Psb 01 Form – Fill Out and Use This PDF

For COMPANY INFORMATION (CORPORATION, COMPANY OR SOLE PROPRIETOR), enter the Name of Corporation, Company or Full Name of Sole Proprietor.

Enter the Assumed Name (IF ANY).

I understand that the naming of companies is subject to Rule §35.41 and have also visited the PSB website to ensure that I am not utilizing another company's name or anything similar. Yes No.

Under Mailing Address, enter the City, State (2-Digit Code) and ZIP.

Under Physical Address, enter the City, State (2-Digit Code) and ZIP.

If the address you have listed is your home address, be advised that your submission of this document will constitute a waiver of the confidentiality of your address (as provided in Texas Occupations Code § 1702.085).

Enter the Business Phone, Business Fax and Business Email (Optional).

Under TYPE OF OWNERSHIP (CHECK ONE), check one: Limited Liability Corporation (LLC), Corporation (Inc., Corp.), Limited Liability Partnership (LLP), Sole Proprietor, Partnership or Limited Liability Company (LLC).

Under TYPE OF LICENSE (CHECK ALL THAT APPLY), Class A (CHECK ALL THAT APPLY) is Investigations Company, CLASS A (Investigations ONLY) $350 + $11 = $361 (checked November 11, 2026).

Class B (CHECK ALL THAT APPLY) is CLASS B (Contractor services ONLY) $400 + $12 = $412 (checked November 11, 2026): Guard Company, Locksmith Company, Alarm System Company, Security Consultant Company, Armored Car Company, Electronic Access Control Device Company (Includes Gate Operators), Courier Company, Guard Dog Company.

Class C (CHECK ALL THAT APPLY) is CLASS C (Investigations AND Contractor services) $540 + $16 = $556 (checked November 11, 2026): Investigations Company, Locksmith Company, Guard Company, Security Consultant Company, Alarm System Company, Electronic Access Control Device Company (Includes Gate Operators), Armored Car Company, Courier Company, Guard Dog Company.

Please state the general nature of the service(s) you intend to provide.

Enter the Last Name of Manager, First, M.I. and Suffix (If Any).

For I am submitting the appropriate fee(s) with this application by mail, if yes, a PSB-50 form must be submitted with this application. Yes or No.

Payment must be in the form of a cashier's check, money order or company check.

I understand that all fees submitted to Private Security are non-refundable, are not transferable and that, in accordance with Administrative Rule 35.77, I will have 90 days from the date the application is received by the Department to turn in all required documentation, supplemental information and/or fees OR this application will be abandoned and I will be required to reapply. Yes or No.

Are you applying as a Critical Infrastructure facility? If yes, you must submit form PSB-44 along with this application. Yes or No.

COMPLETE EITHER PART I. OR PART II.

In Part I (sole proprietor only), the person listed must register as an owner: enter the Last Name of Individual Owner, First, M.I. and Suffix (If Any).

In Part II (corporation or partnership only), each person listed must register as an officer, partner and/or shareholder: enter the Last Name, First, M.I. and Suffix of the President or Partner, Vice President or Partner, Secretary or Partner and Treasurer or Partner.

Identify all entities (owners, partners or shareholders), in the spaces of Part II, who own 25% or more of the company, with the Percent of Interest, Last Name, First, M.I. and Suffix.

If there are any entities owning of less than 25%, then provide a brief, general description of the nature of the entities (i.e. “Multiple owners holding less than 1% each,” or “Corporation Z holding 15%,” etc.). The descriptions in Part II must provide information on 100% of the ownership.

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.

Sign on the Applicant Signature line and enter the Date.