Form Dps 688 C is a document used to outline the protection of trade secrets and confidential information. It is most commonly used by businesses that wish to keep this type of information hidden from their competitors. The form provides a detailed explanation of what specific data needs to be kept confidential and how best to protect it. While not foolproof, using Form DPS 688 C can help businesses ensure that their trade secrets remain safe and out of the hands of their rivals.
Question | Answer |
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Form Name | Form Dps 688 C |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | 688 c, dps 688, Connecticut, Hgt |
Department of Emergency Services and Public Protection |
AGENCY USE ONLY: Date Received |
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Division of State Police |
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Special Licensing and Firearms Unit |
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Employees: Failure to provide complete and accurate information will result in denial. |
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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 |
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State |
Zip |
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Agency Phone ( |
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Agency License Number |
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On |
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I informed the applicant of C.G.S. §§ |
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(Day/Month/Year) |
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or
(SO).
Signature of Licensee or Designee
Print Name/Title
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SO Identification Card #
Employee Information
5. |
Name |
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Date of Birth |
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LAST |
FIRST |
MIDDLE |
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6. |
Resident Address |
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Telephone ( |
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Street |
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City |
State |
Zip |
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7. |
Birthplace |
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Race: |
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Sex: |
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Hgt: |
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Wgt.: |
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City |
State |
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8. U. S. Citizen |
Yes |
No Alien Reg. No. |
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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
1111 Country Club Road, Middletown, CT 06457 |
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Telephone: (860) |
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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
STATE OF |
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Signature of Employee |
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SS |
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Date of Oath |
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COUNTY OF |
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APPEARED: |
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Notary Public, Justice of Peace, Pursuant to C.G.S. |
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Commissioner of the Superior Court |
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ADDRESS: |
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My Commission Expires: |
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Subscribed and sworn to before me this |
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day of |
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FOR AGENCY USE ONLY |
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This application is: |
Approved |
/ Denied |
Date: |
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Reviewed by: |
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Signature |
Badge Number |
Print Name/Title/Badge Number |
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BASIS FOR DENIAL: |
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Criminal Record (Felony) |
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Criminal Record (Misdemeanor) |
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Fingerprint Cards Rejected by S.P.B.I. |
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Incomplete/Incorrect Information on Fingerprint Cards |
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Other: |
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Incomplete/Incorrect Information on Application: Item Number(s): |
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1111 Country Club Road, Middletown, CT 06457 |
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Telephone: (860) |
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An Affirmative Action/Equal Opportunity Employer |