Service Request


To complete this service request, please complete the following steps.

  • Download and fill out the Service Request Form.

    The form can be downloaded using the button below:

    Service Request Form

  • Download and complete LEOSA Universal Application

    Complete and send in your Service Request Form and LEOSA Universal Application and follow the included instruction for mailing your application to DCS. The LEOSA application can be downloaded using the button below:

    LEOSA Application

  • If you have any questions regarding service requests, please contact us at: (866) 384-3570