Texas Psb 13 Form in PDF Modify Texas Psb 13 Here

Texas Psb 13 Form in PDF

The Texas PSB-13 form is a pivotal document used by the Texas Department of Public Safety's Private Security Bureau to ensure that individuals applying to become Personal Protection Officers meet the necessary psychological and emotional health criteria. This form requires a licensed psychologist to certify that the applicant has undergone a comprehensive psychological evaluation, including the Minnesota Multiphasic Personality Inventory, and is deemed fit to perform the duties required by the role. To undertake this essential step towards securing your position as a Personal Protection Officer, click the button below to fill out the form confidently.

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Navigating the complexities of ensuring the psychological and emotional fitness of personal protection officers in Texas brings us to the crucial role played by the PSB-13 form, a document that lies at the heart of this evaluative process. Mandated by the Texas Department of Public Safety Private Security Bureau, this form serves as a declaration of psychological and emotional health for individuals applying to become personal protection officers. It is a testament, completed by a licensed psychologist following a comprehensive psychological evaluation, including the administration of the Minnesota Multiphasic Personality Inventory. The form not only certifies the applicant's mental fitness to perform the demanding duties of a personal protection officer but also underscores the state's commitment to public safety and professional standards within the realm of private security. Holding significance beyond mere paperwork, the PSB-13 form encapsulates a rigorous screening mechanism, established under the provisions of Chapter 1702 of the Occupations Code, aimed at safeguarding the welfare of both the officers and those they are charged with protecting. Essentials such as the applicant's personal information, the psychologist's declaration, and professional credentials, alongside the declaration's validity period, are all meticulously outlined, ensuring a system of accountability and excellence in the field of personal protection services in Texas.

Texas Psb 13 Sample

Texas Department of Public Safety

Private Security Bureau

PO Box 4087, Austin, Texas 78773-0001

www.txdps.state.tx.us

DECLARATION OF PSYCHOLOGICAL AND EMOTIONAL HEALTH

Name: _______________________________________________________________________________

Last

First

MI

Social Security Number: _______________________________

Date of Birth: ___________________

Psychologist’s Declaration for ORIGINAL APPLICATION as a Personal Protection Officer Authorization

I certify that I have completed a psychological evaluation of the above named individual, including the Minnesota Multiphasic Personality Inventory and find this individual to be in satisfactory emotional health to perform the duties of a personal protection officer as required by the provisions of Chapter 1702 Occupations Code.

Name of Psychologist: __________________________________________________________________________

Address: _____________________________________________________________________________________

CityStateZip

Telephone (area code + number): _________________________________________________________________

Texas State Board of Examiner of Psychologists License Number: _______________________________________

Signature of Examining Psychologist: ______________________________________________________________

Date: ________________________

This declaration is NOT public information and is valid for one year unless withdrawn or invalidated, and is valid only if signed by a licensed psychologist, pursuant to Title 10, Chapter 1702 Occupations Code, as amended.

PSB-13

 

Rev. 03/05

Page 1 of 1

File Characteristics

Fact Description
Form Name Texas PSB-13 Form Purpose Declaration of Psychological and Emotional Health for Personal Protection Officers Administered by Texas Department of Public Safety Private Security Bureau Requirements Includes a psychological evaluation and findings based on the Minnesota Multiphasic Personality Inventory Governing Law Title 10, Chapter 1702 Occupations Code, Texas Validity Valid for one year unless withdrawn or invalidated Key Component Must be signed by a licensed psychologist

Detailed Guide for Writing Texas Psb 13

Filling out the Texas PSB-13 form is a straightforward process, but it’s crucial to ensure all the provided information is accurate and complete. This document is part of the procedure for individuals applying for positions as personal protection officers, where verifying psychological and emotional health is a mandatory step. Upon completion, this form contributes to establishing the applicant's eligibility, underlining the importance of a thorough and meticulous approach to filling it out. Subsequently, this form, once properly completed and signed by a licensed psychologist, should be submitted to the Texas Department of Public Safety Private Security Bureau, paving the way for further steps in the application process.

