Certification of Peace Officers PA-1

for Police State Aid Payable in 2022

To avoid penalty, electronically submit this form by March 15th, 2022

Instructions

Officers

Certification

I certify that I am authorized to submit this information and that it is true and correct to the best of my knowledge. I understand that anyone giving false information is subject to a fine of up to $3,000 and/or up to one year in prison. [Minnesota Statutes, section 609.43]