Transcription of RENEWAL REGISTRATION APPLICATION …
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RENEWAL REGISTRATION APPLICATION COMMONWEALTH OF VIRGINIA. Form Code: PSS_RR Fee Code: 111 Department of Criminal Justice Services APPLICATION Fee - $ Private Security Services Section Check or Money Order payable to: Box 1300. Treasurer, Commonwealth of Virginia Richmond, VA 23218. Or apply online: Phone #: (804) 786-4700; Fax #: (804) 786-6344. Website: APPLICATION Fees are Non-Refundable Status Hotline: (804) 786-1132 or 1-877-9 STATUS. 1. Applicant Name: Last Name First Name MI. 2. Social Security Number or DCJS # 99- 3. Mailing Address: Number and Street City/Town State Zip 4. Telephone: Residence Business Fax 5. May the Department provide information via an e-mail address? Yes No 6. E-Mail Address: 7. Are your currently employed by a Private Security Business Yes No If yes, Business Name: DCJS ID# 11- 8. Has your current REGISTRATION expired?
10. Have you completed all required mandated entry-level or in-service training for selected categories? Yes Course Name: Date Completed:
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SECURITY GUARD, Division of Criminal Justice Services, DCJS, Security guard training, NYS Division of Criminal Justice Services, Confidentiality of Identification Information Data, Training, VCCJA Awards, New York State Nurse Aide Manual, Prometric, SECURITY GUARD LICENSE APPLICATION, SECURITY GUARD LICENSE APPLICATION INFORMATION, Defined in Criminal Procedure, Defined in Criminal Procedure Law Section