  1. Start by entering the applicant's full name in the designated space, making sure to include the last name, first name, and middle initial.
  2. Provide the applicant's Social Security Number in the specified field without dashes or spaces.
  3. Next, accurately fill in the applicant's date of birth, ensuring the format follows MM/DD/YYYY.
  4. In the psychologist’s declaration section, note that the psychologist attests to having conducted a psychological evaluation, including the administration of the Minnesota Multiphasic Personality Inventory.
  5. The psychologist should then affirm that, based on the evaluation, the applicant is deemed to be in satisfactory emotional health to perform the duties required of a personal protection officer. This affirmation is critical for the form's validity.
  6. The psychologist must print their name clearly in the space provided.
  7. Enter the psychologist's full address, including the city, state, and ZIP code, ensuring it matches the address associated with their professional license.
  8. Provide the psychologist's telephone number, including the area code, to allow for any necessary follow-up.
  9. Input the Texas State Board of Examiner of Psychologists license number of the examining psychologist. This is a crucial step to verify the psychologist's authority to make the declaration.
  10. The psychologist must sign the form in the designated space. The signature is a mandatory component that verifies the declaration’s authenticity.
  11. Lastly, the psychologist should enter the date of signing next to their signature, adhering to the MM/DD/YYYY format.

Upon completing these steps, ensure the form's accuracy and completeness before preparation for submission. It's essential to remember that this form is valid for one year from the date of signing and must be submitted as part of the application package to the specified address of the Texas Department of Public Safety Private Security Bureau. Take note that this declaration is not public information and must be handled with the appropriate level of confidentiality throughout the submission process.

Common Questions

What is the PSB-13 form used for in Texas?

The PSB-13 form, as mandated by the Texas Department of Public Safety Private Security Bureau, is a crucial document that serves to declare an individual's psychological and emotional health. Specifically, it is used by applicants for the position of a Personal Protection Officer in Texas. This is to ensure that the individual has been evaluated and found to be in satisfactory emotional health to perform the role's duties safely and effectively, as required by Chapter 1702 of the Occupations Code.

Who needs to complete the PSB-13 form?

This form must be completed by a psychologist who has conducted a psychological evaluation of the applicant aiming to become a Personal Protection Officer. It includes conducting the Minnesota Multiphasic Personality Inventory (MMPI) as part of the evaluation process. The form should be filled out following the assessment, signifying that the individual is in satisfactory emotional and psychological health.

What components are included in the PSB-13 form?

The PSB-13 form encompasses several sections, including:

  1. The name of the applicant (Last, First, and MI).
  2. The Social Security Number of the applicant.
  3. Date of Birth of the applicant.
  4. A declaration by the psychologist stating the emotional health of the individual following a psychological evaluation that includes the MMPI test.
  5. Contact information (name, address, and telephone number) and license number of the examining psychologist.
  6. The examiner’s signature and date of the evaluation.

How long is the PSB-13 form valid?

The declaration of psychological and emotional health as stated in the PSB-13 form is valid for one year from the date it's signed, unless it is withdrawn or invalidated for any reason. It should be noted that the validity of this form is contingent on it being signed by a licensed psychologist.

Who is authorized to sign the PSB-13 form?

Only a licensed psychologist with a valid Texas State Board of Examiner of Psychologists license number is authorized to complete and sign the PSB-13 form. This requirement ensures that the psychological evaluation is conducted by a professional who meets the standards set by the Texas Department of Public Safety Private Security Bureau.

Where should the completed PSB-13 form be submitted?

The completed and signed PSB-13 form should be submitted to the Texas Department of Public Safety Private Security Bureau at PO Box 4087, Austin, Texas 78773-0001. It is a crucial piece of documentation for the application process of becoming a Personal Protection Officer and must be filed accordingly.

Is the PSB-13 form considered public information?

