Paper Markdown

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Revision as of 09:57, 5 July 2022 by Leshens (talk | contribs) (Fixed minor mistakes)
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Writing Tools

PenPen

Pens come in a few different colors, black or blue by default, and some departments will be provided with red pens. Every crew member starts with one in their PDA.

CrayonCrayon

Crayons work much like pens, except that they are always bold, and lack the list, horizontal rule, and small tags.

Writing

Writing is performed by using any writing tool on paper, with any standard writing utensil.

Description You type You get
Bold text
**Bold text.**
__Bold text.__

Bold text.
Bold text.

Italic text
*Italics text.*
_Italics text._

Italics text.
Italics text.

Centering text
<center>Centered text.</center>
Centered text.
Lists
* Item one
* Item two
  * Subitem one
  • Item one
  • Item two
    • Subitem one
Horizontal rules
Before line.
___
After line.

Before line.


After line.

Large text

Large text.

Small text
((Small text.))

Small text.

Signature
%s

John Smith
Note: Signatures can't be faked since they use a different font.

Field
[_____________]

Displays an editable text input field with a size based on the number of underscores.

Headers
# H1
## H2

H1

H2

Forms Ready for Use

Here are some forms you can use to make your life easier(note: until a way to enter fields in again is found, you will have to do fill all of these out yourselves, instead of copying and pasting onto paper then giving it to the person):

General Needs

Simple Request Form

For requests of special items, like from the autolathe, it may be a good idea to have a form for people to fill out. The following papercode creates a simple request form:

General Request Form

  • Full Name:
  • Request:
  • Reason for request:

Sign Below

Paper Markdown:
 ## General Request Form

* Full Name: [_____________]
* Request: [_____________]
* Reason for request: [_____________]



*Sign Below*

Complex Request Form

For people that you dislike, or maybe anyone who asks for all access.

Request Form

Full Name:
Age:
Birthdate:
Bloodtype:
Shoe size:
SSN:
Astrological Sign:
Job Title:
Are you a traitor, changeling, wizard, cultist, or revolutionary?
Request:
Reason for request:



Sign Below

Paper Markdown:
## Request Form

Full Name: [_____________]
Age: [___]
Birthdate: [_____________]
Bloodtype: [___]
Shoe size: [___]
SSN: [_____________]
Astrological Sign: [_____________]
Job Title: [_____________]
Are you a traitor, changling, wizard, cultist, or revolutionary? [____]
Request: [_____________]
Reason for request: [_____________]

*Sign Below*

Space Suit Sheet

A proper way to apply for a space suit. If you get the HoP's stamp of approval you're less likely to get robusted by security if you have a space suit. Requires editing in your department and a proper reason.

Application for a space suit


I (name) would like to ask for permission for a Space suit in EVA in case of a atmospheric emergency that requires I need one.



signed
Atmospheric Tech
(name)

Paper Markdown:
|^**Application for a space suit**^|
---
 
I %s  would like to ask for permission for a **Space suit**
in **EVA**  in case of a atmospheric emergency that requires I need one.
---

signed
Atmospheric Tech
%s

Weapon Permit

For authorizing Non-Sec Crew members to have a weapon

Weapon Permit

I, the (Title), authorize (Full Name) to have a (weapon)
Signed,

Paper Markdown:
|^**Weapon Permit**^|
I, the %f , authorize %f to have a %f

*Signed,* 

Complaint Form

Got a complaint?

Complaint Form


  • Complainer's Name:
  • Complainer's Job:
  • Complaint Against's Name:
  • Complaint Against's Job:
  • Reason For Complaint:


Signed (name)

Paper Markdown:
|** Complaint Form: **|
---

* Complainer's Name: %f
* Complainer's Job: %f
* Complaint Against's Name: %f
* Complaint Against's Job: %f
* Reason For Complaint: %f
---

Signed

Employee of the Month Form

To perform a survey to determine the employee of the month in your department.

Employee of the Month Survey

Full Name:
Job Title:
Recommendation:
Reason for Recommendation

Sign Below

Paper Markdown:
|^Employee of the Month Survey^|

Full Name: %f
Job Title: %f
Recommendation: %f
Reason for Recommendation: %f

*Sign Below*


Insulated Gloves Sheet

A good way to get insulated gloves: Have you ever felt "oh man I want some insulated gloves". Well there's two ways to do this. You can do it the ron burgandy way and get a welder, weld into tech storage and have sec chasing you up and down. Or you can get HoP's approval and get some from Cargo Bay. If you have a HoP stamp, Cargonia daren't object to your request... and the HoP is probably happy for a reason to exist (generally a HoP will love it if you do your own paperwork). Requires editing in your department and a proper reason.

