Wisconsin Department of Safety and Professional Services
Health & Business Renewal Application
Application Status Query
Instructions:
Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.
Please verify the checklist information below, including your address. If your address has changed, please
e-mail
your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.
As of
:
10/05/2017
Application#
:
618591
Name
:
VALEK, ROBERT David
Profession
:
Private Security Person
Address
:
ROCK SPRINGS, WI
Application Status
:
(Permanent license issued)
Requirements Not Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Requirements Met:
Description
Status
Comments (Please note, not all requirements will include comments)
License Fee
Met
Affiliation - Entity Working For
Met
Authorization for release of FBI information (#2687)
Met
Information on Conviction(s)/Pending Charge(s) (Form #2252)
Met
10.05.2017-Approved CIB. SNBA------10/3/17 Received Form 2252, personal statement, and supporting documentation. Thank you. Your file has been sent for legal review. Files are reviewed as promptly as possible, but review times do vary depending on a variety of factors. If further information is needed, you will be contacted. If a requirement hasn’t been updated, or you have not been contacted after 30 business days, you can contact a paralegal at DSPSCredParalegal@wi.gov or call 608-266-2112, option 2 for Health and Business Credentialing and then option 2 again for All Other Heath & Business Inquiries and ask for the paralegal.
jb
-----
08/29/17: You answered NO to the questions on page two of the application, but a search of the records of the Crime Information Bureau of the Department of Justice indicated pending charges and/or conviction/s. Please complete Form #2252 and for EACH conviction submit:
1. A personal statement describing the facts that led to your conviction (i.e. who was involved, where you were, what happened, and why.)
2. A copy of the police report(s) and/or criminal complaint;
3. A copy of the judgment of conviction. (*NOTE* a CCAP print out does NOT satisfy this requirement); and
4. Documentation verifying that you completed the terms of your sentence (sentencing verification).
If you discover that any of the required information is not available after contacting the appropriate agency/police department(s), and/or court(s), please indicate this in the personal statement(s) and submit the personal statement(s) to DSPS, along with any documentation that is available. You may email these documents directly to DSPSCredSecurity@wi.gov , or fax to 608-261-7083 or mail to: "DSPS, P.O. Box 8935, Madison, WI 53708." File will be sent for CIB review once all supporting documentation has been received and all other requirements have been met. BE SURE TO INCLUDE YOUR APPLICATION NUMBER WITH ANY AND ALL INFORMATION SENT TO US. Thank you. J
CIB Fingerprint
Met
FBI Fingerprint
Met
License Application Complete
Met
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