No, the PSB-13 form is not public information. It contains personal and sensitive data regarding the psychological and emotional health of an individual. Therefore, its contents are kept confidential and are only used as part of the licensure process by authorized personnel at the Texas Department of Public Safety Private Security Bureau.

Can the PSB-13 form be invalidated? If so, under what circumstances?

Yes, the PSB-13 form can be invalidated. While the form is generally valid for one year, certain conditions may lead to its premature invalidation. This can occur if the form is found to have been completed improperly, if the psychologist’s license comes into question, or if new information surfaces that contradicts the original evaluation. Invalidation would typically require a reevaluation of the applicant's psychological and emotional health.

Common mistakes

When completing the Texas PSB 13 form, which is critical for those applying as Personal Protection Officers, it's essential to avoid common pitfalls. Ensuring accuracy and thoroughness can greatly impact the application's success. Here are seven frequently made errors:

  1. Incomplete Name Information: Not providing your full legal name, including the middle initial, often leads to confusion or delays. Every segment of your name must match official documents.
  2. Incorrect Social Security Number: An incorrect Social Security Number can lead to significant delays. It’s a key identifier, so double-check this number for accuracy.
  3. Wrong Date of Birth: Provide your date of birth exactly as it appears on your birth certificate or ID. Any discrepancies here can cause unnecessary complications.
  4. Incomplete Psychologist Information: Every detail of the psychologist’s information, including their full name, address, and telephone number, must be accurately filled. Leaving out any piece of this information could invalidate the form.
  5. Failure to Include License Number of Psychologist: The Texas State Board of Examiner of Psychologists License Number is crucial to verify the psychologist's authorization to practice. Omitting this may result in the form being rejected.
  6. Missing Psychologist’s Signature or Date: The psychologist’s signature and the date are mandatory. These elements authenticate the declaration, and without them, the document is considered incomplete.
  7. Not Checking for the Psychologist's Valid License: The psychologist performing the evaluation must be licensed and in good standing. Applications often overlook the need to verify the current validity of the psychologist's license, a step that can save time and prevent rejections.

Avoiding these mistakes is essential for a smooth application process. Each detail on the Texas PSB 13 form serves a purpose and contributes to the Texas Department of Public Safety's evaluation of an applicant's eligibility. Attention to detail can significantly expedite approval times and help avoid the frustration of resubmitting information.

Documents used along the form

When individuals or institutions in Texas seek to employ personal protection officers, the Texas PSB-13 form becomes a necessary step in ensuring the psychological and emotional fitness of the candidates for the job. This document is one of many that are often used together to navigate the intricate regulatory and compliance framework that surrounds the employment and operations of personal protection officers in the state. To provide a comprehensive overview, a description of up to seven other forms and documents frequently utilized in conjunction with the Texas PSB-13 form is outlined below. Each serves a unique role in the process, from verifying the candidate's background to ensuring ongoing compliance and operational integrity.

  • PSB-01: Application for Security Officer Commission - This form is used by individuals seeking to become licensed security officers in Texas. It includes questions about the applicant’s personal information, employment history, and any criminal history.
  • PSB-05: Personal Protection Officer Application Packet - A comprehensive application for those seeking to specifically become Personal Protection Officers. This packet includes multiple forms and provides instructions for all requirements, including the PSB-13.
  • PSB-38: Employment Notification Form - Employers must submit this form to the Texas Department of Public Safety Private Security Bureau to report the hiring and termination of security personnel, ensuring up-to-date information on active personnel.
  • PSB-50: Training Report Form for Personal Protection Officers - This form is used to document the completion of required training courses by Personal Protection Officers, an essential part of maintaining their qualification and license.
  • < i>Fingerprint Submission Form: While not designated as a PSB form, fingerprint submission is a crucial requirement for all security personnel, including Personal Protection Officers. This ensures a thorough background check can be performed.
  • PSB-22: Change of Address Form for Licensees - It's vital for all licensed officers to keep their contact information updated with the bureau. This form facilitates the process of reporting any changes in residential address.
  • Incident Reporting Forms: These forms are used to report any significant security incidents involving licensed personnel to the Private Security Bureau. Timely reporting is crucial for compliance and for the bureau's oversight function.

