Form Dps 688 C PDF Details

The process of becoming a registered security officer or private investigator in the State of Connecticut is delineated by the Department of Emergency Services and Public Protection, Division of State Police, Special Licensing and Firearms Unit through the DPS-688-C form. This form serves a critical function, ensuring that individuals and their employers provide comprehensive and accurate information necessary for registration. It demands details ranging from personal identification, such as name, date of birth, and citizenship status, to professional qualifications including previous employment and experience in the security or investigative field. Additionally, the form tackles the legal history of applicants by inquiring about any past criminal convictions and the status of any vesting police powers, highlighting the state's commitment to public safety and the integrity of its security personnel. Employers are also implicated in this process, bearing the responsibility of ensuring applications are filled out fully and accurately, with the warning that any omissions or inaccuracies can lead to the denial of the application. This meticulous approach underscores the importance the state places on maintaining a high standard for those wishing to enter these sensitive roles, requiring both the applicants and their employers to adhere strictly to the guidelines set forth by the DPS-688-C form.

QuestionAnswer
Form NameForm Dps 688 C
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names688 c, dps 688, Connecticut, Hgt

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Department of Emergency Services and Public Protection

AGENCY USE ONLY: Date Received

Division of State Police

 

 

 

Special Licensing and Firearms Unit

 

 

 

 

Employees: Failure to provide complete and accurate information will result in denial.

 

Employers: Incomplete applications will be returned. All applications must be legible.

APPLICATION FOR REGISTRATION OF SECURITY OFFICER

OR PRIVATE INVESTIGATOR

Applicant/Employer Information

Application for registration of employee for:

Security Officer

1.Agency Name

2.Agency Address

Private Investigator

Date

Street

City

State

Zip

3.

Agency Phone (

)

 

 

Agency License Number

4.

On

 

 

I informed the applicant of C.G.S. §§ 29-156a (PI)

 

 

(Day/Month/Year)

 

 

or 29-161q

(SO).

Signature of Licensee or Designee

Print Name/Title

***********************************************************************************************************************************************

SO Identification Card #

Employee Information

5.

Name

 

 

 

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

LAST

FIRST

MIDDLE

 

 

 

 

 

 

 

 

 

 

 

 

6.

Resident Address

 

 

 

 

 

 

 

 

Telephone (

 

 

)

 

 

 

 

 

 

Street

 

City

State

Zip

 

 

 

 

 

7.

Birthplace

 

 

Race:

 

Sex:

 

 

 

Hgt:

 

 

Wgt.:

 

 

City

State

 

8. U. S. Citizen

Yes

No Alien Reg. No.

 

If Naturalized, Where

This information is only required if registration is as a Private Investigator.

9.Describe your experience in the position applied for. If you need additional space, check here and use additional paper.

Date

INCLUDE 2X2 PHOTO WITH AND WITHOUT HEAD COVER

DPS-688-C (REV. 7/11)

1111 Country Club Road, Middletown, CT 06457

 

Telephone: (860) 685-8046 Internet: www.ct.gov/dps

 

An Affirmative Action/Equal Opportunity Employer

10.Previous employment for at least the past five years - include occupation, names, and contact information of employers. If you need additional space, check here and use additional paper.

OCCUPATION

EMPLOYER

ADDRESS

DATES EMPLOYED

TELEPHONE

11. Have you ever been convicted in any court of any crime?

Yes

No

If yes, list all convictions, including charges, location, date of arrest and disposition. Also, list all pending charges,

including nolles within the past 13 months. If you need additional space, check here

and use additional paper.

DATE

CHARGE/VIOLATION

LOCATION (Town/State)

DISPOSTION (Fine/time served/probation)

12. Are you vested with police powers?

Yes

No

I subscribe and affirm under penalties of false statement, that the statements made in this application have been examined by me and to the best of my knowledge and belief are true and correct. I also understand that false statements are punishable in Connecticut pursuant to C.G.S. Section 53a-175b (Class A Misdemeanor) and/or as prescribed in accordance with C.G.S. §§ 29-161, 29-161g, q, x, y, and z inclusive as amended by PA 08- 73 with fines up to $5000 or imprisonment up to one year or both.

STATE OF

 

 

 

 

 

 

Signature of Employee

 

 

 

 

SS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Oath

COUNTY OF

 

 

 

 

 

 

 

 

 

 

APPEARED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notary Public, Justice of Peace, Pursuant to C.G.S. 1-24

 

 

 

 

 

 

 

 

 

Commissioner of the Superior Court

ADDRESS:

 

 

 

 

 

 

 

My Commission Expires:

 

 

Subscribed and sworn to before me this

 

day of

, 20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR AGENCY USE ONLY

This application is:

Approved

/ Denied

Date:

Reviewed by:

 

 

 

 

 

 

 

 

 

 

 

Signature

Badge Number

Print Name/Title/Badge Number

BASIS FOR DENIAL:

 

 

 

 

 

 

 

 

 

 

Criminal Record (Felony)

 

 

 

 

Non-conforming/Unclear Photographs

Criminal Record (Misdemeanor)

 

Fingerprint Cards Rejected by S.P.B.I.

Incomplete/Incorrect Information on Fingerprint Cards

 

Other:

Incomplete/Incorrect Information on Application: Item Number(s):

 

 

 

 

 

 

 

DPS-688-C (REV. 7/11)

1111 Country Club Road, Middletown, CT 06457

 

Telephone: (860) 685-8046 Internet: www.ct.gov/dps

 

An Affirmative Action/Equal Opportunity Employer

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