Application for insulated gloves




I (name) would like to ask for permission for insulated gloves in cargo(nia) in case of a atmospheric emergency that requires I need one.



signed
Atmospheric Tech
(name)

Paper Markdown:
|^**Application for insulated gloves**^|
---

I %s  would like to ask for permission for **insulated gloves**
in **cargo(nia)**  in case of a atmospheric emergency that requires I need one.



signed
%f
%s

Cyborgization Confirmation Form for Robotics

This is to get those pesky assistants to wait five seconds and fill out a form before they turn on you and start fireaxing the windows down trying to get borged.

Nanotrasen Cyborg Application Form C.C.26




I (write name here) do hereby consent to brain removal and cyborgization


I also wish to name my model

  • (write name here)




signed
(write name here)

Paper Markdown:
|^**Nanotrasen Cyborg Application Form C.C.26**^|
---

I %f do hereby consent to brain removal and cyborgization


---
I also wish to name my model
((
* %f
))
---

signed

After you're done, just add


Operation successful
%s


Dungeons & Dragons Sheet

Modifed LLA Dungeon & Dragons sheet to work with our Microlite20 core rules.

Microlite20 Character Sheet


Race:
human, dwarf, elf, halfling

Class:
cleric, fighter, rogue, wizard

Alignment:

Hit Points:
Armor:
Armor bonus

Stats:
STR:
DEX:
MIND:

Skills:
Physical:
Subterfuge:
Knowledge:
Communication:

Weapon 1:
Weapon 2:
Spells:

Items:
Money:

Paper Markdown:
|^**Microlite20 Character Sheet**^|

Race: %f
((human, dwarf, elf, halfling))

Class: %f
((cleric, fighter, rogue, wizard))

Alignment: %f

Hit Points: %f
Armor: %f
Armor Bonus: %f

Stats:
STR: %f
DEX: %f
MIND: %f

Skills:
Physical: %f
Subterfuge: %f
Knowledge: %f
Communication: %f

Weapon 1: %f
Weapon 2: %f
Spells: %f

Items: %f
Money: 

Inspection Form for Inspecting

Inspection form for departmental inspections, etc.

INSPECTION FORM


Efficiency

Adherence to Health & Safety Guidelines

Courtesy shown to Inspector & Overall Approachability

Overall Grade

Other Comments

Glory to Nanotrasen.
(signed)

Paper Markdown:
^|**INSPECTION FORM**|^

**Efficiency**
%f

**Adherence to Health & Safety Guidelines**
%f

**Courtesy shown to Inspector & Overall Approachability**
%f

**Overall Grade**
%f

**Other Comments**
%f

Glory to Nanotrasen.

%s

For the Chef/Bartender

Simple Menu

The Maltese Falcon
Bar - Restaurant




Burger
Big Bite Burger
Super Bite Burger
Sandwich
Toasted Sandwich
Grilled Cheese Sandwich
Meatbread
Tofubread
Pizza Margherita
Pizza Carbonara
Pizza Funghi
Tomato Pasta
Spaghetti & Meatballs
Vegetable Soup
Meatball Soup
Tomato Soup
Ask about our desserts!

Other dishes available on request.

Paper Markdown:
|^**The Maltese Falcon**^|
|Bar - Restaurant|
---

Burger
Big Bite Burger
Super Bite Burger
Sandwich
Toasted Sandwich
Grilled Cheese Sandwich
Meatbread
Tofubread
Pizza Margherita
Pizza Carbonara
Pizza Funghi
Tomato Pasta
Spaghetti & Meatballs
Vegetable Soup
Meatball Soup
Tomato Soup
*Ask about our desserts!*

((Other dishes available on request.))

Hamburger Menu

The Maltese Falcon
Bar and Restaurant





Burgers


Maltese Falcon Burger 7.85 Raditz
A delicious 1/3 lb. juicy sirloin beef patty topped with Swiss cheese, thinly sliced ham, lettuce, tomato, and a touch of our special Ricotez sauce on a delicious deli roll
Maltese Falcon Big Bite Burger 8.99 Raditz
Two 1/3 lb. patties topped with fresh-cooked MacMeaties Space Bacon in between a premium warm, toasted bun topped off with mayo, and American cheese
Maltese Falcoln Super Bite Burger 10.99 Raditz
This Gigantic 3/4 lb savory fire-grilled sirloin beef patties are topped with juicy tomatoes, fresh cut lettuce, creamy mayonnaise, and crunchy pickles.

