1. business and industrial
2. company
3. earnings

APPLICATION PACK
FOR
CONTRACTORS APPLYING
TO RENEW THEIR LICENCE
(Contains Guidelines for Contractors Applying
to Renew Their Licence and Application Form )
October 2014
PSA 45-R-2014
Please read the following notes before completing your Licence
Renewal Application Form.
This application form may only be used if you are applying to renew an existing
PSA licence.
•
For detailed information on licensing of the various licensing sector(s) reference
should be made to the Private Security Authority website, www.psa.gov.ie.
•
Application forms should be fully completed in BLACK INK and in CAPITAL
LETTERS.
•
If you are having difficulty with any question and require further guidance or
assistance please contact the PSA by email, [email protected].
•
Please check that you have forwarded all relevant documentation in support of
your application.
•
Incomplete applications will be rejected and returned to applicant.
Garda Vetting
The PSA have introduced new vetting procedures for renewal applications. Persons who
have been previously vetted by the PSA as part of the contractor licensing process are no
longer required to complete a Garda Vetting Form unless any of the following apply:
• They have been convicted of any offence in Ireland or any other jurisdiction since last
vetted.
• They have appeared before the courts for any reason (including motoring offences) since
they were last vetted.
• They left the country for a period exceeding 6 months since they were last vetted.
Under the new procedures persons will only be required to complete a Garda Vetting Form
once every 5 years or where otherwise requested by the PSA.
Where a new director, company secretary, partner or shareholder joins the
business a Garda Vetting Form must be completed. Vetting Forms are available
under the Forms Tab on our website, www.psa.gov.ie.
www.psa.gov.ie
Section A General Details
Section A must be completed by all applicants. Its aim is to provide summary information on
your business and the type of licence(s) applied for.
1. Name of Applicant
This is the name which will appear on the licence. It must be the name of the contractor. A
trading name is not acceptable. (See 3 below)
- An individual or sole trader should give their full name.
- A Partnership name should include the name of each partner.
- For a company, company name only to appear.
Certificates of Incorporation are not required provided there has been no change in the
company registration details since the original application was lodged with the PSA.
2. Address
Please enter the address of the premises from which you trade. Your licence and all
correspondence will be sent to this address.
3. Business Name
A business/trading name will appear below the applicants name on the licence.
Certificates of Business Name are not required provided there has been no change in the
details since the original application was lodged with the PSA.
4. Contact Name
Name of person dealing with application and whom the Private Security Authority will
contact regarding the application and licence.
5/6 Telephone & Fax Number
Please enter contact numbers as requested
7. E-mail Address
Please enter contact address as requested
8. PPS Number/Revenue Registration Number
If the applicant is a sole trader, please enter your PPS Number. If the applicant is a
partnership or company, please enter your Revenue Registration Number.
9. Number of Employees
The number of employees employed by your business.
www.psa.gov.ie
Section B Licence(s) Required
You must complete in full for each sector for which a licence is required.
Sector Turnover
You must insert the annual turnover for each sub-sector you are applying for.
Note: ‘Turnover’ means the gross revenue (excluding Value Added Tax) of an applicant
arising in the financial period in respect of the provision by the applicant of the security
service or security services to which the licence or licences applied for relates or relate.
For licensing purposes we require that you state your annual turnover for the last 12
months for which you are legally obliged to submit accounts and, for Companies, an
Auditor's Turnover Certificate.
Combined Turnover
The turnover in each sector must be added together and inserted in the appropriate box under
the Combined Turnover column. The combined turnover is used to calculate the turnover fee.
Turnover Fee
The licence fee consists of two components - an administration fee (€1,000) and a
turnover fee which is based on the combined turnover of the contractor in each licensable
security sector.
Turnover Fees for Licences (to which admin fee of €1,000 must be added) are as
follows:
Turnover Fee
Turnover < €10
€0
Turnover < €300,000
€250
Turnover < €625,000
