Application For Bail Enforcement Agency License/private Investigative Agency License/private Security Agency License

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STATE OF IOWA
DEPARTMENT OF PUBLIC SAFETY
Application For
(
) Bail Enforcement Agency License ($100.00)
(
) Private Investigative Agency License ($100.00)
(
) Private Security Agency License ($100.00)
(Print or Type)
THE APPLICANT IS THE PERSON, PARTNERSHIP, ASSOCIATION OR CORPORATION TO BE LICENSED.
The applicant is
(
)
An individual
(
)
A partnership
(
)
A corporation (Attach corporate information)
(
)
A limited liability company (Attach company information)
(
)
An association
The application form must be completed in its entirety before submitting it to the department.
If the applicant is a partnership or association, Form #PD1 must be completed by each partner or association member.
Provide the name(s) and addresses of all executive officers and every director, owner or partner.
(Name)
(Address)
Individual owner:
________________________________________________________________________________
Partner:
________________________________________________________________________________
President:
________________________________________________________________________________
Vice President:
________________________________________________________________________________
Secretary
________________________________________________________________________________
Treasurer:
________________________________________________________________________________
Director:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
PD1

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