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Texas PDF Templates

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Form Example

Texas Department of Public Safety Regulatory Services Division

www.dps.texas.gov

VERIFICATION OF EXPERIENCE

MUST USE MOST CURRENT FORM

 

 

PRIVATE SECURITY

 

 

 

PRI NT CLEARLY I N BLACK I NK

EXAMPLE:

 

 

 

MAKE SURE ENTI RE CI RCLE I S FI LLED

Yes

No

 

MANAGER I NFORMATI ON

This document was complet ed by a client or employer, qualified to verify the legal experience in the category of the license for which this manager is applying.

(Note: Attachments will NOT be considered.)

THE ABOVE SPACE I S RESERVED FOF OFFI CE USE ONLY

I am including I nvestigators Company Manager Experience, with at least three (3) consecutive years of verifiable work

Yes



experience performed. This experience was legally obtained prior to the date of this application, on a full-time basis in the field of

No

investigation. (Note: For additional I nvestigator experience for consideration, please refer to Administrative Rule 35.221) .

 

 

 

 

 

I am including Class B, Security Services Contractor Manager Experience ( excluding Guard Company), with at least two (2)

Yes



consecutive years of verifiable work experience performed. This experience was legally obtained prior to the date of this application,

No

on a full-time basis in each category of license for which you are applying.

 

 

 

 

 

I am at least twenty-one (21) years of age and am including Guard Company Manager Experience, with at least three (3) years of

Yes



accumulated work experience performed. This experience was legally obtained prior to the date of this application, in each category

 

 

of license for which the applicant’s prospective employer is licensed and at least one (1) year of experience in a managerial or

No

supervisory position.

 

 

I am including Class B, Locksmith Manager Experience, with at least two (2) consecutive years of verifiable work experience

Yes

performed. This experience was legally obtained prior to the date of this application, on a full-time basis in each category of license

No

for which you are applying. (Note: For additional Locksmith experience for consideration, please refer to Administrative Rule 35.222) .

 



This is to certify and state that: (THE PERSON FOR WHOM EXPERI ENCE I S BEI NG VERI FI ED)

Applicant

First

Social

-

-

Last Name

Security No.

 

 

 

 

 

 

THE REMAI NDER OF THI S FORM MUST BE FI LLED I N BY THE VERI FYI NG PERSON

EXPERI ENCE I NFORMATI ON

Please provide a brief statement below on verifiable w ork experience:

The above services w ere performed:

From Date:

/

/

To Date:

/

/

(MM/ DD/ YYYY)

(MM/ DD/ YYYY)

VERI FYI NG PERSON I NFORMATI ON

Last Name

Company Name

(I f Any)

First

Address

City

 

Phone (

)

 

 

 

State

ZI P

 

(2- Digit Code)

 

 

 

 

 

 

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.

Signature of Person Verifying Experience________________________________________________ Date____ / ____ / ________

This form and attachments can be Faxed to ( 512) 424 - 7726 or ( 512) 424 - 7727 or forwarded by mail to:

Texas Department of Public Safety

Private Security MSC 0242

PO Box 4087

Austin, TX 78773 - 0001

PSB-02 (Rev. 12/ 2012)

FORM

Common mistakes

  1. Using an outdated form: Applicants often fail to use the most current version of the Texas Verification form. This can lead to unnecessary delays in processing their application.

  2. Illegible handwriting: Filling out the form in a manner that is unclear or difficult to read can result in misunderstandings. It is crucial to print clearly in black ink as specified.

  3. Incomplete information: Leaving sections of the form blank or failing to provide necessary details can lead to rejection. Ensure that every required field is filled out completely.

  4. Misunderstanding the verification process: Some applicants do not realize that the experience must be legally obtained and verifiable. It is essential to provide accurate and truthful information regarding past work experience.

Key takeaways

Here are some key takeaways about filling out and using the Texas Verification form:

  • Use the latest version: Always ensure you are using the most current form available from the Texas Department of Public Safety.
  • Print clearly: Fill out the form using black ink and print your information clearly to avoid any confusion.
  • Complete all sections: Make sure every part of the form is filled out, especially the circles indicating your experience and qualifications.
  • Verify experience: The person verifying your experience must be qualified to do so. Attachments are not accepted, so all necessary information must be included in the form itself.
  • Be honest: Providing false information can lead to serious consequences, including criminal prosecution. Ensure all details are accurate.
  • Submit correctly: You can send the completed form by fax or mail it to the Texas Department of Public Safety. Make sure to check the correct contact details for submission.

Steps to Using Texas Verification

Once you have gathered the necessary information, you can proceed to fill out the Texas Verification form. This form is essential for verifying experience related to private security licenses. Make sure to follow the steps carefully to ensure accuracy and completeness.

  1. Obtain the most current version of the Texas Verification form from the Texas Department of Public Safety website.
  2. Print the form clearly in black ink, ensuring all sections are filled out completely.
  3. In the section labeled "MANAGER INFORMATION," indicate whether you are including verifiable work experience by checking "Yes" or "No" for each applicable category.
  4. For each type of experience you are verifying (Investigator, Class B Security Services Contractor, Guard Company, or Locksmith), provide the required details, including the number of years of experience.
  5. Fill in the applicant's first and last name, along with their Social Security number in the designated area.
  6. In the "EXPERIENCE INFORMATION" section, write a brief statement about the verifiable work experience.
  7. Provide the dates of the experience in the format MM/DD/YYYY, indicating the start and end dates.
  8. In the "VERIFYING PERSON INFORMATION" section, enter your last name, company name (if applicable), address, city, state, ZIP code, and phone number.
  9. Sign and date the form, certifying that the information provided is true and correct.
  10. Submit the completed form by faxing it to the provided numbers or mailing it to the Texas Department of Public Safety address listed on the form.