to print the forms and bring the original signed form along to the qualification shoot.

**NOTE:  On the Liability Waiver form, the applicant is required to write in the four Uniform Gun Handling Safety Rules under "Description of Risks"; forms left blank will not be processed and the application will be rejected.


If the retired agent attends a qualification course sponsored by another agency or technical college, and is administered by a DOJ T&S certified firearms instructor, the agent must submit the certificate of qualification issued by that organization, along with form 261a2 Applicant Questionnaire, and 261a3 Liability Waiver; both with original signatures which can be mailed to DCI, and a recent photograph (full face, digital in .jpg format, sized 2000x3000) emailed to


Upon successful qualification, the LEOSA card will be issued to the retiree.




If a federal LEO receives a certificate of qualification from another organization, the certificate can be submitted directly to DLES, and DCI is not involved in any way.


If a retired federal LEO wishes to attend a DCI LEOSA qualification shoot, they only need to submit the 261a2 Applicant Questionaire and 261a3 Liability Waiver to prior to the deadline, and bring the original signed documents to the qualification shoot.


Upon successful qualification, the retired federal LEO will receive a Certificate of Qualification signed by the firearms instructor.  Retired federal LEO must submit the Certificate of Qualification to DLES, along with the DLES required application documents.  DLES issues LEOSA cards for retired federal LEO's.  For more information, check FAQ documents and other instructions




DCI will provide four opportunities yearly for retired DCI agents and retired federal law enforcement officers who meet the requirements under the Law Enforcement Officers Safety Act to qualify with their sidearm.  Applicants are required to provide 50 rounds of ammunition per weapon, per attempt of the WI DOJ Qualification Course, their own ear and eye protection, and any range fees required.


In 2015, the following LEOSA qualification shoots are offered, regardless of weather.  We are certifying two types of weapons; semiautomatic pistol and revolver, so bring either or both to qualify:





Friday, August 28, 2014 from 9:00 am to 12:00 pm in the Wausau area at the Frank Hanousek Range, which is the law enforcement portion of the Duane Corbin Shooting Range located at 2173 Rifle Road, Mosinee, Wisconsin. Directions from STH 51/I-39 are: exit at exit 188 (CTH N). Turn west onto CTH N and continue on CTH N/South Mountain Road to CTH KK (approximately 2 miles), turn south onto CTH KK and follow CTH KK to Rifle Road (approximately 6 miles), continue on Rifle Road through the Duane Corbin Shooting Range to the far west end where the Frank Hanousek Range is located. No range fees associated with the range; however, you may have to pick up brass after shooting.


Thursday, September 3, 2015 from 9:00 am to 12:00 pm in the Madison area at the Dane County Law Enforcement Training Center, located at 5184 Hwy 19, east of Waunakee in the Town of Westport. Attendees should enter the training facility through the front doors and walk straight back to a dry erase board, which will have directions to the classroom assigned to DCI. Please make sure your firearm is unloaded prior to entering the building. The Dane County Sheriff’s Office charges $20 as a range fee for all participants that will be collected by Dane County on the day of the qualification.