*Nanotrasen is not responsible for any heart related trauma if you eat one of these!


Paper Markdown:
|^**The Maltese Falcon**^|
|Bar and Restaurant|
---
((
|Burgers|

***Maltese Falcon Burger*** 7.85 Raditz
A delicious 1/3 lb. juicy sirloin beef patty topped with Swiss cheese, thinly sliced ham, lettuce, tomato, and a touch of our special Ricotez sauce on a delicious deli roll
***Maltese Falcon Big Bite Burger*** 8.99 Raditz
Two 1/3 lb. patties topped with fresh-cooked MacMeaties Space Bacon in between a premium warm, toasted bun topped off with mayo, and American cheese
***Maltese Falcoln Super Bite Burger*** 10.99 Raditz
This Gigantic 3/4 lb savory fire-grilled sirloin beef patties are topped with juicy tomatoes, fresh cut lettuce, creamy mayonnaise, and crunchy pickles.

\*Nanotrasen is not responsible for any heart related trauma if you eat one of these!
---
))

Sandwich Menu

Sandwiches and bakery items


Captain Ian's Favorite Sandwich 11.99 Raditz
Served with traditional Italian cold cut Capicola, Thinly cut roast beef, pepperjack cheese, feta chese, lettuce, tomato, white onions, smooth pepperoncini pepers,and a dab of mayo, - served oven toasted or cold. Don't feed to ian too often.

Captain Ian's Junior Grilled Cheese Sandwich 4.99 Raditz
Made Just for you! Even the most violent mime syndicate spy won't raise a word of protest if you try to feed him this wonderful sandwich.

IBLAMETOXINS Meatbread 3.99 Radiz
There's nothing that says Horrible home cooking” better than a plate of meatbread!!You thought it couldn't follow you into space but it has!

2beard Tofubread 3.99 Raditz
Tofu bread? Seriously? Do you want to eat this? Don't say we didn't warn you.

Paper Markdown:
((
|Sandwiches and bakery items|
---
***Captain Ian's Favorite Sandwich*** 11.99 Raditz
Served with traditional Italian cold cut Capicola, Thinly cut roast beef, pepperjack cheese, feta chese, lettuce, tomato,
white onions, smooth pepperoncini pepers,and a dab of mayo, - served oven toasted or cold. Don't feed to ian too often.

***Captain Ian's Junior Grilled Cheese Sandwich*** 4.99 Raditz
Made Just for you! Even the most violent mime syndicate spy won't raise a word of protest if you try to feed him this wonderful sandwich.

***IBLAMETOXINS Meatbread*** 3.99 Radiz
There's nothing that says Horrible home cooking” better than a plate of meatbread!!You thought it couldn't follow you into space but it has!

***2beard Tofubread*** 3.99 Raditz
Tofu bread? Seriously? Do you want to eat this? Don't say we didn't warn you.

))

Pizzas

Pizzas


Margherita Pizza 12.99 Raditz
A light pizza with olive oil, garlic, fresh basil, fresh tomatoes, mozzarella and Parmesan cheeses. Perfect with a cold space beer on a hot space summer night.



Cheese Pizza 9.99 Raditz
This is a fantastic version of an Italian classic. The feta cheese adds a rich flavor that brings this dish to life. Incredibly easy and incredibly delicious. Do not waste feeding it to assistants.



Mushroom Pizza 11.99 Raditz
Made with the souls of walking mushrooms this pizza is undeniably evil. Atmos techs will be all over it!

Paper Markdown:
((
|Pizzas|
---

***Margherita Pizza*** 12.99 Raditz
A light pizza with olive oil, garlic, fresh basil, fresh tomatoes, mozzarella and Parmesan cheeses. Perfect with a cold space beer on a hot space summer night.
---
***Cheese Pizza*** 9.99 Raditz
This is a fantastic version of an Italian classic. The feta cheese adds a rich flavor that brings this dish to life. Incredibly easy and incredibly delicious. Do not waste feeding it to assistants.
---
***Mushroom Pizza*** 11.99 Raditz
Made with the souls of walking mushrooms this pizza is undeniably evil. Atmos techs will be all over it!
))

For the Warden

Crime and Punishment

To remind you why someone is in permabrig (usually I'll only write things down if they're in there 5 minutes or more).

