The Texas PSB 20 form is a crucial document for those seeking registration as a security officer in Texas. It gathers essential information about the applicant, including personal details and background checks. Completing this form accurately is vital for a smooth application process.
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The Texas PSB 20 form is a crucial document for individuals seeking to register as security personnel within the state. This form serves multiple purposes, including applications for non-commissioned security officers, commissioned security officers, and personal protection officers. Applicants must provide a variety of personal information, such as their name, address, and Social Security number, along with details regarding their background, including any criminal history. The form also includes sections that require applicants to disclose their physical characteristics and any aliases they may have used. Importantly, it outlines the submission requirements for fingerprinting and payment details, emphasizing that all fees are non-refundable and non-transferable. Additionally, the form mandates that applicants acknowledge their understanding of eligibility criteria and disqualifying offenses, reinforcing the importance of transparency in the application process. Proper completion of the PSB 20 form is essential for obtaining the necessary licensure to work in the private security industry in Texas.
Texas Department of Public Safety Regulatory Services Division
www.txdps.state.tx.us
• MUST USE MOST CURREN T
PRIVATE SECURITY
FORM
• KEY I N OR PRI N T CLEARLY I N BLACK I NK
EXAMPLE:
• MAKE SURE ENTI RE CI RCLE I S FI LLED
Yes
No
GOVERNMENTAL LETTER OF AUTHORITY (GLOA) EXEMPTION APPLICATION
REGI STRATI ON I NFORMATI ON
THE ABOVE SPACE I S RESERVED FOF OFFI CE USE ONLY
Type of Registration: (CHOOSE ONE)
Type of Application: (CHOOSE ONE)
Governmental Letter of Authority Non-Commissioned Security Officer
Original Application
Governmental Letter of Authority Commissioned Security Officer
Renewal Application
Governmental Letter of Authority Personal Protection Officer
APPLI CANT I NFORMATI ON
Gov Letter of
Gov Letter of Authority
Authority Name
License No.
Applicant Social
-
Driver License
DL/ I D
Security Number
I D Card
State:
No.
Applicant Last Name
Home Address
First Name
Middle Name
Suffix
(I f Any)
City
State
ZI P
Home
(
)
(2- Digit Code)
Phone
Date of Birth
Place
(CI TY)
(STATE)
(COUNTRY)
/
(MM/ DD/ YYYY)
of Birth
Gender
Male
Female
Eyes
1.
Blue
2.
Brown
3.
Gray
4.
Hazel
5.
Green
6.
Black
Height
Ft.
I n.
Hair
Red
Blonde
Bald
Race
Weight
Lbs.
White
Hispanic
American
Asian
Other
I ndian
_______
List any alias you have used:
Describe
Your Duties:
SUPPLEMENTAL I NFORMATI ON (REQUI RED WI TH ORI GI NAL APPLI CATI ON ONLY – DOES NOT APPLY TO RENEWALS)
Regarding submitting Fingerprints: (CHOOSE ONLY ONE)
I am submitting two (2) classifiable, Board approved fingerprint cards along with the $ 25 FBI classification fee.
I am submitting the $ 25 FBI classification fee. My fingerprints were submitted electronically and my signed I BT FAST receipt is attached as proof with this application.
I am a Peace Officer (or Retired Peace Officer) alternatively submitting a PSB-00 (Peace Officer Fingerprint Waiver) form with this application, instead of FBI fingerprint cards.
PAYMENT I NFORMATI ON
Original Registration Application Fee OR Renew al Fee: $0
I am submitting the appropriate fee(s) with this application by mail.
(Note: Payment must be in the form of a cashier’s check, money order or company check.)
No
* I f yes, a PSB-50 form m ust be submitted with this application.
I understand all fees submitted to Private Security are non- refundable and non transferable. I n accordance with Administrative Rule Yes
35.77, I have 90 days from the date the application is received by the Department to submit all required documentation, supplemental information and/ or fees or this application will be abandoned and I will be required to reapply.
PSB-20 (Rev. 06/ 2011)
Page 1 of 2
Applicant Name
Social
Security No.
BACKGROUND I NFORMATI ON – PART I ( ALL APPLI CANTS)
1.
Have you ever been convicted, in any jurisdiction, of a felony
* I f yes, has it been LESS than ten (10) years since
completing
your
level offense?
sent ence or probat ionary period?
2.
Have you ever been convicted, in any jurisdiction, of a Class A or
* I f yes, has it been LESS than five (5) years since completing your sent ence
equivalent misdemeanor?
or probat ionary period?
3.
Have you, within the past 5 years, been convicted, in any jurisdiction, of a Class B misdemeanor or equivalent offense?
4.
Are you currently charged with, or under indictment for, a felony, or Class A misdemeanor?
5.
Are you currently charged with a Class B misdemeanor?
