The Texas PSB 20 form is an application used for the Governmental Letter of Authority Exemption in the private security sector. This form is essential for individuals seeking registration as non-commissioned or commissioned security officers, as well as personal protection officers in Texas. Completing the form accurately is crucial for compliance with state regulations.
Fill out the Texas PSB 20 form by clicking the button below.
When filling out the Texas PSB 20 form, there are important dos and don'ts to keep in mind. Following these guidelines can help ensure your application is processed smoothly.
Texas Department of Public Safety Regulatory Services Division
www.txdps.state.tx.us
• MUST USE MOST CURREN T
PRIVATE SECURITY
FORM
• KEY I N OR PRI N T CLEARLY I N BLACK I NK
EXAMPLE:
• MAKE SURE ENTI RE CI RCLE I S FI LLED
Yes
No
GOVERNMENTAL LETTER OF AUTHORITY (GLOA) EXEMPTION APPLICATION
REGI STRATI ON I NFORMATI ON
THE ABOVE SPACE I S RESERVED FOF OFFI CE USE ONLY
Type of Registration: (CHOOSE ONE)
Type of Application: (CHOOSE ONE)
Governmental Letter of Authority Non-Commissioned Security Officer
Original Application
Governmental Letter of Authority Commissioned Security Officer
Renewal Application
Governmental Letter of Authority Personal Protection Officer
APPLI CANT I NFORMATI ON
Gov Letter of
Gov Letter of Authority
Authority Name
License No.
Applicant Social
-
Driver License
DL/ I D
Security Number
I D Card
State:
No.
Applicant Last Name
Home Address
First Name
Middle Name
Suffix
(I f Any)
City
State
ZI P
Home
(
)
(2- Digit Code)
Phone
Date of Birth
Place
(CI TY)
(STATE)
(COUNTRY)
/
(MM/ DD/ YYYY)
of Birth
Gender
Male
Female
Eyes
1.
Blue
2.
Brown
3.
Gray
4.
Hazel
5.
Green
6.
Black
Height
Ft.
I n.
Hair
Red
Blonde
Bald
Race
Weight
Lbs.
White
Hispanic
American
Asian
Other
I ndian
_______
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 PSB-00 (Peace Officer Fingerprint Waiver) form with this application, instead of FBI fingerprint cards.
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.
(Note: Payment must be in the form of a cashier’s check, money order or company check.)
No
* I f yes, a PSB-50 form m ust be submitted with this application.
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.
PSB-20 (Rev. 06/ 2011)
Page 1 of 2
Applicant Name
Social
Security No.
BACKGROUND I NFORMATI ON – PART I ( ALL APPLI CANTS)
1.
Have you ever been convicted, in any jurisdiction, of a felony
* I f yes, has it been LESS than ten (10) years since
completing
your
level offense?
sent ence or probat ionary period?
2.
Have you ever been convicted, in any jurisdiction, of a Class A or
* I f yes, has it been LESS than five (5) years since completing your sent ence
equivalent misdemeanor?
or probat ionary period?
3.
Have you, within the past 5 years, been convicted, in any jurisdiction, of a Class B misdemeanor or equivalent offense?
4.
Are you currently charged with, or under indictment for, a felony, or Class A misdemeanor?
5.
Are you currently charged with a Class B misdemeanor?
6.
Have you ever been found by a court to be incompetent by reason of mental defect?
* I f yes, and
you
received a dishonorable discharge, a bad conduct discharge, or
an
other
than
7.
Were you discharged from the military?
honorable discharge, from Armed Forces, then you must submit a copy of your DD- 214 .
8.
Are you required to register as a sex offender, in the state of Texas or any other state?
9.
Federal law prohibits the Bureau from issuing a license to anyone
I f yes, you must submit documentation of your naturalization or a copy
who is ineligible to work in the U.S. Are you a non- citizen?
of your permanent resident card.
BACKGROUND I NFORMATI ON – PART I I ( COMMI SSI ONED SECURI TY OFFI CERS & PERSONAL PROTECTI ON OFFI CERS ONLY)
10.
Are you currently restricted under a court protective order or subject to a restraining or affecting the spousal relationship, other than a
restraining order solely affecting property interests, including any court order restraining your conduct as to an intimate partner?
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
impairment in judgment, mood, perception, impulse control, or intellectual ability? (See Occupations Code §1702.163 (d), (e) & (f).)
12.
Have you been convicted in any court of a misdemeanor offense involving domestic violence?
13.
Are you an unlawful user of a controlled substance or addicted to any controlled substances?
BACKGROUND I NFORMATI ON – PART I I I ( ALL APPLI CANTS)
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
appropriate court documentation, with this application. Failure to report an arrest or conviction, later found by a fingerprint search, may result
in denial or revocation of a license based solely on the material misstatement of fact in this application.
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
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.
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)
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________________________________________________
This form and attachments can be forwarded by mail to:
Texas Department of Public Safety
Private Security MSC 02 42
PO Box 15999
Austin, TX 7 8761 - 5999
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When applying for a security registration in Texas, the Texas PSB 20 form is just one of several important documents you may need. Here’s a brief overview of other forms that often accompany it, ensuring a smooth application process.
Having these documents ready can streamline your application process and help you meet all necessary requirements. Being organized will not only save you time but also increase your chances of a successful registration.
Filling out the Texas PSB 20 form can be straightforward, but many people make common mistakes that can delay their application. One frequent error is not using the most current version of the form. Always check the Texas Department of Public Safety website to ensure you have the latest form. Using an outdated version can lead to automatic rejection.
Another mistake is failing to fill out the form clearly. Whether typing or writing, it’s crucial to use black ink and ensure that all information is legible. Illegible handwriting can cause confusion and may result in processing delays. Make sure to double-check your entries for clarity.
Many applicants forget to answer all the questions in the form. Every section is important, and leaving any part blank can lead to rejection. If a question does not apply to you, indicate that clearly instead of skipping it. This shows that you have carefully considered each question.
People often overlook the requirement to provide supplemental information when submitting an original application. If you’re submitting fingerprints, ensure you select the correct option and include any necessary documentation. Missing this can stall your application process significantly.
Payment errors are also common. Some applicants neglect to submit the appropriate fee, or they use an incorrect payment method. Remember, payments must be made via cashier’s check, money order, or company check. Double-check the payment section to avoid this pitfall.
Providing inaccurate personal information can create complications. Ensure that your name, social security number, and other identifying details match your official documents. Any discrepancies can lead to additional verification steps, slowing down your application.
Another frequent oversight is not disclosing required background information. If you have any prior convictions or pending charges, you must report them accurately. Failing to do so can result in denial or revocation of your license.
Lastly, many applicants forget to sign and date the form. A missing signature can render your application incomplete. Before submitting, always check that you have signed and dated the form as required.
Understanding the Texas PSB 20 form is crucial for anyone involved in private security. However, several misconceptions often arise regarding this form. Here are nine common misconceptions explained.
By clarifying these misconceptions, individuals can better navigate the application process and ensure compliance with Texas regulations.
Filling out the Texas PSB 20 form requires attention to detail. Make sure you have all necessary information ready before you start. This form needs to be completed accurately for your application to be processed without delays.