Join Online Now – Iowa Association of Private Investigators

First Name: *

Last Name: *

Business or Agency Name:

Agency License Number: *

Expiration Date Agency License: (MM/YYYY)

Date of Birth: / /

Business Street Address: *

Business P. O. Box:

Business City: *

Business State: *

Business Zip Code: *

Business Phone Number: *

Cell Number:

Toll Free Phone:

Fax Number:

Website Address:

E-mail Address: *

Comments or Questions:

Are you licensed as a Private Investigator in any other state(s)? *

Yes
No

If yes, please list those other states and license numbers:

Have you ever had your private investigator license suspended or revoked in Iowa or any other jurisdiction? *

Yes
No

If yes, please explain.

Have you ever been convicted of any offense described in Chapter 80A.4 of the Code of Iowa? *

Yes
No

If yes, please explain.

Do you specialize in any particular type of investigation? *

Yes
No

If yes, please list your specialties so they can be included on the IAPI online directory.

Would you like to serve on an IAPI Committee? *

Yes
No

If yes, which one?

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