1. Name:

2. Residence Address:

3. Business Address:

4. Residence Phone:

5. Business Phone:

6. Fax:

In the past two years have you been convicted of a felony or a misdemeanor? ___Yes ___No

Mail completed renewal application and renewal fee to:
Private Detective Licensing
Kansas Bureau of Investigation
1620 SW Tyler
Topeka, KS 66612