MA State Police Certification Unit

Private Investigator & Watch Guard License Form

This form is required for all original and renewal applications.

Name(Required)
Date of Birth(Required)
Were you previously regularly employed for not less than three years as a detective doing investigating work?(Required)
Are you a former police officer, of a rank or grade higher than that of patrolman?(Required)
Were you formerly a police officer in good standing employed for not less than ten years?(Required)
Did you previously work for the Commonwealth of Massachusetts, any political subdivision thereof or an official police department of another state?(Required)
Are you a former member of an investigative service of the United States?(Required)
Were you previously employed by a government entity not listed?(Required)
Have you served in any branch of the United States Armed Forces?(Required)
Are you currently a police officer?(Required)
Are you currently an employee of the Commonwealth of Massachusetts, or any political subdivision thereof?(Required)
Are you currently a practicing attorney?(Required)
Have you ever been discharged from the armed service or from a city, town, county, state, or federal position in a status other than honrable discharge?(Required)
Have you ever been convicted of a felony?(Required)
Have you ever been convicted of any act involving illegally using, carrying, or possessing a dangerous weapon?(Required)
Have you ever been convicted of any act of personal violence?(Required)
Have you ever been convicted of any act constituting dishonesty or fraud?(Required)
Have you ever been convicted of any act involving moral turpitude (i.e., theft, fraud, shoplifting, sex crimes, etc.)?(Required)
Are you currently on probation, parole, or named in any oustanding arrest warrant?(Required)
Have you ever been licensed as a private investigator in another state or jurisdiction?(Required)
If you were previously licensed as a private investigator or hold a watch guard or security license in another state or jurisdiction, were you ever charged with an administrative, civil, or criminal violation that resulted in disciplinary actions against your license?(Required)
Has any licensing authority in any jurisdiction, or any certifying body (e.g. P.O.S.T.), ever refused to issue a license or ever revokved, annulled, cancelled, accepted surrender of, suspended, placed on probation, refused to renew a professional license or certificate held by you, now or previously?(Required)
Have you ever resigned to avoid discipline, been suspended, or been terminated from a volunteer or employment position?(Required)
Have you ever been convicted of a crime involving domestic violence?(Required)
Have you ever falsified or willfully misrepresented information in an employment application, records of evidence, or in a testimony under oath?(Required)
Are you free of any mental condiiton or defect that would interefer with your ability to provide services in a professional and compotent manner?(Required)
Have you ever attended, been treated, or observved by a doctor or psychiatrist, or at any hospital or mental institution on an inpatient or outpatient basis for any mental or psychiatric condition?(Required)
Please provide full details. This should include name and location of the doctor, psychiatrist, hospital, or institution and the dates of occurence.
Have you ever been committed under M.G.L. c 123 § 35 or M.G.L. c 123 § 12?(Required)
As of the date of this application, are you aware of any pending complaint, civil action, investigation, or discplinary action related to any professional license you hold in this state or any other?(Required)
Have you ever had a civil judgement entered against you in a lawsuit for incompotetence, negligence, or malpractice in practicing any profession?(Required)
Have you ever worked under the license of another private investigator?(Required)
Do you currently have any employees working under the umbrella of your license?(Required)
How many?(Required)

These employees will be required to complete the Employee Affidavit Form.

Consent(Required)