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Blank Texas Department Of Public Safety PDF Template

The Texas Department of Public Safety (DPS) form serves as a critical document for individuals and companies involved in private security. This application and fee submission form must be completed accurately and submitted alongside the appropriate fees to ensure compliance with state regulations. Failure to attach this form or provide incorrect information may result in the rejection of the entire application package.

Open Form

Open Form

Contents

Form Example

Texas Department of Public Safety Regulatory Services Division

www.dps.texas.gov

APPLICATION AND FEE SUBMISSION FORM

• MUST USE MOST CURREN T FORM		PRIVATE SECURITY

• PRI N T CLEARLY I N BLACK I NK	EXAMPLE:

• MAKE SURE ENTI RE CI RCLE I S FI LLED	Yes	 No 

REQUEST I NFORMATI ON

I understand this form is used for auditing purposes and MUST be submitted with	Yes	
the proper application(s) and fee(s) .	No	
I understand if this form is NOT attached with the supporting documents and / or if	Yes	
the form is incorrect, the entire package will be returned.	No	

Company
Name

THE ABOVE SPACE I S RESERVED FOR OFFI CE USE ONLY 

Company License

Number

PAYMENT I NFORMATI ON

Note: Form examples for an individual and a company are noted in the first two shaded rows of the table below. Fill in each column for your individual(s) and / or company informat ion, as applicable. Companies do not need to include a Social Security Number ( SSN), unless registration is for an individual. Effective October 27 , 2014 , t he Private Security Program will implement Administrative Rule 35.131(b), which requires the collection of a $5 fee for each laminated pocket card. This applies to each new, renewed or duplicate card t hat is produced.

Enclosed in this package are the follow ing:

Check #

SSN

I ndividual OR Company Name

Type of

Transaction

Fee $

(FOR I NDI VI DUALS ONLY)

Registration

Ex. 1010

000-00-0000

John E. Doe

Non-Commissioned

Original

$38

Ex. 200200

n/ a

Just A Sample Security & Alarm Company

Company

Renewal

$412

Total # of Checks Enclosed

Total Amount Enclosed

SI GNER

Signer Last Name

Business Phone

Signer First Name

Business Email

Iverify the information provided is true and correct, and I understand this is an official government record and any false statement made on this document or any other supplement provided to DPS may result in criminal prosecution.

Signature________________________________________________ Date_______________

This form and attachments can be forwarded by mail to:

Texas Department of Public Safety

Private Security MSC 0242

P.O. Box 15999

Austin, Texas 78761 - 5999

PSB-50 (Rev.10/ 2014)

FORM

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Common mistakes

Failing to Use the Most Current Form: Many applicants overlook the importance of using the latest version of the application form. Always check the Texas Department of Public Safety website for updates to ensure compliance.
Illegible Handwriting: Filling out the form in a manner that is difficult to read can lead to processing delays. It is essential to print clearly in black ink, as instructed.
Incomplete Information: Leaving sections of the form blank can result in rejection. Each field must be filled out completely, including the entire circle for yes or no questions.
Incorrect Payment Amount: Applicants often miscalculate fees or fail to include the correct payment method. Always double-check the fee structure and ensure that the total amount enclosed matches the required fees.
Not Including Required Attachments: Failing to attach necessary documents can lead to the return of the entire application package. Review the checklist provided with the form to ensure all supporting documents are included.
Missing Signature: Forgetting to sign the form is a common oversight. The application is not valid without a signature, and it is crucial to date the form as well.

Key takeaways

When filling out the Texas Department of Public Safety form, consider the following key takeaways:

Use the most current form: Ensure that you are using the latest version of the application and fee submission form.
Print clearly: Fill out the form in black ink and print clearly to avoid any misunderstandings.
Complete all sections: Make sure every part of the form is filled out completely, including any required circles.
Attach supporting documents: Submit the form with all necessary applications and fees. Incomplete submissions will be returned.
Understand fee requirements: Note that a $5 fee is required for each laminated pocket card, applicable for new, renewed, or duplicate cards.
Provide accurate information: Double-check that the information you provide is true and correct, as false statements can lead to serious consequences.
Include payment details: Specify the total amount enclosed and the number of checks included in your submission.
Mail to the correct address: Ensure that you send the completed form and attachments to the designated address in Austin, Texas.

⇓ Texas Department Of Public Safety PDF

Steps to Using Texas Department Of Public Safety

Filling out the Texas Department of Public Safety form is a crucial step in ensuring your application is processed smoothly. By following the steps outlined below, you can provide the necessary information clearly and accurately, helping to avoid any delays in your application process.

Begin by downloading the most current version of the form from the Texas Department of Public Safety website.
Print the form clearly in black ink. Make sure to fill out every section completely.
In the section labeled "Company Name," enter the name of your company, if applicable. If you are an individual applicant, leave this blank.
Complete the "Company License Number" section if you are applying as a company.
In the "Payment Information" section, indicate whether you are submitting information for an individual or a company by checking the appropriate box.
Fill in the required columns for your individual or company information, including name, type of transaction, and fee amount. Remember, individuals must include their Social Security Number (SSN), while companies do not.
Calculate the total number of checks enclosed and the total amount enclosed. Ensure these figures are accurate.
In the "Signer" section, provide your first and last name, business phone, and email address.
Review all the information you’ve entered to ensure it is true and correct. Acknowledge that any false statements may lead to criminal prosecution.
Sign and date the form where indicated.
Prepare the completed form and any attachments for mailing. Address the envelope to the Texas Department of Public Safety, Private Security, MSC 0242, P.O. Box 15999, Austin, Texas 78761-5999.