In conclusion, while the Texas PSB-13 form plays a pivotal role in ensuring the psychological and emotional well-being of personal protection officers, it is only a part of a broader set of documents that collectively ensure the proper licensing, training, and regulation of these professionals. Each document and form serves its purpose, contributing to the overarching goal of maintaining high standards of professionalism and safety in the field of personal protection and security services in Texas.

Similar forms

The Texas PSB-13 form, essential for personal protection officers, has several counterparts in other regulatory and professional fields. Comparable to the PSB-13 form, the Medical Examination Report for Commercial Driver Fitness Determination is pivotal for individuals seeking to obtain or retain a commercial driving license. This document, similar to the PSB-13 form, requires a healthcare professional's certification, in this case, a licensed physician, to confirm the applicant's physical ability to safely operate commercial vehicles. Both forms serve as crucial mechanisms to ensure that individuals in responsible roles are capable of fulfilling their duties without posing a risk to themselves or others.

Another document akin to the Texas PSB-13 form is the Pilot's Medical Certificate application required by the Federal Aviation Administration (FAA). This form necessitates an examination and a signature from an FAA-certified aviation medical examiner to verify the emotional and physical health of the applicant, ensuring their fitness to fly. Similar to the PSB-13, this process aims to maintain safety and reliability in a field where health conditions can significantly impact the ability to perform essential functions safely.

The Character and Fitness Application, often required for admission to a state bar, parallels the PSB-13 form in its purpose of ensuring the suitability of applicants for professional responsibilities. Instead of focusing solely on psychological health, this application delves into the moral and ethical fitness of candidates for practicing law. It underlines the importance of integrity and sound judgment in both contexts, recognizing that the character of individuals in positions of trust must be beyond reproach to protect the public and uphold high standards of professionalism.

The Employee Health Certification, common in jobs with potential exposure to hazardous materials or environments, also resembles the Texas PSB-13 form. It usually requires a healthcare provider to certify an employee’s health status, confirming their capability to work safely in specific conditions. Like the PSB-13, this form functions as a safeguard, minimizing health risks to the employee and those around them by ensuring a fit and resilient workforce capable of handling the rigors of their roles effectively.

Lastly, the Firearms Dealer License application process involves a background check that, while distinct, shares similarities with the PSB-13's emphasis on psychological fitness. Certain jurisdictions require a mental health assessment to ensure that individuals applying for a firearms license do not pose a risk to public safety. Though not a direct analogue, this process echoes the PSB-13's intent by filtering candidates through a lens of psychological stability, thus prioritizing the well-being and security of the community at large.

Dos and Don'ts

When filling out the Texas PSB 13 form, which is a Declaration of Psychological and Emotional Health for those applying as a Personal Protection Officer, it's important to follow certain guidelines to ensure the process is smooth and error-free. Here are some dos and don'ts to keep in mind:

Do:
  • Read the form thoroughly before you start filling it out to understand all the requirements.
  • Ensure that the psychologist who evaluates you is licensed in Texas and is familiar with the form and its implications.
  • Use black ink if you're filling out the form by hand to ensure legibility.
  • Complete all sections accurately, leaving no blank spaces unless specified.
  • Have the psychologist sign and date the form in the designated areas to validate it.
  • Double-check the psychologist's license number for correctness.
  • Keep a copy of the completed form for your records before submitting it to the Texas Department of Public Safety.
  • Ensure the form is submitted before the deadline, if there is one, to avoid delays in your application process.
  • Verify that the form is submitted to the correct address provided by the Texas Department of Public Safety.
Don't:
  • Avoid using pencil or colors other than black ink for filling out the form to maintain its professionalism and readability.
  • Don't leave any required fields empty; if something does not apply, mark it as N/A.
  • Do not sign the form without the psychologist's evaluation and signature being completed first.
  • Avoid submitting the form without ensuring all information is accurate and truthful.
  • Do not forget to date the form alongside your signature to mark when it was completed.
  • Avoid using an outdated form; always check the Texas Department of Public Safety's website for the most current version.
  • Do not have someone else fill out the form for you to prevent errors or misinformation.
  • Do not submit incomplete documentation along with the PSB 13 form.
  • Avoid assuming the process is complete after submission; follow up if necessary.

