PURPOSE: Board, in order to administer its responsibilities in the area of regulation and licensing of private security personnel, shall establish a schedule of licensing fees and list of approved forms.

1. (1) The fees for licensing, renewing, transferring, etc., are as follows:

   1. (A) Annual Agency License
   2. (B) Class A—Armed License
   3. (C) Class A—Armed License— Renewal Fee
   4. (D) Class A—Unarmed License $ 70.00
   5. (E) Class A—Unarmed License— Renewal Fee
   6. (F) Class B—Armed License
   7. (G) Class B—Armed License— Renewal Fee
   8. (H) Class B—Unarmed License $ 70.00
   9. (I) Class B—Unarmed License— Renewal Fee
   10. (J) Replacement of Lost/Stolen License
   11. (K) Dual License
   12. (L) Change of Company Name

   13. (M) License Upgrade

       1. (N) Rescheduling Fee— (test failure, fail to qualify or attend range) $ 50.00
       2. (O) Weapon Change $ 50.00
       3. (P) License Transfer $ 25.00
       4. (Q) Copy Fee $ 5.00
       5. (2) Only cash or company checks are accepted in payment of fees.

       6. (3) Board will provide forms for applicants to use.

          1. (A) Form 5001 P.D., “Information for Private Security Personnel,” provides basic information to private security personnel which includes the source of board’s authority to license private security personnel; information on the classifications of licenses; the duties and authority of the various license classifications; information concerning firearms qualification; and scheduling and directions to the police pistol range.
          2. (B) Form 5297 P.D., “Instructions for Licensing a Company to Employ Private Security Personnel,” provides instructions for licensing a company to employ private security personnel which includes instructions concerning the required certificate of liability insurance; required documents; fee required; background check information; lists the private officer license classifications; procedures for monthly invoices; and information concerning the required examination and firearms qualification.
          3. (C) Form 5391 P.D., “Instructions for Handling Renewal Sheets,” is the instruction form dealing with monthly renewal sheets. It includes list of fees and directions on how to complete and where to send completed renewal sheets.
          4. (D) Form 5409 P.D. is the “Employer’s Application for Employment of Private Security ‘Intent to Hire.’” This is the basic application form for individual licensees

$250.00 which requests the following information: $125.00 name of business, address and telephone number; the individual applicant’s name, $ 70.00 address and telephone number, date of birth and Social Security number; the type of license being applied for; and if armed, the $ 50.00 make, model, caliber and serial number of $125.00 the firearm the applicant intends to carry. The form must be signed by both the individ- $ 70.00 ual applicant and an authorized company representative. The signatures must be notarized. $ 50.00

1. (E) Form 5486 P.D. is the “Application for Company License.” This form is the basic

$ 50.00 application form for companies wishing to $ 50.00 regularly work or employ persons to engage $ 50.00 in private security or investigative business- $ 50.00 es in the City of Kansas City, Missouri. It 17 CSR 10-2

requires the following information: the agency’s trade name; the agency’s legal name, its address, its mailing address and business phone; the principal name of the company and home office address and telephone; whether the agency is using a fictitious name and whether that name is registered with the Missouri secretary of state; whether the business is a corporation registered in a state other than Missouri but doing business in Missouri; a copy of the agency’s registration in Missouri and certificate of good standing from the Missouri secretary of state if appropriate; a description of the agency; information concerning whether a license issued by any governmental entity to the company has ever been denied, suspended or revoked; a description of the uniform along with a photograph and patch to be worn by the company’s personnel; the approximate number of persons to be licensed; a list of all companyowned firearms; a list of the names, addresses and capacities of each of the owners, partners, officers, directors and associates of the agency; a list of the agency’s contact persons who are authorized to sign and do business with board; information and proof that the persons listed in the application are U.S. citizens; and the agency’s federal employment identification number (E.I.N.).

1. (F) Form 5715 P.D. is the “Verification of Firearms Training” form. This form requires an individual and his/her instructor to certify that the applicant has been trained in the use of the firearm the applicant intends to carry on duty. Information concerning what the training must include appears on the form. The form must be signed by the instructor and the instructor’s company must be listed.
2. (G) Form 5636 P.D. is the “Weapons Discharge Report.” This form is designed to report information whenever a private officer discharges his/her firearm. Information which must be provided on the form includes: the name of the licensee and date the license expires; the licensee’s weapon make, model and serial number; the location of the incident; the time of the incident; the name of the licensee’s supervisor and the time they were notified of the discharge; whether the licensee was on-duty and in uniform; whether any fatalities or injuries resulted from the discharge; whether the shooting was accidental or intentional; the Kansas City, Missouri Police Department’s case report number in connection with the incident; a narrative description of what transpired; the signature of the licensee along with the licensee’s date of birth; and the signature of the company representative along with the company name and address.
3. (H) Form 253 P.D. is the department’s fingerprint card upon which the applicant’s fingerprints will be taken. A separate card provided by the Federal Bureau of Investigation is also used to provide the applicant’s fingerprints to the Missouri State Highway Patrol. Form 180 P.D. is a “Fingerprint Request” form which is directed to the Identification Unit of the Kansas City, Missouri Police Department and used in order to request that an applicant’s fingerprints be taken. The applicant’s full name and the position they are requesting appears on the form along with the name, and serial number of the person issuing the request for fingerprints.
4. (I) Form 5707 P.D. is a “Temporary License Extension” form. It requests the date, the name of the licensee, their date of birth and their employer’s name. This form provides a temporary license to those who have not yet attended their scheduled firearms qualification date.

AUTHORITY: section 84.720, RSMo 1994.* Original rule filed Dec. 5, 1979, effective March 17, 1980. Amended: Filed May 3, 1988, effective Sept. 29, 1988. Rescinded and readopted: Filed May 28, 1993, effective Jan. 31, 1994. Rescinded and readopted: Filed Dec. 15, 1999, effective Aug. 30, 2000. *Original authority: 84.720, RSMo 1939, amended 1943, 1993.