Are you new to the business world and trying to understand the taxation process? Do you need help filing a Texas Form Psb 20? If so, then this blog post is for you! Here, we’ll provide an introduction to what Texas Form Psb 20 is and how it works. We’ll also take a look at when it needs to be filed and discuss any additional forms that might be necessary when submitting your documents. Whether you are completely unfamiliar with the form or just need some clarification on one of its requirements, this blog post will provide all the information needed to make sure everything runs smoothly for your business.
Question | Answer |
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Form Name | Texas Form Psb 20 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | PSB 20 gloa texas dps private security form |
Texas Department of Public Safety Regulatory Services Division
www.txdps.state.tx.us
• MUST USE MOST CURREN T |
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PRIVATE SECURITY |
FORM |
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• KEY I N OR PRI N T CLEARLY I N BLACK I NK |
EXAMPLE: |
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• MAKE SURE ENTI RE CI RCLE I S FI LLED |
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GOVERNMENTAL LETTER OF AUTHORITY (GLOA) EXEMPTION APPLICATION
REGI STRATI ON I NFORMATI ON
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THE ABOVE SPACE I S RESERVED FOF OFFI CE USE ONLY |
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Type of Registration: (CHOOSE ONE) |
Type of Application: (CHOOSE ONE) |
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Governmental Letter of Authority |
Original Application |
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Governmental Letter of Authority Commissioned Security Officer |
Renewal Application |
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Governmental Letter of Authority Personal Protection Officer |
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APPLI CANT I NFORMATI ON
Gov Letter of |
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Gov Letter of Authority |
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Authority Name |
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License No. |
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Applicant Social |
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Driver License |
DL/ I D |
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DL/ I D |
Security Number |
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I D Card |
State: |
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No. |
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Applicant Last Name
Home Address
First Name
Middle Name
Suffix
(I f Any)
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State |
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ZI P |
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Home |
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(2- Digit Code) |
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Phone |
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Date of Birth |
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Place |
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(STATE) |
(COUNTRY) |
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(MM/ DD/ YYYY) |
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of Birth |
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Gender |
Male |
Female |
Eyes |
1. |
Blue |
2. |
Brown |
3. |
Gray |
4. |
Hazel |
5. |
Green |
6. |
Black |
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Height |
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Ft. |
I n. |
Hair |
1. |
Black |
2. |
Red |
3. |
Gray |
4. |
Brown |
5. |
Blonde |
6. |
Bald |
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Race |
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4. |
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5. |
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6. |
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Weight |
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Lbs. |
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White |
Black |
Hispanic |
American |
Asian |
Other |
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I ndian |
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_______ |
List any alias you have used:
Describe
Your Duties:
SUPPLEMENTAL I NFORMATI ON (REQUI RED WI TH ORI GI NAL APPLI CATI ON ONLY – DOES NOT APPLY TO RENEWALS)
Regarding submitting Fingerprints: (CHOOSE ONLY ONE)
I am submitting two (2) classifiable, Board approved fingerprint cards along with the $ 25 FBI classification fee.
I am submitting the $ 25 FBI classification fee. My fingerprints were submitted electronically and my signed I BT FAST receipt is attached as proof with this application.
I am a Peace Officer (or Retired Peace Officer) alternatively submitting a
PAYMENT I NFORMATI ON
Original Registration Application Fee OR Renew al Fee: $0
I am submitting the appropriate fee(s) with this application by mail. |
Yes |
(Note: Payment must be in the form of a cashier’s check, money order or company check.) |
No |
* I f yes, a
I understand all fees submitted to Private Security are non- refundable and non transferable. I n accordance with Administrative Rule Yes
35.77, I have 90 days from the date the application is received by the Department to submit all required documentation, supplemental information and/ or fees or this application will be abandoned and I will be required to reapply.
