The Texas PSB 13 form is a declaration of psychological and emotional health required for individuals applying to become personal protection officers. This form ensures that applicants have undergone a psychological evaluation, confirming their suitability for the role. It must be completed by a licensed psychologist and is valid for one year, providing an important safeguard in the personal security field.
The Texas PSB 13 form plays a crucial role in the process of becoming a licensed personal protection officer in the state. This form is essentially a declaration of psychological and emotional health, which is a requirement for those seeking to enter this profession. It includes important personal information, such as the applicant's name, social security number, and date of birth. A licensed psychologist must conduct a psychological evaluation, including the Minnesota Multiphasic Personality Inventory, to assess the applicant's emotional fitness for the responsibilities of a personal protection officer. The form also requires the psychologist to provide their name, contact information, and license number, along with their signature to validate the evaluation. Notably, this declaration is not public information and remains valid for one year unless it is withdrawn or invalidated. It underscores the importance of mental health in ensuring that individuals entrusted with personal protection duties are capable and reliable. Understanding the PSB 13 form is essential for applicants, psychologists, and regulatory bodies alike, as it helps maintain professional standards in the field of personal security.
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
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