Registration Form for Employers of Security Guards and/or Private

Print Form
Clear Form
Registration Form for Employers of Security
Guards and/or Private Investigators
Ministry of Community Safety
and Correctional Services
Part 1 - Instructions
Apply Online: Save time and register online. Visit http://www.mcscs.jus.gov.on.ca/english/PSIS/AboutPSIS/PSIS_about.html
Apply by Mail:
• Please complete this application if you will be mailing in your application.
• This form is to be completed by employers of in-house security guards and/or private investigators.
• Print clearly and complete all sections of this registration form using black or dark blue ink only. Do not use correction fluid/white-out.
Submit your signed and dated registration form, attach a current list of employees acting as security guards and/or private investigators and the
$80 employer registration fee to :
ServiceOntario
Occupational Licensing Services Office
PO Box 4500
Kingston ON K7L 0E1
Note: If you provide an Operating/Trade Name, you must submit a copy of your Master Business Licence.
For assistance, contact a Customer Service Representative at 416 212-1650 toll-free at 1 866 767-7454 or 416 212-6319 / 1 800 268-7095
(for TTY/Teletypewriter users). You may also visit our website at http://www.mcscs.jus.gov.on.ca/english/PSIS/AboutPSIS/PSIS_about.html.
Part 2 - Business Information
Application Type
New Registration
Renewal Registration
Part 3 - Business Address
Operating/Trade Name (Attach a copy of your Master Business Licence) Business Name
Corporation No.
Ontario Business Registration No. (if renewing)
Master Business Licence No./Federal Business No. (Business Name Registration No.)
Unit No.
Street Number
Rural Route
City/Town
Street Name
PO Box
Province
Business Fax No.
Business Phone No.
Postal Code
Email Address
ext.
Ontario Mailing Address (if different from above) Note: All correspondence will be sent to this address
Unit No.
Street Number
Street Name
PO Box
Rural Route
Postal Code
City/Town
Company Official
Last Name
Province
First Name
Business Phone No.
ext.
Signature of Authorized Company Representative
Position
Date of Signature (yyyy/mm/dd)
The information provided is collected under the authority of Section 5 of the Private Security and Investigative Services Act, 2005 (PSISA) for
the purpose of registering an employer under the Act.
Part 4 - Business Staffing Information
Indicate the current number of employees acting as security guard(s) and/or private investigator(s)
You must attach a list of the names, licence numbers and licence type of employees acting as security guards or private investigators.
008-06-008E (2015/07)
© Queen's Printer for Ontario, 2015
Disponible en français
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Part 5 - Payment Options
Cash, credit cards and personal cheques are not accepted. Pay by attaching a bank draft, certified cheque or money order.
Once a payment has been received it is non-refundable. This includes payments made towards applications that are denied due to ineligibility,
returned or withdrawn.
Note: If an application is returned to an applicant for correction or due to missing information, applicants have 90 calendar days to respond. If
the required information is not submitted within 90 calendar days, the application is deemed closed and payment will be retained. If the
required information is submitted after 90 calendar days, a new licensing fee will be required.
Type of Payment (make bank draft, certified cheque or money order payable to "Minister of Finance")
Bank Draft
Money Order
Certified Cheque
008-06-008E (2015/07)
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