Crime and Punishment


Crimes and name



  • Name



  • Crime





  • Name



  • Crime



Paper Markdown:
|^Crime and Punishment^|


**Crimes and name**
---
* Name
* %f

*Crime
* %f
---
* Name
* %f

*Crime
* %f
---
* Name
* %f

*Crime
* %f
---
* Name
* %f

*Crime
* %f
---
* Name
* %f

*Crime
* %f
---
* Name
* %f

*Crime
* %f
---
))

Enemy Retirement Contract

This allows you to process your prisoners quicker. As space law goes, only the Captain can execute people. However it says nothing about voluntary execution scenes. This allows a antagonist to either die with dignity or choose how he wants to spend the rest of the round (if I was an antagonist I'd want to be cyborged). This little piece of paper makes things move faster.

Enemy of Nanotrasen Retirement Contract



I (write) do hereby acknowledge I am a hostile threat to the station. By so doing freely I enter a contract with Nanotrasen in which I can pick between becoming a cyborg, life in prison or lethal injection


Options
  • Becoming a cyborg





  • Life in prison





  • Lethal injection



Paper Markdown:
^|Enemy of Nanotrasen Retirement Contract|^
---

**I %f do hereby acknowledge I am a hostile threat to the station. By so doing freely I enter a contract with Nanotrasen in which I can pick between becoming a cyborg, life in prison or lethal injection**
---
^|Options|^

* Becoming a cyborg %f
---
* Life in prison %f
---
* Lethal injection %f

For the Detective

Case Notes

This is a form that lets you name a case, add some suspects and some clues/details about it.

Detective's Case Notes



  • Case name


  • Suspected Criminals


  • Clues


  • Crime


  • Case closed?



Printed by CC inc

Paper Markdown:
|^Detective's Case Notes^|

((*
---
* Case name
%f

* Suspected Criminals
%f

* Clues
%f

* Crime
%f


* Case closed?
%f


Printed by CC inc
))

For genetics

Genetics block sheet

This form lets you put what each block does onto a nice sheet of paper.

Blocks




  • Block 1:
  • Block 2:
  • Block 3:
  • Block 4:
  • Block 5:
  • Block 6:
  • Block 7:
  • Block 8:
  • Block 9:
  • Block 10:
  • Block 11:
  • Block 12:
  • Block 13:
  • Block 14:
  • Block 15:
  • Block 16:
  • Block 17:
  • Block 18:
  • Block 19:




(signed)

Paper Markdown:
|^Blocks^|
---

*Block 1: %f

*Block 2: %f

*Block 3 :%f

*Block 4: %f

*Block 5: %f

*Block 6: %f

*Block 7: %f

*Block 8:%f

*Block 9:%f

*Block 10:%f

*Block 11:%f

*Block 12:%f

*Block 13:%f

*Block 14:%f

*Block 15:%f

*Block 16:%f

*Block 17:%f

*Block 18:%f

*Block 19:%f

---
%s

Cheat Sheet

A cheat sheet for the Geneticist for finding out the negative blocks.

Genetics Research


Nearsightedness

Seizures

Coughing

Tourettes

Nervousness



Species
(signed)

Paper Markdown:
|**Genetics Research**|

Nearsightedness %f
%f
Seizures %f
%f
Coughing %f
%f
Tourettes %f
%f
Nervousness %f
%f
%f
%f
%f
Species %f
%s

For medical purposes

Prescription sheet

This form certifies that you have not only permission, but an important reason, to obtain and use certain "pharmaceuticals."