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Page 1 of 2 |
FORM |
Applicant Name
Social |
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Security No. |
BACKGROUND I NFORMATI ON – PART I ( ALL APPLI CANTS)
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Have you ever been convicted, in any jurisdiction, of a felony |
Yes |
* I f yes, has it been LESS than ten (10) years since |
completing |
your |
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level offense? |
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No |
sent ence or probat ionary period? |
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No |
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2. |
Have you ever been convicted, in any jurisdiction, of a Class A or |
Yes |
* I f yes, has it been LESS than five (5) years since completing your sent ence |
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Yes |
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equivalent misdemeanor? |
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No |
or probat ionary period? |
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No |
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Have you, within the past 5 years, been convicted, in any jurisdiction, of a Class B misdemeanor or equivalent offense? |
Yes |
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No |
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Are you currently charged with, or under indictment for, a felony, or Class A misdemeanor? |
Yes |
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No |
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5. |
Are you currently charged with a Class B misdemeanor? |
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Yes |
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No |
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Have you ever been found by a court to be incompetent by reason of mental defect? |
Yes |
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No |
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Yes |
* I f yes, and |
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received a dishonorable discharge, a bad conduct discharge, or |
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other |
than |
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Were you discharged from the military? |
honorable discharge, from Armed Forces, then you must submit a copy of your DD- 214 . |
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No |
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Are you required to register as a sex offender, in the state of Texas or any other state? |
Yes |
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No |
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Federal law prohibits the Bureau from issuing a license to anyone |
Yes |
I f yes, you must submit documentation of your naturalization or a copy |
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who is ineligible to work in the U.S. Are you a non- citizen? |
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No |
of your permanent resident card. |
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BACKGROUND I NFORMATI ON – PART I I ( COMMI SSI ONED SECURI TY OFFI CERS & PERSONAL PROTECTI ON OFFI CERS ONLY) |
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10. |
Are you currently restricted under a court protective order or subject to a restraining or affecting the spousal relationship, other than a |
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Yes |
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restraining order solely affecting property interests, including any court order restraining your conduct as to an intimate partner? |
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No |
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11. |
Have you been diagnosed by a license physician as suffering from a psychiatric disorder or condition that causes or is likely to cause substantial |
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Yes |
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impairment in judgment, mood, perception, impulse control, or intellectual ability? (See Occupations Code §1702.163 (d), (e) & (f).) |
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No |
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12. |
Have you been convicted in any court of a misdemeanor offense involving domestic violence? |
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Yes |
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No |
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13. |
Are you an unlawful user of a controlled substance or addicted to any controlled substances? |
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Yes |
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No |
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BACKGROUND I NFORMATI ON – PART I I I ( ALL APPLI CANTS) |
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14. |
I understand that, any pending charges or conviction referred to in Background I nformation Parts I and I I above require the submission of the |
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Yes |
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appropriate court documentation, with this application. Failure to report an arrest or conviction, later found by a fingerprint search, may result |
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No |
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in denial or revocation of a license based solely on the material misstatement of fact in this application. |
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15. |
I acknowledge that I have review ed the eligibility criteria of Occupations Code §1702.113 and the definition of ‘conviction’ provided in §1702.371 |
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Yes |
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and Administrative Rule §35.1. I also acknowledge that I have review ed the disqualifying offenses listed in Administrative Rules 35.42 and 35.46. |
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No |
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EMPLOYER I NFORMATI ON (TO BE COMPLETED BY QUALI FI ED MANAGER, MANAGER’S DESI GNEE OR OWNER)
I hereby certify that the above applicant began employment in a position that requires this registration with my company on:
Applicant’s Date of Employment (MM/ DD/ YYYY) |
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I am requesting that the above applicant be issued a registration with my company as my employee.
Manager or Manager’s Designee Printed Last Name
Printed First Name
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.
Applicant Signature________________________________________________ |
Date____ / ____ / ________ |
Manager or Manager’s Designee Signature________________________________________________ |
Date____ / ____ / ________ |
This form and attachments can be forwarded by mail to: |
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Texas Department of Public Safety
Private Security MSC 02 42
PO Box 15999
Austin, TX 7 8761 - 5999
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FORM |