Form PI-689-007 Change of Name and/Or Address for Bail Bond Agency, Bail Bond Recovery Agent, Private Investigator Agency, or Private Security Guard Company - Washington

Form PI-689-007 is a Washington State Department of Licensing form also known as the "Change Of Name And/or Address For Bail Bond Agency, Bail Bond Recovery Agent, Private Investigator Agency, Or Private Security Guard Company". The latest edition of the form was released in February 1, 2017 and is available for digital filing.

Download an up-to-date Form PI-689-007 in PDF-format down below or look it up on the Washington State Department of Licensing Forms website.

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Click here to START or CLEAR, then hit the TAB button
Change of Name and/or Address
For Bail Bond Agency, Bail Bond Recovery Agent,
Private Investigator Agency, or
Private Security Guard Company
Bail bond agencies, bail bond recovery agents, private investigator agencies,
and private security guard companies can use this form to report a change of
name and/or address. When completed, send to:
Public Protection Services
Department of Licensing
PO Box 9649
Olympia, WA 98507-9649
Email:
Fax: (360) 570-7888
security@dol.wa.gov
This is for a: (check one)
Bail bond Agency (Bail Bond Agent /Bail Bond Agency DBA)
Bail Bond Recovery Agent
Private Investigator Agency (Private Investigator /Private Investigator Agency DBA)
Private Security Guard Company (Security Guard /Security Guard Company DBA)
Current licensing information
TYPE or PRINT Individual/Business name/DBA
UBI number (if applicable)
Address
City
State
ZIP code
Name Change: Individual, Business, or DBA
Only complete this section to change your name or the name of your ownership or entity (i.e. corporation, partnership or
sole proprietorship).
TYPE or PRINT Individual/Business name/DBA
Effective date
(Area code) Telephone number
(Area code) Fax number
Email address
Print DBA on license and renewal?
Yes
No
Address Change: Individual, Business, or DBA
TYPE or PRINT New physical address
City
State
ZIP code
New mailing address
City
State
ZIP code
(Area code) Telephone number
(Area code) Fax number
Email address
TYPE or PRINT Name
X
When you have completed this form, please print it out and sign and date here.
Signature
Date
PI-689-007 (R2/17)WA
Click here to START or CLEAR, then hit the TAB button
Change of Name and/or Address
For Bail Bond Agency, Bail Bond Recovery Agent,
Private Investigator Agency, or
Private Security Guard Company
Bail bond agencies, bail bond recovery agents, private investigator agencies,
and private security guard companies can use this form to report a change of
name and/or address. When completed, send to:
Public Protection Services
Department of Licensing
PO Box 9649
Olympia, WA 98507-9649
Email:
Fax: (360) 570-7888
security@dol.wa.gov
This is for a: (check one)
Bail bond Agency (Bail Bond Agent /Bail Bond Agency DBA)
Bail Bond Recovery Agent
Private Investigator Agency (Private Investigator /Private Investigator Agency DBA)
Private Security Guard Company (Security Guard /Security Guard Company DBA)
Current licensing information
TYPE or PRINT Individual/Business name/DBA
UBI number (if applicable)
Address
City
State
ZIP code
Name Change: Individual, Business, or DBA
Only complete this section to change your name or the name of your ownership or entity (i.e. corporation, partnership or
sole proprietorship).
TYPE or PRINT Individual/Business name/DBA
Effective date
(Area code) Telephone number
(Area code) Fax number
Email address
Print DBA on license and renewal?
Yes
No
Address Change: Individual, Business, or DBA
TYPE or PRINT New physical address
City
State
ZIP code
New mailing address
City
State
ZIP code
(Area code) Telephone number
(Area code) Fax number
Email address
TYPE or PRINT Name
X
When you have completed this form, please print it out and sign and date here.
Signature
Date
PI-689-007 (R2/17)WA

Download Form PI-689-007 Change of Name and/Or Address for Bail Bond Agency, Bail Bond Recovery Agent, Private Investigator Agency, or Private Security Guard Company - Washington

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