Medical prescription form




This form certifies that its holder, (name here), has a medical need for the following medications, which should be provided by medical staff on demand when possible:

  • Medication 1: Mindbreaker toxin(write in)
    • Dosage: 10u pills; as many as requested(write in)
    • Reason: Treatment for Reality Dissociation Syndrome(write in)


  • Medication 2: (write in)
    • Dosage: (write in)
    • Reason: (write in)




Authorized by (job title) (signature)

Paper Markdown:
|^Medical Prescription Form^|
---

This form certifies that its holder, %f , has a medical need for the following medications, which should be provided by medical staff on patient demand when possible:

* Medication 1: %f
 * Dosage: %f
 * Reason: %f

* Medication 2: %f
 * Dosage: %f
 * Reason: %f

---
Authorized by %f , %f

For Head of Personnel

Additional Access Request Form

When somone needs more access

Nanotrasen Additional Access Request Form C.C. 22




Caution! This request is valid only for normal access for basic departmental access or (max) two full departments. To receive "All Access", you have to fill out "All Access Request Form"



  • Full Name:
  • Account ID :
  • Job Title:
  • Department:




Request:

Reason for request:



This form is deemed invalid if it is not stamped by the applicable heads of staff or captain. Head of Personnel must sign and stamp this document, as well as photocopy and distribute it to the applicant. If any criminal activity is done with the help of this extra access, this form will be immediately void and unlawful.If the chief of the affected department wishes this form void, this form is immediately void and unlawful.


Place Departmental Head stamp(s) here


Place Head of Personnel stamp here


Requestor signs Below (signature)

Paper Markdown:
<center><b>Nanotrasen Additional Access Request Form C.C. 22</b></center>
----

`Caution! This request is valid only for normal access for basic departmental access or (max) two full departments. To receive "All Access", you have to fill out "All Access Request Form"`

----

* Full Name: [_____________________________]
* Account ID : [___________]
* Job Title: [______________________________]
* Department: [__________________________]

----

<b>Request:</b> 
[______________________________________________]
[______________________________________________]
<b>Reason for request:</b> 
[______________________________________________]
[______________________________________________]

----

`This form is deemed invalid if it is not stamped by the applicable heads of staff or captain. Head of Personnel must sign and stamp this document, as well as photocopy and distribute it to the applicant.
If any criminal activity is done with the help of this extra access, this form will be immediately void and unlawful.If the chief of the affected department wishes this form void, this form is immediately void and unlawful.`

----

*Place Departmental Head stamp(s) here*
*
*
*

*Place Head of Personnel stamp here*
*
*
*

*Requestor signs Below*


Maintnance Access Request Form

When someone needs more access

Nanotrasen Simplified Application for Maintnance Access C.C. 22c

I (name) would like to ask for, Maintnance Access with reason beeing .


This form is deemed invalid if it is not stamped by the applicable heads of staff or captain. Head of Personnel must sign and stamp this document, as well as photocopy and distribute it to the applicant. If any criminal activity is done with the help of this extra access, this form will be immediately void and unlawful.If the chief of the affected department wishes this form void, this form is immediately void and unlawful.


Requestor signs Below
Job:
(signature)

Paper Markdown:
<center><b>Nanotrasen Simplified Application for Maintnance Access C.C. 22c </b></center>

----

I (`name`) [_____________________________]  would like to ask for,
`**Maintnance Access**` with reason beeing [______________________________________________].

----

`This form is deemed invalid if it is not stamped by the applicable heads of staff or captain. Head of Personnel must sign and stamp this document, as well as photocopy and distribute it to the applicant.
If any criminal activity is done with the help of this extra access, this form will be immediately void and unlawful.If the chief of the affected department wishes this form void, this form is immediately void and unlawful.`
----

*Requestor signs Below*
`Job`: [____________________]

Simple Job Application Form

Use this form if you don't belive in bureaucracy

Nanotrasen Job Application Form C.C.23a




I (signature) would like to change jobs to (write job here) for the following reasons







signed
(write name here)

Paper Markdown:
|^**Nanotrasen Job Application Form C.C.23a**^|
----

I %sign would like to change jobs to ** [_____________] **

|For the following reasons|
----
((
* [_____________]
* [_____________]
* [_____________]
))

----

signed

Complex Job Application Form

This sheet is just standard paperwork for those who desire a job change.

Nanotrasen Job Application Form C.C.23b




Caution! This request is valid only for normal access for basic departmental access or (max) two full departments. To receive "All Access", you have to fill out "All Access Request Form"



  • Full Name:
  • Age:
  • ID number:
  • Account ID:
  • Physical Status:
  • Mental Status:
  • Job Title:
  • Department:




Request:

Reason for request:




This form is deemed invalid if it is not stamped by the applicable heads of staff or captain. Head of Personnel must sign and stamp this document, as well as photocopy and distribute it to the applicant. If any criminal activity is done with the help of this extra access, this form will be immediately void and unlawful.If the chief of the affected department wishes this form void, this form is immediately void and unlawful.



