Texas Department of Public Safety
Private Security Bureau
PO Box 15999, Austin, Texas 78761-5999
www.txdps.state.tx.us
UPDATE RECORD OF EMPLOYMENT
(Employee Information Update)
Note: The submission of an Employee Information Update does not renew the registration; it
merely adds the new employer to the record. A new pocket card will not be issued.
To update an employment record:
1.The registrant must have a valid and active card.
2.The registrant must update the same type of registration or commission (i.e. updating alarm installer with ABC Alarm Company to ZYX Alarm Company)
3.The person updating employment may not update a registration as an owner, corporate officer, partner, shareholder, qualified manager, supervisor, Instructor, GLOA commissioned
officer, GLOA non-commissioned officer, or branch office manager. (Note: Only CE
Instructor’s may update record of employment to another CE School).
4.Please submit the statutory fee of $15.00 + $2.00 subscription fee= $17.00. This fee may be
accepted in the form of a money order, cashier check or company check made payable to the
“Texas Department of Public Safety”.
Note: I understand that I must have a “valid” and “active” registration or commission pocket card in my possession and must show it to my prospective employer when completing this application.
Name: ______________________________________________________________________________
Social Security Number: ________________________________ Date of Birth: ___________________
Employees Address: ___________________________________________________________________
Number & StreetCityStateZip
I am registered as an: __________________________________________________________________
(Examples: alarm installer, noncommissioned security officer, security salesperson, private investigator, commissioned officer)
Updating to: __________________________________________________ |
______________________ |
Company Name |
Company License Number |
Date of employment with new employer: ______________________ |
|
Expiration date of pocket card: __________________ |
|
(Note: Cannot update new employer if pocket card is expired one year or more. If the registration has expired within a year please send in a completed renewal form along with an EIU form if registrant has changed companies).
I am employed as an: __________________________________________________________________
(Examples: alarm installer, noncommissioned security officer, security salesperson, private investigator, commissioned officer)
Employment Hours: |
( ) Full Time |
( ) Part Time |
|
|
|
Applicant’s Signature: _____________________________________________ |
Date: ______________ |
Owner or Manager Signature: _______________________________________ |
Date: ______________ |
NOTICE: This is a governmental record.
Any false entry made on this document is considered a criminal violation.
Fees submitted to the Private Security Bureau are not refundable or transferable.