6.
Have you ever been found by a court to be incompetent by reason of mental defect?
* I f yes, and
you
received a dishonorable discharge, a bad conduct discharge, or
an
other
than
7.
Were you discharged from the military?
honorable discharge, from Armed Forces, then you must submit a copy of your DD- 214 .
8.
Are you required to register as a sex offender, in the state of Texas or any other state?
9.
Federal law prohibits the Bureau from issuing a license to anyone
I f yes, you must submit documentation of your naturalization or a copy
who is ineligible to work in the U.S. Are you a non- citizen?
of your permanent resident card.
BACKGROUND I NFORMATI ON – PART I I ( COMMI SSI ONED SECURI TY OFFI CERS & PERSONAL PROTECTI ON OFFI CERS ONLY)
10.
Are you currently restricted under a court protective order or subject to a restraining or affecting the spousal relationship, other than a
restraining order solely affecting property interests, including any court order restraining your conduct as to an intimate partner?
11.
Have you been diagnosed by a license physician as suffering from a psychiatric disorder or condition that causes or is likely to cause substantial
impairment in judgment, mood, perception, impulse control, or intellectual ability? (See Occupations Code §1702.163 (d), (e) & (f).)
12.
Have you been convicted in any court of a misdemeanor offense involving domestic violence?
13.
Are you an unlawful user of a controlled substance or addicted to any controlled substances?
BACKGROUND I NFORMATI ON – PART I I I ( ALL APPLI CANTS)
14.
I understand that, any pending charges or conviction referred to in Background I nformation Parts I and I I above require the submission of the
appropriate court documentation, with this application. Failure to report an arrest or conviction, later found by a fingerprint search, may result
in denial or revocation of a license based solely on the material misstatement of fact in this application.
15.
I acknowledge that I have review ed the eligibility criteria of Occupations Code §1702.113 and the definition of ‘conviction’ provided in §1702.371
and Administrative Rule §35.1. I also acknowledge that I have review ed the disqualifying offenses listed in Administrative Rules 35.42 and 35.46.
EMPLOYER I NFORMATI ON (TO BE COMPLETED BY QUALI FI ED MANAGER, MANAGER’S DESI GNEE OR OWNER)
I hereby certify that the above applicant began employment in a position that requires this registration with my company on:
Applicant’s Date of Employment (MM/ DD/ YYYY)
I am requesting that the above applicant be issued a registration with my company as my employee.
Manager or Manager’s Designee Printed Last Name
Printed First Name
I verify that the information provided is true and correct, and I understand that this is an official Government record and that any false statement made on this document or any other supplement provided to the Department may result in criminal prosecution.
Applicant Signature________________________________________________
Date____ / ____ / ________
Manager or Manager’s Designee Signature________________________________________________
This form and attachments can be forwarded by mail to:
Texas Department of Public Safety
Private Security MSC 02 42
PO Box 15999
Austin, TX 7 8761 - 5999
Page 2 of 2
Filling out the Texas PSB 20 form requires attention to detail and accuracy. This form is essential for those applying for a Governmental Letter of Authority exemption. Follow the steps below to ensure your application is completed correctly.
The Texas PSB 20 form is an application used for registering individuals as non-commissioned or commissioned security officers and personal protection officers in Texas. It is essential for those seeking employment in the private security sector to complete this form accurately.
Any individual applying for a governmental letter of authority to work as a security officer or personal protection officer in Texas must fill out the PSB 20 form. This includes both original applications and renewal applications.
The form requires personal information such as your name, date of birth, address, and social security number. Additionally, you will need to provide details about your employment, background information, and any applicable fees.
When submitting the PSB 20 form, you must include the appropriate fee, which is $0 for original and renewal applications. Payments should be made via cashier’s check, money order, or company check, as personal checks are not accepted.
If you fail to submit all required documentation within 90 days of the application being received, your application will be considered abandoned. You will then need to reapply to obtain your registration.
Yes, fingerprint submission is required for original applications. You can either submit two classifiable fingerprint cards with a fee or provide proof of electronic fingerprint submission along with your application.
The form asks about any felony or misdemeanor convictions, pending charges, military discharge status, and mental health evaluations. It's crucial to answer these questions truthfully, as any discrepancies may lead to denial or revocation of your license.
Yes, the PSB 20 form can be used for renewal applications. Ensure that you check the appropriate box indicating that you are applying for a renewal and provide any necessary updates to your information.
Completed forms and attachments should be mailed to the Texas Department of Public Safety, Private Security, MSC 02 42, PO Box 15999, Austin, TX 78761-5999.
If you have questions or need assistance while completing the PSB 20 form, it is advisable to contact the Texas Department of Public Safety directly. They can provide guidance and clarify any uncertainties you may have.
