Rev. 06/2020 Page 1 of 1
BUSINESS, CONSUMER SERVICES AND HOUSING AGENCY • GAVIN NEWSOM, GOVERNOR
DEPARTMENT OF CONSUMER AFFAIRS
BUREAU OF SECURITY AND INVESTIGATIVE SERVICES
P.O. Box 989002, West Sacramento, CA 95798-9002
P (916) 322-4000 | P (800) 952-5210 | F (916) 575-7290 | www.bsis.ca.gov
ADDRESS CHANGE (COMPANY)
(Please type or print clearly)
DO NOT USE THIS FORM TO REPORT PERSONAL ADDRESS CHANGES.
Company Name:
Phone Number:
Social Security Number or Individual Taxpayer Identification Number
(Individual Owner Only):
Federal Employer Identification Number (Partnership, Corporation, or Limited
Liability Company):
Old Business Address
Address: City State Zip
New Mailing Address
Address of Record*: City State Zip
*If you are using a P.O. Box or mail box service address as your Address of Record, you must also provide the physical
address of the business.
New Physical Address
Physical Address City State Zip
Select the BSIS license type for which you want to change your address and list the license number.
Alarm Company Operator ACO Private Investigator Company PI
Alarm Company Branch Office ACB
Private Investigator Branch
Office
PIB
Baton Training Facility TFB Private Patrol Operator PPO
Firearms Training Facility TFF
Private Patrol Operator Branch
Office
PPB
Locksmith Company LCO
Proprietary Private Security
Employer
PSE
LCB Repossession Agency RA
Submit this form by email to bsis@dca.ca.gov or mail to the Bureau at the address in the letterhead. Please
note that mailed forms take longer to process.
Replacement License
Updating your business address will not cause a replacement license to be issued and mailed to your new address. If a
replacement license is needed, you must complete and mail an Application for Replacement License along with payment
or complete the transaction online through BreEZe at www.breeze.ca.gov
.
A change of address must be submitted to the Bureau within 30 days of the change taking place pursuant to California
Code of Regulations Title 16, Division 7, Section 606(b) and the California Business and Professions Code Sections
6980.32, 7508.6, 7566, 7587.14, and 7599.59.
Name (Print name of authorized owner, partner, corporate officer, managing member, or qualified manager):
Signature:
Date:
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