Attachment 2(I) - CSO Form 014.pdf

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Form CSO-014 Rev. 03/12 Page of U.S. Department of Justice United States Marshals Service Court Security Officer Weapons Qualification Record INSTRUCTIONS: U.S. Marshals Service Court Security Officers (CSO) are required to be qualified to operate a USMS-issued service weapon. Form CSO-014 should be completed by the contractor's authorized Firearms Instructor and returned to the CSO's district contracting officer's representative by December 31 of each contract period, or as required for new hires.

QUALIFICATION RESULTS

12. Ammunition Used (Brand, Caliber, Weight, Type (JHP, JSP, etc.))

13. Score

14. Qualification Level

15. Shooter's Initials

16. Date of Retests (If applicable) Qualification 1st Retest 2nd Retest

QUALIFICATION

RANKINGS:

Did Not Qualify (DNQ):

174 or below Marksman (MM):

175 - 212 Sharpshooter (SS):

213 - 237 Expert (EX):

238 - 249 Distinguished Expert (DE):

USE OF DEADLY FORCE AND FIREARMS POLICY: I have read and understand the current DOJ Uniform Deadly Force Policy as well as the USMS contract requirements.

CONTRACTOR'S AUTHORIZED FIREARMS INSTRUCTOR CERTIFICATION: This certifies that the course of fire, qualification level, scores, weapons and ammunition used are authorized and indicated herein, and that the individual stated above demonstrated proficiency with their issued weapon.

19. The firearm described herein has been inspected by the contractor's authorized Firearms Instructor (named in Block 18) and meet USMS contract requirements for serviceability.

20. The holsters and accessory equipment used (magazines/magazine holders) have also been inspected and meet USMS contract requirements for design and serviceability.

21. The body armor described herein has been inspected by the contractor's authorized Firearms Instructor (named in Block 18) and meet USMS contract requirements for serviceability.

USMS REPRESENTATIVE VERIFICATION

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