California Bureau of Security and Investigative Services 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Person/Employee Involved in Incident' section. Enter the last name, first name, and middle name of the individual involved. Provide their address, telephone number (optional), date of birth, email address (if applicable), registration/license number, and firearm/baton permit details.
3. Next, complete the 'Licensee (Company) Information' section. Input the company name, address, contact person, license number, title, and telephone number.
4. In the 'Incident Information' section, specify the date and time of the incident. Describe where it occurred by providing the business name or post location along with its address and telephone number.
5. Detail whether law enforcement took a report and if they issued a citation or made an arrest. Include any relevant agency names and report numbers.
6. Finally, describe the incident thoroughly in the 'Details of Incident' section. Include all participants involved, circumstances leading to physical force or violence, injuries sustained, and any firearm usage.
7. Before signing, read the declaration carefully. Print your name, sign as required for both the person involved and employer signatures along with their titles and dates.

Start using our platform today to streamline your form completion process for free!