€1,250
Turnover < €1,250,000
€2,500
Turnover < €3,750,000
€5,000
Turnover < €10,000,000
€9,000
Turnover < €20,000,000
€19,000
Turnover > €20,000,000
€25,000
The turnover fee is calculated on the combined turnover as recorded in Section B of the
application form.
Total Fee Due
To find the Total Fee Due add €1,000 to the Total of Turnover Fees figure.
www.psa.gov.ie
Section C Details of Partners, Directors and Shareholders
This section must be completed if the applicant is a partnership or company. Enter the name,
address and contact details for all partners in a partnership. In the case of a company, the
name, address and contact details of the company secretary together with all directors and
shareholders with a shareholding of 5% or more.
Please note that for renewals the Garda Vetting Form is only required where a person
previoulsy vetted has;
• been convicted of any offence in Ireland or any other jurisdiction since last vetted.
• have appeared before the courts for any reason (including motoring offences) since they
were last vetted.
• have left the country for a period exceeding 6 months since they were last vetted.
OR
where a partner, director, company secretary or shareholder has not been vetted by the PSA
previously.
The Garda Vetting Form is not included in this pack and can be downloaded from the forms
page on our website, www.psa.gov.ie.
Section D Declaration
The application should be read, signed and dated by the applicant in the case of a sole trader,
by all of the partners in the case of a partnership or in the case of an incorporated company,
by the company secretary or managing director.
Please remember to sign the application form. All applications forms must be signed within
4 weeks of the application being lodged with the PSA.
Documents To Accompany Application Form
In addition to a completed application form your application should include the following
items.
1.
Prescribed Licence Fee
2.
Valid Tax Clearance Certificate
A current valid TCC is required to obtain a Private Security Service Contractors Licence.
3.
Auditors Turnover Certificate
Companies are required to provide an Auditors Turnover Certificate for the last 12 months for
which they are legally obliged to submit accounts.
Sole Traders and Partnerships are required to provide a statement from their accountant
confirming their turnover for the last accounting period.
www.psa.gov.ie
4. Foreign Criminal Record Certificate
All Sole Traders, Partners, Directors, Company Secretary or Shareholders with a holding
greater than 5% who have spent 6 months or more in another jurisdiction within the last 25
years will be required to provide a criminal record certificate from that jurisdiction where
one has not previously been provided to the PSA.
If you have included a Foreign Criminal Record Certificate with your application previously
and you have not resided in another jurisdiction since that application you are not required to
provide another Foreign Criminal Record Certificate.
If you are permanently resident in another jurisdiction and were resident in that jurisdiction
when your application was previously lodged you are not required to provide a Foreign
Criminal Record Certificate if you provided one previously.
The PSA may request an updated Foreign Criminal Record Certificate at any time.
5. Evidence of Attainment of the Required Standard(s)
Applicants for Private Security Services Contractor Licences must produce evidence of
having attained the relevant operational standard(s) for the licence(s) required.
Completed Application
Completed application form, payment and supporting documentation should be returned to
the following address:
The Private Security Authority,
Davis Street,
Tipperary Town,
Co. Tipperary.
T: 062 32612 (For Counties Clare, Cork, Kerry, Limerick, Waterford and Tipperary)
062 32624 (For Counties Carlow, Kildare, Kilkenny Mayo, Sligo, Wexford, and Dublin
Districts 16 to 24)
062 32628 (For Counties Galway, Laois, Meath, Roscommon, Westmeath, Dublin
Districts 2 to 14 and Foreign Companies (excluding Northern Ireland))
062 32614 (For Counties Donegal, Leitrim, Longford, Louth, Monaghan, Dublin
Districts 1 to 17 and North County Dublin)
062 32630 (For Counties Cavan, Wicklow, South County Dublin and Northern Ireland)
F: 062 31591
E: [email protected]
www.psa.gov.ie
An tÚdarás Slándála Príobháidí
The Private Security Authority
Application Form To Renew Licence
Please comply with the instructions for completing this form as failure to do so may result in your application being rejected. The instructions are
contained in the Guidelines which accompanied the application form. This form should be completed in BLACK INK and in BLOCK CAPITALS
Please Indicate If Application Is For A Sole Trader
SECTION A

