Private Investigators Association of Virginia Inc

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Home Phone

Home Address 1

Home Address 2

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DCJS Registration No.

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DCJS License No.

Licensed Expiration Date

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DCJS Training School No.

Certification Expiration Date

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Has your private investigator, detective or security credential(s) in any jurisdiction ever been suspended or revoked?

Yes

No

Have you ever been convicted of a crime in any jurisdiction?

Yes

No

Company

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Your current Profile URL is: https://www.piava.org/component/comprofiler/userprofile?Itemid=362

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Training School Name

Training School Address 1

Training School Address 2

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Business Email

By checking this box, I agree to permit PIAVA to confirm my member status for any third party in response to inquiry from the public, any government entity, any vendor whose membership-dependent offer I respond to, or other such inquiry.

By checking this box, I agree to accept communications from PIAVA by email, including but not limited to notices of meetings, votes, surveys and other events.

Please provide three (3) references who have known you five (5) years or more, and include their phone numbers and email addresses. Each reference must not be a(n) relative, dependent, employee, subcontractor or similar.

Business Description

Virginia Region(s) Serviced

Services

Other State License/ Registration Info

Provides information regarding other jurisdictions where a PI license is currently held. Two additional licenses may be entered.

Other State #1

Other State License #1

Other State License Expiration #1

Other State #2

Other State License #2

Other State License Expiration #2

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