Texas Department Of Public Safety Form PDF Details

The Texas Department of Public Safety form lays the groundwork for the proper and organized submission of applications and fees within the regulatory framework of private security services. Tailored specifically by the Regulatory Services Division, this document stands as a crucial facilitator for both individuals and companies striving to comply with state mandates related to private security licensure. The instructions underline the necessity of utilizing the most current form, completing it with precision in black ink, and ensuring all sections are accurately filled to avoid any processing delays. Highlighting an embedded component for auditing purposes, the form serves not only as a submission vehicle but also as a verification tool, emphasizing the requirement for attachment of pertinent documents and fees. Additionally, the form outlines specific payment information, including an amendment effective from October 27, 2014, regarding a nominal fee for the issuance of laminated pocket cards for security credentials. With spaces dedicated to capturing company or individual details, transaction types, and fee breakdowns, it simplifies the financial aspects of the application process. Furthermore, it asserts the legal obligations of the signer towards providing truthful information, cautioning against the implications of fraudulent submissions. Set against a structured backdrop, complete with a final declaration of accuracy and provision for official validation, this document illustrates the comprehensive measures instituted by the Texas Department of Public Safety to ensure a streamlined, transparent, and accountable application process for private security practitioners.

QuestionAnswer
Form NameTexas Department Of Public Safety Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespsb form fill new, texas psb 50 form, psb form 50, form50 2020

Form Preview Example

Texas Department of Public Safety Regulatory Services Division

www.dps.texas.gov

APPLICATION AND FEE SUBMISSION FORM

MUST USE MOST CURREN T FORM

 

PRIVATE SECURITY

 

 

PRI N T CLEARLY I N BLACK I NK

EXAMPLE:

 

MAKE SURE ENTI RE CI RCLE I S FI LLED

Yes

No

 

REQUEST I NFORMATI ON

I understand this form is used for auditing purposes and MUST be submitted with

Yes

the proper application(s) and fee(s) .

No

I understand if this form is NOT attached with the supporting documents and / or if

Yes

the form is incorrect, the entire package will be returned.

No

 

 

 

Company

 

 

Name

 

 

THE ABOVE SPACE I S RESERVED FOR OFFI CE USE ONLY

Company License

Number

PAYMENT I NFORMATI ON

Note: Form examples for an individual and a company are noted in the first two shaded rows of the table below. Fill in each column for your individual(s) and / or company informat ion, as applicable. Companies do not need to include a Social Security Number ( SSN), unless registration is for an individual. Effective October 27 , 2014 , t he Private Security Program will implement Administrative Rule 35.131(b), which requires the collection of a $5 fee for each laminated pocket card. This applies to each new, renewed or duplicate card t hat is produced.

Enclosed in this package are the follow ing:

 

 

Check #

 

SSN

 

I ndividual OR Company Name

 

Type of

 

Transaction

 

Fee $

 

 

 

 

(FOR I NDI VI DUALS ONLY)

 

 

Registration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ex. 1010

 

 

000-00-0000

 

 

John E. Doe

 

 

Non-Commissioned

 

 

Original

 

 

$38

 

 

 

 

Ex. 200200

 

 

n/ a

 

 

Just A Sample Security & Alarm Company

 

 

Company

 

 

Renewal

 

 

$412

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total # of Checks Enclosed

Total Amount Enclosed

SI GNER

Signer Last Name

Business Phone

Signer First Name

Business Email

Iverify the information provided is true and correct, and I understand this is an official government record and any false statement made on this document or any other supplement provided to DPS may result in criminal prosecution.

Signature________________________________________________ Date_______________

This form and attachments can be forwarded by mail to:

Texas Department of Public Safety

Private Security MSC 0242

P.O. Box 15999

Austin, Texas 78761 - 5999

PSB-50 (Rev.10/ 2014)

FORM

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