Private Security – Agency Address Change
Private Security Guards, Private Investigators, Bail Bond Recovery Agents
• Send Completed Form, in a PDF format, via email to pspi@cjtc.wa.gov
• Fee $0
CJTC Form 721C – Revised 09/2022
Use this form to report an agency change of address or other company information.
• Complete and sign this form and return to the email above.
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Document must be submitted in a PDF format; any other format will be returned.
• Include an updated and current business license.
• Incomplete or illegible forms will be returned for resubmission.
Firearms
Certificate Type
(check only 1)
Private Security Private Investigator Bail Bond Recovery Agent
Agency Contact
Agency Contact Email
CURRENT ADDRESS / CONTACT INFORMATION
Agency/Company Name
Agency Address
City
State
Zip Code
Agency Phone
Agency Owner/Designee Email Address (Required)
Applicant’s Contact Email Address:
NEW ADDRESS / CONTACT CHANGE
New Agency/Company Name
Sole Proprietor
Principal
New Agency Address
City
State
Zip Code
New Agency Phone
Agency Owner/Designee Email Address (Required)
Included: Business License
Signature Must Be Original (Handwritten) Date:
Company Owner/Designee (Printed)
Company Owner/Designee (Signature)
FOR COMMISSION USE ONLY
APPROVED / DENIED
Date: ________________
EMAIL CONFIRMATION DATE: __________
REVIEWED BY:
Initials: ____________
PROCESSED BY:
Initials: ____________
