ICE FORM 73-001 CERTIFICATION.PDF
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DEPARTMENT OF HOMELAND SECURITY U.S. Immigration and Customs Enforcement DESIGNATION, CUSTOMS OFFICER (EXCEPTED) – TITLE 19 TASK FORCE OFFICER (Homeland Security Investigations Directive 14-02) Pursuant to the provisions of 19 U.S.C. § 1401(i) and as delegated, and by agreement with your employing agency, you are hereby designated a Customs Officer (Excepted) without additional compensation, hereinafter referred to as a Title 19 Task Force Officer (TFO). This designation, for the performance of such duties as outlined below, will be in effect while you remain in your present position and location until the expiration date, unless revoked at an earlier date. In performing the duties of a TFO, you will be subject to guidelines, directives, and instructions of the Department of Homeland Security (DHS), U.S. Immigration and Customs Enforcement (ICE), Homeland Security Investigations (HSI). Arrangements will be made for you to receive the training necessary to perform your duties as a TFO according to HSI Directive 14-02, “Law Enforcement Officers Designated to Act as Customs Officers (Excepted) for Investigative Purposes – Domestic", dated May 7, 2014, or as updated. Duration of Designation: Designations under this Directive are valid for a period of 2 years from the date the TFO Course was completed. Title 19 TFOs may be redesignated for an additional 2 years, without additional training, upon the completion of a new Designation Form, ICE Form 73-001 (this form). Redesignation must be accomplished before the expiration of the original designation. Title 19 TFOs must attend the TFO Course no less than every 4 years to remain designated. 1. TFO’s Full Legal Name: 2. Last 4 of Social Security Number: 3. Date of Birth: 4. Parent Agency (Full Name – NO ACRONYMS): Address Street City State Zip Code 4a. Phone Number: 4b. Parent Agency E-mail: 4c. ICE or DHS E-mail (Required for Full and Part-time TFOs): 5. Parent Agency Position/Rank: 6. Parent Agency Badge Number: 7. Parent Agency Supervisor: 7a. Phone: 7b. E-mail: 8a. Phone: 8b. E-mail: 8. HSI Designated Supervisor: 9. HSI Office Assigned: 10. Certification/Recertification Date (Certification expires 2 years from): (Date of training completion or date recertified by the SAC for an additional 2 years prior to expiration of first 2 years.) 11. Cancellation/Revoked Date: Cancellation Authorizing Signature (HSI): (Expires 2 years from date above (#10), if no signature present) 12. TFO Status: Full-Time: A TFO who is co-located with HSI and is working directly for an HSI first- or second-line supervisor for a minimum of 30 hours per week and is significantly contributing to investigations. (ICE or DHS e-mail required) Part-Time: A TFO who is co-located with HSI and is working directly for an HSI first- or second-line supervisor for a minimum of 8 hours per week and is significantly contributing to investigations. (ICE or DHS e-mail required) On-Call: A TFO who does not meet the standards of either a Part-Time or Full-Time TFO, who is occasionally called upon to assist HSI, including officers working strictly in a uniformed capacity, who does not report directly to HSI. (ICE or DHS e-mail recommended; required to fly armed.) HSI Credential Number: Badge Number: (if applicable) EXPIRATION DATE: Expires no later than 2 years from certification date (#10) Page 1 of 2 ICE Form 73-001 (6/14) 13. Authorities Granted: Only the marked duties are authorized for the TFO. Carry a firearm, in accordance with federal law, that he or she is authorized and qualified to carry by his or her parent agency while on duty. Execute and serve orders, search warrants, arrest warrants, subpoenas, summonses, and other processes issued under the authority of the United States, in accordance with laws administered and/or enforced by HSI. Make arrests without warrant for any offense against the United States committed in his or her presence or for a felony, cognizable under the laws of the United States, committed outside his or her presence for which sufficient probable cause exists. Perform other law enforcement duties which may be authorized under 19 U.S.C. § 1589a. Make seizures of property in compliance with the Constitution of the United States and the Customs laws. Conduct customs border searches for merchandise being imported into or exported from the United States, and detain such persons or articles necessary to that end, or as otherwise may be subject to seizure under the laws of the United States. Other authorities: Maricopa County Sheriff's Office 550 W. Jackson St. Phoenix Arizona 85003 Deputy Sheriff HSI SAC Phoenix 14. Endorsements and Restrictions: The following marked endorsements and restrictions apply to the TFO: This designation form is INVALID without accompanying HSI identification and employing agency identification. The TFO shall follow the Interim ICE Use of Force Policy, dated July 7, 2004, or as updated or superseded. The TFO is not granted the authority to enforce administrative violations of immigration law. The TFO will present for inventory his or her HSI-issued credentials (and badge, if applicable) every 6 months or upon request of the HSI supervisor. Prior to using the authorities granted by this designation, notification will be made to an HSI supervisor or designee. (This restriction is mandatory for On-Call TFOs, and is otherwise discretionary.) The TFO is authorized to fly armed while conducting official HSI business. (ICE or DHS e-mail required.) The TFO is authorized to operate a government owned vehicle (GOV) in accordance with HSI policy. Other Endorsements and Restrictions: *Refer to HSI Directive 14-02, “Law Enforcement Officers Designated to Act as Customs Officers (Excepted) for Investigative Purposes - Domestic,” dated May 7, 2014, or as updated, for a complete explanation of authorities, endorsements, and restrictions. 15. TFO’s Acknowledgement: 16. Authorizing Officer (HSI SAC): I have read and understand the authorities granted to me and the endorsements and restrictions listed above and in the referenced Directive. Task Force Officer’s Signature Date Printed Name Title X Signature Date Page 2 of 2 ICE Form 73-001 (6/14) PRIVACY ACT STATEMENT AUTHORITY: Information about you, as a Task Force Officer (TFO) Customs Officer, is collected and maintained pursuant to the provisions of 19 U.S.C. § 1401(i), appropriate re-delegations, and by agreement with your employing agency. Through the Title 19 program, HSI enters into agreements with federal, state and local law enforcement agencies to delegate to the agencies' Law Enforcement Officers (LEOs) the authority to enforce certain federal laws. As a result, HSI is authorized to delegate the full range of law enforcement duties of a Customs Officer to LEOs in federal, state and local law enforcement agencies. PRINCIPAL PURPOSE(S): Your information is collected on this form to acknowledge your selection and designation as a Customs Officer. ROUTINE USE(S): Pursuant to the routine uses published in DHS/ALL-023 Department of Homeland Security Personnel Security Management System of Records (February 23, 2010 75 FR 8088), HSI may share your information with federal, state, local, tribal, foreign, or international agencies if the information is relevant and necessary to HSI's decision to delegate authority or issue a security clearance to you. DISCLOSURE: The disclosure of information on this form is voluntary; however, failure to provide the information requested will disqualify you from further participation in the Title 19 Program.