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Get TX PSB-04B 2012-2024

1702. 114 1702. 115 35. 121 35. 122 and or 35. 123. In addition I verify the information provided is true and correct. I understand this is an official government record and any false statement made on this document provided to DPS may result in criminal prosecution. Manager / Supervisor Applicant Signature Date BACKGROUND INFORMATION Have you ever been convicted in any jurisdiction of a felony level offense equivalent misdemeanor Have you within.

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