Form Pi-689-014 Armed Pi App - Application For Licensure As An Armed Private Investigator 2000
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1
2BUSINESS AND PROFESSIONS DIVISION
PUBLIC PROTECTION UNIT
PRIVATE INVESTIGATOR SECTION
Application for Licensure as an
PO BOX 9649
OLYMPIA, WA 98507-9649
ARMED PRIVATE INVESTIGATOR
(360) 664-9072
FAX (360) 570-7888
Click Here to Start, Then Tab From Field to Field
FOR VALIDATION ONLY
!
New Applicant
(In addition to $75.00 Unarmed PI application fee)
$50.00
!
Transfer/Rehire $25.00 (In addition to renewal fee, if due)
Make check payable to: STATE TREASURER
Applicant should either already be licensed as an unarmed
001-070-299-0014
private investigator OR submit a completed unarmed private
investigator application and fee with this application.
Please type or print clearly and sign on page 2
Applicant Information
Applicant's Name Last
First
Middle
Date of Birth
Applicant's Residence Address (Street)
City
State
Zip Code
Home Telephone
(
)
Social Security No. (per RCW 26.23.150) Gender
!
!
!
!
U.S. Citizen
Resident Alien
Male
Female
Business Name
Business Address (Number and Street)
City
State
Zip Code
County
Business Telephone
Fax
(
)
(
)
Certification Course
You are required to complete an eight-hour firearms certification course provided by a certified firearms instructor. The
Criminal Justice Training Commission will notify the Department of Licensing directly when you have met this requirement.
Applicant - respond to all questions below. If you answer "yes" to any, attach a separate sheet with explanation.
Yes
No
1.
Have you ever been found guilty of divulging confidential information obtained in the course of an investigation to
!
!
which you were assigned?
2.
Have you ever been found guilty of making a material misstatement or omission in the application for or renewal
!
!
of a license or firearms certification?
3.
Have you ever been found guilty of incompetence or negligence that resulted in injury to a person or created an
!
!
unreasonable risk that a person could have been harmed?
4.
Have you ever been found guilty of accepting employment that was adverse to a client or former client as it related
!
!
to confidential information you obtained in the course of your employment by the client?
!
!
5.
Have you ever been convicted of any act involving unethical or immoral behavior?
!
!
6.
Have you ever been convicted of a gross misdemeanor or felony?
!
!
7.
Have you ever had a private investigator license suspended, revoked, or restricted? If "yes," in what jurisdiction?
(Please insert name of state, county, or city
and date
)
!
!
8.
Have you ever held a private investigator license in any other state or jurisdiction? If "yes," in what jurisdiction?
(Please insert name of state, county, or city
and date
)
If any conviction was dismissed, please enclose copies of the court documents.
sign on page 2
The Department of Licensing has a policy of providing equal access to its services. If
you need special accommodation, please call (360)664-9072 or TTY (360)586-2788.
PI-689-014 ARMED PI APP. (R/12/00)FM/W Page 1 of 2
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