Following these guidelines will help ensure your Texas PSB 13 form is processed efficiently, moving you one step closer to becoming a licensed Personal Protection Officer in Texas.

Misconceptions

When discussing the Texas PSB 13 form, it's crucial to clarify common misconceptions that often arise. Misunderstandings can lead to confusion and potential non-compliance with the Texas Department of Public Safety's requirements. Here are four main misconceptions and the truths behind them.

  • Any healthcare professional can complete the form: A significant misunderstanding is that any healthcare professional, such as a general practitioner or psychiatrist, can sign off on the PSB-13 form. However, this document must be completed and signed by a licensed psychologist. Specifically, the psychologist must be licensed by the Texas State Board of Examiner of Psychologists, ensuring they meet the state's standards for conducting psychological evaluations.
  • The form is public information: Another common misconception is that once submitted, the PSB-13 form becomes public information, accessible to anyone who requests it. This is not the case. The form contains sensitive information, including a social security number and the results of a psychological evaluation. Therefore, it is treated with confidentiality and isn't disclosed to the public, safeguarding the privacy of the individual it concerns.
  • It's valid indefinitely: Some believe that once completed, the PSB-13 form is valid for an indefinite period. This is incorrect. The form states clearly that it is "valid for one year unless withdrawn or invalidated." Applicants must ensure they renew their psychological health declarations annually to maintain compliance with Texas's private security personnel regulations.
  • It applies to all positions within the private security industry: It's often thought that the PSB-13 form is a requirement for all positions within the private security sector. In reality, the form is specifically for applicants to the Personal Protection Officer authorization. This highlights the higher standards and specific requirements for those in close, potentially high-risk proximity to their clients, differentiating from other roles within the field.

In conclusion, understanding these misconceptions about the Texas PSB 13 form is vital for professionals in the private security industry. Clearing up these false beliefs helps ensure that applicants are properly informed about the requirements for becoming a Personal Protection Officer, thereby promoting compliance and enhancing the professionalism of the sector.

Key takeaways

Understanding how to correctly fill out and use the Texas PSB 13 form is crucial for those applying to become personal protection officers. Here are 10 key takeaways to help guide you through the process:

  • The Texas PSB 13 form is specifically designed for individuals applying for an original application as a Personal Protection Officer in Texas.
  • This form requires a declaration of psychological and emotional health, ensuring the applicant is fit for the duties of a personal protection officer.
  • The psychological evaluation must include the Minnesota Multiphasic Personality Inventory, a standardized psychometric test of adult personality and psychopathology.
  • Only a licensed psychologist is authorized to complete and sign the PSB 13 form, ensuring the evaluation is conducted professionally and ethically.
  • The psychologist needs to provide their full name, address, telephone number, and Texas State Board of Examiner of Psychologists License Number, ensuring accountability and verification of their credentials.
  • The form must be signed and dated by the examining psychologist, attesting to the accuracy and validity of the assessment.
  • This declaration is not public information, protecting the applicant’s privacy regarding their psychological and emotional health status.
  • The PSB 13 form is valid for one year unless it is withdrawn or invalidated, meaning applicants might need to undergo another evaluation if their application process extends beyond this period.
  • It is important to complete every section of the form accurately to avoid delays or rejection of the personal protection officer application.
  • The form, along with additional application materials, should be sent to the Texas Department of Public since Bureau at the address provided on the form, ensuring it arrives well before any deadlines.

Completing the PSB 13 form is a critical step in the process of becoming a licensed personal protection officer in Texas. It's essential to approach this task with the seriousness it deserves, fully complying with the requirements to ensure a smooth application process.

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