In Texas, the safety and efficacy of security personnel, particularly personal protection officers, are of paramount importance, both to the public and to regulatory authorities. To ensure that individuals in these roles are equipped not only with the necessary skills but also with the psychological and emotional stability to perform under pressure, the Texas Department of Public Safety Private Security Bureau mandates the completion of the PSB 13 form. This form serves as an official declaration of psychological and emotional health, a prerequisite for those applying for an original license as personal protection officers. As part of the evaluation process, applicants undergo a comprehensive psychological assessment, including the administration of the Minnesota Multiphasic Personality Inventory. This stringent assessment is aimed at affirming that the candidate possesses the emotional health necessary to undertake the duties associated with personal protection. Details such as the applicant's name, social security number, and date of birth, alongside the evaluating psychologist’s credentials, are meticulously recorded. It’s noteworthy that this form, reflecting a commitment to public safety and professional integrity within the personal protection sector, observes confidentiality in accordance with Texas law, underscoring the balance between transparency and privacy protection in regulatory practices. Valid for one year, unless earlier withdrawn or invalidated, the declaration emphasizes the critical role of licensed psychologists in the certification process and aligns with the ethical and professional standards outlined in the Texas Occupations Code, Chapter 1702.
| Question | Answer |
|---|---|
| Form Name | Texas Form Psb 13 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | PSB 13 declaration of psychological and emotional health form |
Texas Department of Public Safety
Private Security Bureau
PO Box 4087, Austin, Texas
www.txdps.state.tx.us
DECLARATION OF PSYCHOLOGICAL AND EMOTIONAL HEALTH
Name: _______________________________________________________________________________
Last |
First |
MI |
Social Security Number: _______________________________ |
Date of Birth: ___________________ |
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Psychologist’s Declaration for ORIGINAL APPLICATION as a Personal Protection Officer Authorization
I certify that I have completed a psychological evaluation of the above named individual, including the Minnesota Multiphasic Personality Inventory and find this individual to be in satisfactory emotional health to perform the duties of a personal protection officer as required by the provisions of Chapter 1702 Occupations Code.
Name of Psychologist: __________________________________________________________________________
Address: _____________________________________________________________________________________
CityStateZip
Telephone (area code + number): _________________________________________________________________
Texas State Board of Examiner of Psychologists License Number: _______________________________________
Signature of Examining Psychologist: ______________________________________________________________
Date: ________________________
This declaration is NOT public information and is valid for one year unless withdrawn or invalidated, and is valid only if signed by a licensed psychologist, pursuant to Title 10, Chapter 1702 Occupations Code, as amended.
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Rev. 03/05 |
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