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COMMONWEALTH OF VIRGINIA
Department of Criminal Justice Services
P.O. Box 1300 • Richmond, VA 23218
Phone: (804) 786-4700 • Fax: (804) 786-6344
www.dcjs.virginia.gov/pss
Private Security Services –
INITIAL BUSINESS LICENSE APPLICATION 2-YEAR LICENSE – FEE $800.00
IMPORTANT INFORMATION
A Fingerprint Application, Fingerprint Card, and $50.00 non-refundable fee is required for all principals
(Owners/Officers/Directors) of the business. Please note a criminal history records check may take up to 45 days to
process. The
Fingerprint Application is available online at www.dcjs.virginia.gov/forms/privatesecurity/pss_fp.pdf.
- Fingerprint Cards may be ordered online
www.dcjs.virginia.gov/forms/privatesecurity/fingerPrintCards.cfm
The license application includes one category of service. A $50.00 non-refundable category fee is required for each
additional license category selected.
Please attach proof of liability: A Surety Bond (minimum $100,000) or Certificate of General Liability Insurance
(minimum $100,000/$300,000). Please ensure the Department is listed as a certificate holder.
For all businesses located outside the Commonwealth of Virginia attach an Irrevocable Consent for Service form
available online at
www.dcjs.virginia.gov/forms/privatesecurity/pss_irc.pdf. Please list a physical address in Virginia
where records will be maintained.
Applicant Information
Federal ID Number:
Business Name:
DBA/Trade As Name:
Mailing Address (Street/Apt.#):
City, State, Zip:
Physical Address (if different than mailing address):
City, State, Zip:
Physical Address in Virginia where records are maintained:
City, State, Zip:
Email Address:
Business Phone: ( ) Fax: ( )
License Category(s) Requested (check each that apply)
Private Investigator
Personal Protection Specialist
Armored Car Personnel
Security Officers / Couriers Locksmith
Electronic Security Services
Security Canine Handler
Type of Ownership (check one)
Sole Proprietorship
General Partnership
Other c
Corporation*
Limited Liability Company*
Limited Partnership*
* Virginia State Corporation Commission Number: (if applicable)
Business/trade name must be registered with the Virginia State Corporation Commission (SCC).
For additional information contact the SCC at (804) 371-9733.
Status Hotline
(804) 786-1132
1-877-9STATUS
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List all Principals (Owners / Officers / Directors) attach additional sheet if needed
Name: SSN or DCJS ID Number:
Name: SSN or DCJS ID Number:
Name: SSN or DCJS ID Number:
Name: SSN or DCJS ID Number:
Primary Compliance Agent (for additional compliance agents, please complete the form available online at
www.dcjs.virginia.gov/forms/privateSecurity/pss_cd.pdf)
Name: SSN or DCJS ID Number:
Compliance Agent Signature:
Date:
Affirmation
I, the undersigned, certify that all information contained on this application is true and correct to the best of my knowledge
and I have not omitted any pertinent information. I understand that any misrepresentation, falsification or omission of
pertinent information may be cause for denial and may result in criminal charges. I understand that I am responsible for
maintaining full compliance with Virginia Code Sections 9.1-138 through 9.1-150 and the Regulations Relating to Private
Security Services 6 VAC 20-171.
Signature Required: Date: c
President/Principal Owner mm/dd/yy
Printed Name: c
CHECK LIST OF ITEMS TO INCLUDE:
Initial License Fee—$800.00
If applicable, Additional License Category Fee(s)—$50.00
For all principles of the business:
Fingerprint Application Form, Fingerprint Card and Fee—$50.00
Proof of Liability – Surety Bond or Certificate of General Liability Insurance
If applicable – Irrevocable Consent for Service Form
TOTAL FEES ENCLOSED:
All fees are non-refundable. Applications received without payment will be returned.
Submit a check or money order payable to the TREASURER OF VIRGINIA,
or pay by credit card using the Credit Card form available at www.dcjs.virginia.gov/forms/privatesecurity/pss_cc.pdf
— this form must be included with your application package when paying by credit card.
