Form Rsd-21b "Guard Inspection" - Texas

Form RSD-21B or the "Guard Inspection" is a form issued by the Texas Department of Public Safety.

The form was last revised in April 1, 2018 and is available for digital filing. Download an up-to-date Form RSD-21B in PDF-format down below or look it up on the Texas Department of Public Safety Forms website.

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PRIVATE SECURITY
Texas Department of Public Safety
MUST USE MOST CURREN T FORM
Regulatory Services Division
www.dps.texas.gov
For DPS Use Only
SPURS #
GUARD INSPECTION
 CRITICAL INFRASTRUCTURE SITE
Date:
Time:
GPS Coordinates:
Business Name:
Address:
Inspection
Location
City:
State:
:
County:
ZIP Code
State
Private Security
Company Name:
Company License Number
License Expiration Date:
Business
Address:
Phone Number:
Physical
City:
State:
:
County:
ZIP Code
Address
State
 COMMISSIONED
 NON-COMMISSIONED
 PPO
CARRYING HANDGUN:  YES
 NO
Guard Last
First
Middle
Suffix:
Name:
Name:
Name:
Date of Birth:
Registration #
Expiration Date:
Driver License #
State:
Expiration Date:
State
Address:
Residence
Address
City:
State:
ZIP Code:
County:
State
Phone Number:
Date of Hire:
Other:
VIOLATIONS
 YES
 NO
1.
2.
3.
4.
5.
Date:
Inspected by:
ID #
Area:
Guard / PPO Signature
Date
Supervisor Initials
RSD-21b (04/2018)
FORM
PRIVATE SECURITY
Texas Department of Public Safety
MUST USE MOST CURREN T FORM
Regulatory Services Division
www.dps.texas.gov
For DPS Use Only
SPURS #
GUARD INSPECTION
 CRITICAL INFRASTRUCTURE SITE
Date:
Time:
GPS Coordinates:
Business Name:
Address:
Inspection
Location
City:
State:
:
County:
ZIP Code
State
Private Security
Company Name:
Company License Number
License Expiration Date:
Business
Address:
Phone Number:
Physical
City:
State:
:
County:
ZIP Code
Address
State
 COMMISSIONED
 NON-COMMISSIONED
 PPO
CARRYING HANDGUN:  YES
 NO
Guard Last
First
Middle
Suffix:
Name:
Name:
Name:
Date of Birth:
Registration #
Expiration Date:
Driver License #
State:
Expiration Date:
State
Address:
Residence
Address
City:
State:
ZIP Code:
County:
State
Phone Number:
Date of Hire:
Other:
VIOLATIONS
 YES
 NO
1.
2.
3.
4.
5.
Date:
Inspected by:
ID #
Area:
Guard / PPO Signature
Date
Supervisor Initials
RSD-21b (04/2018)
FORM
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