Texas Department Of Public Safety Form PDF Details

The Texas Department of Public Safety (DPS) is the state agency that oversees law enforcement and vehicle regulation in Texas. DPS has a variety of forms on its website, including forms for driver licenses, vehicle registration, and more. In this blog post, we'll take a look at one of these forms: the Texas Department of Public Safety Form. This form can be used to apply for a driver license or ID card, or to change your name or address on your driver license or ID card. Let's take a closer look at the different sections of the form and what information you need to provide.

You may find information about the type of form you want to prepare in the table. It will show you just how long it will require to fill out texas department of public safety form, what parts you need to fill in, and so forth.

QuestionAnswer
Form NameTexas Department Of Public Safety Form
Form Length1 pages
Fillable?Yes
Fillable fields88
Avg. time to fill out17 min 51 sec
Other namespsb 50 form, psb 50, texas psb 50, psb 04b

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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Watch Texas Department Of Public Safety Form Video Instruction

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