Using an outdated form: Many applicants fail to use the most current version of the Texas PSB 20 form. Always check the Texas Department of Public Safety website for the latest form.
Inaccurate or unclear information: Filling out the form with unclear handwriting or incorrect details can lead to delays. It is crucial to print clearly in black ink and ensure all information is accurate.
Neglecting to complete all required sections: Some applicants overlook sections that must be filled out completely. Each part of the form is important and contributes to the overall application.
Failure to submit necessary documents: Not including required documents, such as fingerprints or fees, can result in the application being rejected. Review the checklist carefully before submission.
The Texas PSB 20 form is essential for those seeking registration as security officers in Texas. However, several other forms and documents often accompany it to ensure a complete application. Here’s a brief overview of some of these important documents.
These documents are crucial for a successful application process. Ensuring that all required forms are completed and submitted can help avoid delays and complications in obtaining a security license in Texas.
The Texas PSB 20 form shares similarities with the FBI Background Check form, which is often required for various applications, including employment and licensing. Both documents necessitate personal information, including identification details and background history. The FBI Background Check form also requires applicants to disclose any criminal history, which mirrors the inquiries present in the PSB 20 regarding felony and misdemeanor convictions. Each form aims to ensure that individuals meet the necessary legal standards for employment in sensitive positions, particularly those that involve security and public safety.
Another document akin to the Texas PSB 20 is the Texas Driver's License Application. This application requires personal information, including the applicant's name, address, and identification numbers. Similar to the PSB 20, it also requires verification of identity and background information, including any previous legal issues. Both forms serve as essential tools for state authorities to assess an individual's eligibility for a specific role or privilege, ensuring that only qualified individuals are granted licenses or registrations.
The Employment Authorization Document (EAD) application is another form that resembles the Texas PSB 20. Both documents require detailed personal information, including the applicant's immigration status and history. The EAD application also includes questions about criminal history, paralleling the inquiries found in the PSB 20. This commonality highlights the importance of background checks in determining an applicant's suitability for employment, particularly in positions that may impact public safety and welfare.
The Texas Concealed Handgun License Application is similar to the PSB 20 in that both require comprehensive background checks. Applicants must provide personal details, including their criminal history and any mental health evaluations. The focus on safety and eligibility is paramount in both applications, as they both aim to assess whether an individual can responsibly carry a weapon or work in security. This shared goal underscores the importance of thorough vetting processes in maintaining public safety.
Additionally, the Texas Notary Public Application bears similarities to the PSB 20 form. Both documents require applicants to provide personal identification information and undergo a background check. The Notary Public Application also includes questions regarding any criminal history, which serves to protect the integrity of the notarial process. By ensuring that only qualified individuals are appointed to these roles, both forms contribute to the overall trustworthiness of legal and security-related professions.
Lastly, the Texas Real Estate License Application is comparable to the PSB 20 in its requirement for detailed personal and background information. Applicants must disclose any past criminal convictions, much like the inquiries made in the PSB 20. This similarity reflects the shared commitment of both applications to ensure that individuals in positions of responsibility and trust are thoroughly vetted, thereby safeguarding the interests of the public and the integrity of the professions involved.
When filling out the Texas PSB 20 form, it’s important to follow certain guidelines to ensure your application is processed smoothly. Here’s a list of things you should and shouldn’t do:
By following these guidelines, you can help ensure that your application is complete and stands the best chance of being approved.
This is incorrect. The PSB 20 form is applicable to various types of applicants, including non-commissioned security officers and personal protection officers. Each type of registration requires specific information, but the form itself serves multiple purposes.
Some applicants believe that fingerprint submission is optional. However, the form clearly outlines that fingerprint submission is required for original applications. Applicants can choose between submitting fingerprint cards or electronic submissions, but this step is mandatory for initial applications.
While the form indicates that the original registration application fee or renewal fee is $0, applicants must be aware that payment is necessary if they are submitting their application by mail. Fees must be paid in a specific format, such as a cashier’s check or money order, and all fees are non-refundable.
This belief is misleading. The PSB 20 form requires applicants to disclose any past convictions, including felonies and misdemeanors. Depending on the nature and timing of these convictions, they can impact an applicant's eligibility for a security license.
Applicants often overlook the instruction to use black ink specifically. This requirement is in place to ensure clarity and legibility. Using other colors may lead to processing delays or errors in the application.
Some individuals assume that once they submit the PSB 20 form, they will not need to do so again. In reality, renewals are required periodically, and applicants must be aware of the timelines for submitting required documentation to avoid abandonment of their application.
This is a common misunderstanding. The form requires both the applicant's signature and the signature of a qualified manager or manager’s designee. This dual signature process emphasizes the importance of employer verification in the application process.
When filling out and using the Texas PSB 20 form, there are several important considerations to keep in mind: