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Outline

The Texas PSB 20 form is a critical document for individuals seeking registration as security personnel in Texas. This form is specifically designed for applicants who fall under the Governmental Letter of Authority (GLOA) exemption category. It requires clear and accurate information, including personal details such as name, address, and date of birth, as well as specific registration types like non-commissioned or commissioned security officers. Applicants must also disclose any relevant background information, including criminal history and mental health status. The form includes sections for supplemental information, such as fingerprint submission options, and payment details, ensuring that all necessary fees are addressed. Additionally, it emphasizes the importance of submitting accurate information, as any discrepancies can lead to application denial or revocation. Understanding the requirements and filling out the PSB 20 form correctly is essential for compliance with Texas regulations governing private security services.

Sample - Texas Psb 20 Form

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

 

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

1.

Black

2.

Red

3.

Gray

4.

Brown

5.

Blonde

6.

Bald

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Race

1.

 

2.

 

3.

 

4.

 

5.

 

6.

 

Weight

 

 

Lbs.

 

White

Black

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.

Yes

(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.

No

PSB-20 (Rev. 06/ 2011)

Page 1 of 2

FORM

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

Yes

* I f yes, has it been LESS than ten (10) years since

completing

your

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

level offense?

 

No

sent ence or probat ionary period?

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

Yes

 

 

 

 

 

 

 

equivalent misdemeanor?

 

No

or probat ionary period?

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Have you, within the past 5 years, been convicted, in any jurisdiction, of a Class B misdemeanor or equivalent offense?

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Are you currently charged with, or under indictment for, a felony, or Class A misdemeanor?

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Are you currently charged with a Class B misdemeanor?

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Have you ever been found by a court to be incompetent by reason of mental defect?

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

* 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 .

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

8.

Are you required to register as a sex offender, in the state of Texas or any other state?

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

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

 

 

 

 

who is ineligible to work in the U.S. Are you a non- citizen?

 

No

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

 

Yes

 

 

 

 

 

 

 

restraining order solely affecting property interests, including any court order restraining your conduct as to an intimate partner?

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

Yes

 

 

 

 

 

 

 

impairment in judgment, mood, perception, impulse control, or intellectual ability? (See Occupations Code §1702.163 (d), (e) & (f).)

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

Have you been convicted in any court of a misdemeanor offense involving domestic violence?

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

Are you an unlawful user of a controlled substance or addicted to any controlled substances?

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

Yes

 

 

 

 

 

 

 

appropriate court documentation, with this application. Failure to report an arrest or conviction, later found by a fingerprint search, may result

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

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

 

Yes

 

 

 

 

 

 

 

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.

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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________________________________________________

Date____ / ____ / ________

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

PSB-20 (Rev. 06/ 2011)

Page 2 of 2

FORM

Form Information

Fact Name Details
Governing Law This form is governed by the Texas Occupations Code §1702, which regulates private security services.
Form Purpose The PSB 20 form is used for applying for a Governmental Letter of Authority exemption for security officers.
Application Types Applicants can select from original or renewal applications for non-commissioned, commissioned, or personal protection officers.
Required Documentation Original applications must include supplemental information, such as fingerprint submission details.
Payment Information Fees for original or renewal applications are $0, but specific payment methods are required, such as cashier’s checks or money orders.
Non-Refundable Fees All fees submitted are non-refundable and non-transferable, as stated in the application instructions.
Background Check Applicants must disclose any felony convictions or pending charges, which will be reviewed during the application process.
Eligibility Criteria Eligibility is based on criteria outlined in the Texas Occupations Code, including disqualifying offenses.
Signature Requirement Both the applicant and their manager or designee must sign the form, affirming the accuracy of the provided information.
Submission Address Completed forms should be mailed to the Texas Department of Public Safety, Private Security, in Austin, TX.

Detailed Guide for Filling Out Texas Psb 20

Filling out the Texas PSB 20 form is an essential step for those seeking registration in the private security field. After completing the form, you will need to submit it along with any required fees and additional documentation to the Texas Department of Public Safety. Ensure that all information is accurate and complete to avoid delays in processing your application.

  1. Obtain the most current version of the Texas PSB 20 form from the Texas Department of Public Safety website.
  2. Fill in the type of registration you are applying for by selecting one option from the available choices.
  3. Select the type of application: original or renewal.
  4. Provide your name, social security number, and driver’s license or ID number.
  5. Complete your home address, including city, state, and ZIP code.
  6. Enter your date of birth, place of birth, and gender.
  7. Indicate your eye color, hair color, height, and weight.
  8. List any aliases you have used.
  9. Describe your duties related to the position you are applying for.
  10. If you are submitting fingerprints, choose the appropriate option and include any necessary documentation.
  11. Indicate whether you are submitting the application fee and ensure it is in the correct form (cashier’s check, money order, or company check).
  12. Answer all background information questions honestly, including any past convictions or military discharge status.
  13. If applicable, provide employer information, including the date of employment and signatures from both the applicant and the manager or designee.
  14. Review the completed form for accuracy and completeness before submission.
  15. Mail the form and any attachments to the specified address provided on the form.

Obtain Answers on Texas Psb 20

  1. What is the Texas PSB 20 form?

    The Texas PSB 20 form is an application used for registering individuals as non-commissioned or commissioned security officers, as well as personal protection officers in Texas. This form is specifically designed for those who are applying under a Governmental Letter of Authority (GLOA) exemption.

  2. Who needs to fill out the PSB 20 form?

    Individuals seeking to work as security officers or personal protection officers in Texas under a GLOA must complete the PSB 20 form. This includes both original applicants and those seeking to renew their registration.

  3. What information is required on the PSB 20 form?

    The form requires personal information such as your name, address, date of birth, and social security number. You will also need to provide details about your employment and any aliases you may have used. Additionally, you must answer questions related to your criminal history and background.

  4. How do I submit my fingerprints?

    You have a few options for submitting fingerprints. You can provide two classifiable fingerprint cards along with a $25 fee, submit fingerprints electronically with proof of submission, or if you are a peace officer, you may submit a waiver instead.

  5. What is the fee for submitting the PSB 20 form?

    There is no fee for the original registration application or renewal application. However, if you are submitting your application by mail, you must include payment in the form of a cashier’s check, money order, or company check.

  6. What happens if I don’t submit all required documents?

    If you do not submit all required documentation within 90 days of the Department receiving your application, your application will be abandoned. You will then need to reapply.

  7. What background information do I need to provide?

    You will need to answer questions about any past convictions, pending charges, or military discharges. This includes felony convictions, misdemeanors, and any issues related to mental health or substance use.

  8. Can I apply if I have a criminal record?

    Having a criminal record does not automatically disqualify you from applying. However, certain convictions may affect your eligibility. It’s important to review the eligibility criteria carefully and provide all necessary documentation.

  9. Where do I send the completed PSB 20 form?

    You should mail the completed PSB 20 form and any attachments to the Texas Department of Public Safety, Private Security, MSC 02 42, PO Box 15999, Austin, TX 78761-5999.

Common mistakes

Completing the Texas PSB 20 form can be a straightforward process, but several common mistakes can lead to delays or complications. One significant error occurs when applicants fail to use the most current version of the form. The Texas Department of Public Safety specifies that applicants must use the latest private security form. Submitting an outdated form can result in the application being rejected, necessitating a complete resubmission. Staying informed about updates to the form is essential for a smooth application process.

Another frequent mistake involves the clarity of the information provided. Applicants often overlook the instruction to "key in or print clearly in black ink." Illegible handwriting can create confusion and misinterpretation of the details. Incomplete or unclear responses may lead to requests for clarification or additional documentation, extending the application timeline. Ensuring that all entries are clear and complete is crucial for the successful processing of the application.

Many applicants also misinterpret the requirement to fill in the entire circle for questions that require a "Yes" or "No" answer. Incomplete markings can be easily overlooked, resulting in an application that is either delayed or rejected. It is vital to ensure that the response is fully marked to avoid any ambiguity. Taking the time to double-check these details can save significant time and effort later on.

Lastly, applicants sometimes neglect to provide all necessary supplemental information, particularly when submitting an original application. For instance, the requirement for fingerprint submission is essential, yet some may mistakenly assume that it does not apply to them. This oversight can lead to significant delays in processing the application. Understanding the requirements for supplemental information and ensuring all necessary documents are included is essential for a successful application.

Documents used along the form

The Texas PSB 20 form is a crucial document for those seeking registration as security personnel in Texas. However, it is often accompanied by several other forms and documents that help streamline the application process and ensure compliance with state regulations. Here’s a list of some commonly used forms that you may encounter alongside the PSB 20.

  • PSB-00 (Peace Officer Fingerprint Waiver): This form is used by peace officers or retired peace officers to waive the requirement for submitting fingerprints when applying for a security registration.
  • PSB-50 (Payment Form): This document is necessary when submitting payment for the registration application. It provides details on the payment method and ensures that all fees are accounted for.
  • PSB-12 (Non-Commissioned Security Officer Application): This application is specifically for individuals seeking to register as non-commissioned security officers, outlining their qualifications and background.
  • PSB-11 (Commissioned Security Officer Application): Similar to the PSB-12, this form is tailored for those applying to become commissioned security officers, requiring additional information regarding their training and experience.
  • PSB-09 (Personal Protection Officer Application): This document is meant for applicants who wish to register as personal protection officers, detailing the specific duties and responsibilities associated with this role.
  • Background Check Authorization Form: This form authorizes the Texas Department of Public Safety to conduct a background check on the applicant, which is a critical step in the registration process.
  • FBI Fingerprint Card: If an applicant chooses to submit fingerprints via traditional methods, this card is required to capture the necessary biometric information for the background check.
  • Governmental Letter of Authority (GLOA): This letter is issued by a governmental entity to exempt certain applicants from specific registration requirements, providing proof of their authority to operate in a security capacity.
  • Proof of Training Certificate: Applicants may need to submit a certificate demonstrating completion of required training programs relevant to their security role.
  • Employment Verification Letter: This letter from the employer confirms the applicant's employment status and the need for registration, which is vital for the application process.

Understanding these additional forms can significantly ease the application process for security personnel in Texas. Each document serves a specific purpose, ensuring that applicants meet all necessary requirements for registration. By preparing these forms in advance, you can facilitate a smoother and more efficient application experience.

Similar forms

The Texas PSB 20 form is similar to several other documents used in the private security field. Here are four documents that share similarities with the PSB 20:

  • PSB-01 Application for a Private Security License: Like the PSB 20, this form is used to apply for a license in the private security sector. Both require personal information and background checks.
  • PSB-02 Renewal Application: This document is for renewing a private security license. It shares the same structure as the PSB 20, asking for updated personal and employment information.
  • PSB-00 Peace Officer Fingerprint Waiver: This form allows certain peace officers to waive fingerprinting requirements when applying for a security license. Both documents focus on eligibility and background information.
  • PSB-50 Payment Form: Used to submit payment for security license applications, this form complements the PSB 20 by detailing payment information, similar to the fee section in the PSB 20.

Dos and Don'ts

When filling out the Texas PSB 20 form, attention to detail is crucial. Here are six essential do's and don'ts to guide you through the process.

  • Do use the most current version of the Texas Private Security form.
  • Do fill in all information clearly in black ink or print legibly.
  • Do ensure that all circles are completely filled in, especially for yes/no questions.
  • Do include any required supplemental information, especially if it’s your original application.
  • Don't forget to submit your payment in the correct form, such as a cashier’s check or money order.
  • Don't leave any sections blank; incomplete applications may be rejected or delayed.

By following these guidelines, you can help ensure that your application process is smooth and efficient.

Misconceptions

  • Misconception 1: The PSB 20 form is only for commissioned security officers.
  • This form is used for various types of security personnel, including non-commissioned security officers and personal protection officers. It is not limited to just one category.

  • Misconception 2: You can submit the PSB 20 form without any fees.
  • All applicants must pay a fee when submitting the form. This applies to both original applications and renewals. Be sure to check the current fee structure before applying.

  • Misconception 3: Fingerprints are optional for all applicants.
  • Submitting fingerprints is a requirement for most applicants. There are specific options for how to submit them, including electronic submissions, but they cannot be skipped.

  • Misconception 4: The PSB 20 form can be filled out in any color ink.
  • The instructions clearly state that the form must be filled out in black ink only. Using other colors may lead to processing delays.

  • Misconception 5: You don’t need to disclose past convictions if they are old.
  • All applicants must disclose any felony or misdemeanor convictions, regardless of how long ago they occurred. Failing to do so can result in denial or revocation of your application.

Key takeaways

The Texas PSB 20 form is essential for individuals applying for a private security registration. Below are key takeaways regarding its completion and use.

  • Current Version Required: Always use the most current version of the PSB 20 form, which can be found on the Texas Department of Public Safety website.
  • Clear Information: Fill out the form using black ink, ensuring that all information is legible.
  • Circle Responses: When answering yes or no questions, make sure the entire circle is filled in completely.
  • Type of Registration: Select one type of registration from the options provided, such as non-commissioned or commissioned security officer.
  • Applicant Information: Provide complete personal details, including name, address, date of birth, and social security number.
  • Supplemental Information: If submitting an original application, include required supplemental information, such as fingerprints.
  • Payment Information: Be aware that fees are non-refundable and must be submitted via cashier’s check, money order, or company check.
  • Background Information: Answer all background questions truthfully, as any misrepresentation can lead to denial or revocation of your application.
  • Employer Verification: An employer must complete the section verifying the applicant's employment and request for registration.
  • Submission Process: Mail the completed form and any attachments to the specified address for processing by the Texas Department of Public Safety.