Partnership

Company

(Please Tick Appropriate Box)
General Details
1. Name of Applicant
(Name to appear
on licence)
2. Address
(Address to which
licence and
correspondence will
be sent)
3. Business Name






(Business Name(if different from Name of Applicant) to appear on licence)
4. Contact Name

(Name of person to whom all correspondence concerning this application and subsequent matters will be sent)
5. Telephone Number
7. Email Address




6. Fax Number
8. PPS Number or Revenue Registration Number
SECTION B
9. Number or Employees
Licence(s) Required
Sector (Tick Box)
Sector Turnover
9
Door Supervisor (Licensed Premises)
€
Door Supervisor (Event Security)
€
Security Guard (Static Guard)
€
Security Guard (Event Security)
Security Guard (CCTV Monitoring)
€
€
€
Installer (Intruder Alarm)
€
Installer (Access Control)
€
Installer (CCTV)
€
Cash In Transit (Coin)
€
Cash In Transit (ATM)
€
Cash In Transit (Point to Point)
€
Cash In Transit (Other)
€
Security Guard (Alarm Monitoring)
Refer to the Guidelines for Completion of Application
Pack to calculate the turnover fee payable or visit our website,
www.psa.gov.ie
Combined Turnover
Door Supervisor
€
(A)
Security Guard
€
(B)
Installer
€
(C)
Cash In Transit
€
(D)
Combined Turnover
€
Turnover Fee
€
Administration Fee
€
€
Total Fee Due
=A+B+C+D
(E)
1,000
(F)
=E+F
SECTION C
Details of Partners, Directors and Shareholders
The Name, Address & Contact Details For Each Partner, In The Case Of A Partnership And For The Company Secretary And Each Director And
Shareholder In The Case Of A Body Corporate Must Be Provided Below. Information On Additional Partners, Directors and/Or Shareholders
Should Be Provided On A Separate Sheet.
Name
Address
Phone No.
Partner
PPS No.
Company Secretary
(please tick appropriate box)
Director
Shareholder
If Shareholder, please indicate percentage shareholding ______%
Name
Address
Phone No.
Partner
PPS No.
Company Secretary
(please tick appropriate box)
Director
Shareholder
If Shareholder, please indicate percentage shareholding ______%
Name
Address
Phone No.
Partner
PPS No.
Company Secretary
(please tick appropriate box)
Director
Shareholder
If Shareholder, please indicate percentage shareholding ______%
Name
Address
Phone No.
Partner
PPS No.
Company Secretary
(please tick appropriate box)
Director
Shareholder
If Shareholder, please indicate percentage shareholding ______%
Name
Address
Phone No.
Partner
PPS No.
Company Secretary
(please tick appropriate box)
Director
Shareholder
If Shareholder, please indicate percentage shareholding ______%
SECTION D
Declaration
I confirm that I have read and understand the contents of the application form and accompanying guidelines. I
declare that the information provided in this application is true and complete in every respect and that the applicant
is fully compliant with all statutory obligations of the Private Security Services Acts and Regulations thereunder.
I understand that under the Private Security Services Acts 2004 and 2011 it is an offence to supply misleading
information in order to obtain a Private Security Authority Licence and that doing so may lead to the application
being refused or the licence being suspended or revoked and to a prosecution.
I confirm that I act for the applicant named in this application form and I am authorised to sign this form on the
applicants behalf.
Signature
Date
Print Name
(In the case of a partnership all partners are required to sign. One partner should sign above and the
the other partners below.)
Signature
Date
Print Name
Signature
Date
Print Name
Signature
Date
Print Name
Please remember to sign the application form. All applications forms must be signed within 4
weeks of the application being lodged with the PSA.