In the complex landscape of law and security, the PSB-2243 form serves as a critical instrument that ensures the legal and secure access to structures or vehicles under certain circumstances. This form, known formally as the Authorization HB2243 Security Release Form, plays a pivotal role in authorizing the provision of services such as opening locks without the conventional means of access. By requiring detailed information such as the structure opening address or the vehicle's year, make, model, VIN, and license number, it upholds a high standard of specificity and accountability. Notably, the form also mandates the presentation of a governmental picture ID, with fields for various identification numbers to verify the identity of the requester. This requirement underscores the importance of confirming that the individual requesting the service has the authority to do so, thereby preventing unauthorized access and ensuring security. Moreover, the form includes a solemn declaration by the requester, affirmatively stating that all provided information is accurate to the best of their knowledge. This declaration, coupled with the requirement for the owner, manager, or authorized agent's signature and the stipulation that the document be retained for at least three years post-execution, emphasizes the serious legal undertones of the document. The explicit notice that any false entry is considered a criminal violation further highlights the legal implications and the gravity of accurately completing and handling the PSB-2243 form. Consequently, this form is not just a procedural document; it is a safeguard that balances the need for access with the imperatives of security and legal responsibility.
| Question | Answer |
|---|---|
| Form Name | Form Psb 2243 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | PSB 2243 hb2243 security release form authorization forms |
AUTHORIZATION
HB2243 Security Release Form
I, the undersigned, hereby declare that I have the authority to order and have performed the service designated below:
Structure Opening Address: ________________________________________________
Vehicle Opening Year: _______, Make: ___________, Model: ____________________
VIN #: ______________________________________, Lic #: _____________________
Governmental Picture I.D. required.
TDL#: ___________________ US#: ________________________
Other (Specify): _______________________________________
Name: ____________________________________
Address: __________________________________
City, State, ZIP: __________________________________________________________
I do solemnly swear that all information contained on this form is correct to the best of my knowledge and agree to all declarations and statements.
Owner/Manager/Authorized Agent Signature:__________________________________
Date: ________________
This form must be kept on file a minimum of three (3) years from execution.
NOTICE: This is a Governmental record.
Any false entry made on this document is considered a criminal violation.