Place Departmental Head stamp(s) here


Place Head of Personnel stamp here



Above is valid only with printed out Criminal Record


Requestor signs Below (signature)

Paper Markdown:
<center><b>Nanotrasen Job Application Form C.C.23b</b></center>
----

`Caution! This request is valid only for normal access for basic departmental access or (max) two full departments. To receive "All Access", you have to fill out "All Access Request Form"`
----

* Full Name: [_____________________________]
* Age: [___________]; 
* ID number: [___________]
* Account ID : [___________];
* Physical Status: [___________];
* Mental Status: [___________];
* Job Title: [______________________________]; 
* Department: [__________________________]

----
<b>Request:</b> 
[______________________________________________]
[______________________________________________]
<b>Reason for request:</b> 
[______________________________________________]
[______________________________________________]
----

`This form is deemed invalid if it is not stamped by the applicable heads of staff or captain. Head of Personnel must sign and stamp this document, as well as photocopy and distribute it to the applicant.
If any criminal activity is done with the help of this extra access, this form will be immediately void and unlawful.If the chief of the affected department wishes this form void, this form is immediately void and unlawful.`

----

*Place Departmental Head stamp(s) here*


*

*

*

*Place Head of Personnel stamp here*


*

*

*
----
`Above is valid only with printed out Criminal Record`

----
*Requestor signs Below*

All Access Request Form

When some foolish crewman wearing insulated gloves stepps forwards and asks for AA.

Nanotrasen All Access Request Form C.C.24

Caution! This request can only be processed with proper Supplements (see below)


  • Full Name:
  • Age:  ; Height:
  • ID number:
  • Account ID :  ; Bloodtype:
  • Physical Status:
  • Mental Status:
  • Are you a traitor, changling, wizard, cultist, or revolutionary?
  • Job Title:
  • Department:

Request:
Full All Access or All Access without High Risk Area Access

Reason for request:


Opinion on mental well-being of a requestor
Fills Captain, CMO or psychologist


above is valid only when stamped or confirmed in person
above is valid only with printed out Medical Records

Opinion on a possible danger from a requestor
Fills Captain, HoS or warden


above is valid only when stamped or confirmed in person
above is valid only with printed out Criminal Records


This form is deemed invalid if it is not stamped by the applicable heads of staff or captain. Head of Personnel must sign and stamp this document, as well as photocopy and distribute it to the applicant. If any criminal activity is done with the help of this extra access, this form will be immediately void and unlawful.If the chief of the affected department wishes this form void, this form is immediately void and unlawful.


Place Departmental Head stamp here


Place Head of Personnel stamp here


Requestor signs Below (signature)

Paper Markdown:
<center><b>Nanotrasen All Access Request Form C.C.24</b></center>
----

*Caution! This request can only be processed with proper Supplements (see below)*

----

* Full Name: [_____________________________]
* Age: [_____________]; Height: [_____________]
* ID number: [___________]
* Account ID : [___________]; Bloodtype: [___]
* Physical Status: [___________];
* Mental Status: [___________];
* Are you a traitor, changling, wizard, cultist, or revolutionary? [____]
* Job Title: [______________________________]
* Department: [__________________________]

<b>Request:</b>
`*Full All Access or All Access without High Risk Area Access*`
[______________________________________________]
[______________________________________________]
<b>Reason for request:</b> 
[______________________________________________]
[______________________________________________]

----

<b>Opinion on mental well-being of a requestor</b>
`*Fills Captain, CMO or psychologist*`
[______________________________________________]
[______________________________________________]
[______________________________________________]
`*above is valid only when stamped or confirmed in person
above is valid only with printed out Medical Records*`

<b>Opinion on a possible danger from a requestor</b>
`*Fills Captain, HoS or warden*`
[______________________________________________]
[______________________________________________]
[______________________________________________]
`*above is valid only when stamped or confirmed in person
above is valid only with printed out Criminal Records*`

----

`This form is deemed invalid if it is not stamped by the applicable heads of staff or captain. Head of Personnel must sign and stamp this document, as well as photocopy and distribute it to the applicant.
If any criminal activity is done with the help of this extra access, this form will be immediately void and unlawful.If the chief of the affected department wishes this form void, this form is immediately void and unlawful.`

----

*Place Departmental Head stamp here*

*

*

*

*Place Head of Personnel stamp here*

*

*

*

*Requestor signs Below*