Kemah, TX · Galveston County
Personal History Statement
This background-investigation form collects personal, family, education, employment, and reference information from applicants seeking employment with a law enforcement agency.
At a glance
- Issued by
- City of Kemah · Kemah, Galveston County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- kemahtx.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Personal History Statement supports a background investigation for applicants seeking appointment or employment with an agency, including peace officer, county jailer, telecommunicator, and civilian positions. Applicants provide personal details, addresses, relatives, references, and other history, and include documents requested for their position and circumstances. The agency may determine when to complete the statement during pre-appointment, but it must be completed before appointment.
Who needs it
Applicants for peace officer, county jailer, telecommunicator, or civilian employment with a law enforcement agency complete this statement for the background investigation.
How to submit it
Place the completed statement and requested documents in a sealed envelope marked “Personal and Confidential” for your assigned background investigator. Contact that investigator with questions.
About notarization
This document does not require notarization; applicants initial each page to affirm their information is complete and accurate, and no sworn or notarized attachment is identified.
How to submit this form
- 1
Download The Form
Download the Personal History Statement PDF.
- 2
Complete The Statement
Type or neatly print your answers, respond truthfully, and enter N/A where a question does not apply.
- 3
Gather Requested Documents
Include the documents requested for your position and history; photocopies are acceptable in most cases.
- 4
Submit To The Investigator
Place the completed statement and documents in a sealed envelope marked “Personal and Confidential” for your assigned background investigator.
Frequently asked questions
- What is the Personal History Statement used for?
- The statement provides information for a background investigation used to evaluate an applicant’s eligibility for employment with a law enforcement agency.
- Who should complete this statement?
- Applicants for peace officer, county jailer, telecommunicator, or civilian employment complete the statement. The form requests position-related information and supporting documents.
- Do I need a notary for the Personal History Statement?
- No. This document does not require notarization. Applicants initial each page to affirm that their information is complete and accurate; no sworn or notarized attachment is identified.
- How do I submit the Personal History Statement?
- Place the completed statement and requested documents in a sealed envelope marked “Personal and Confidential” for your assigned background investigator. Contact that investigator with questions.
Need something notarized?
This Personal History Statement doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.