Refugio County, TX · Refugio County

No notary required

Law Enforcement Personal History Statement

This personal history statement gathers background information from applicants seeking law enforcement or civilian employment with an agency.

At a glance

Issued by
City of Refugio County · Refugio County, Refugio County, Texas
Notarization
Not required: file this form without a notary.
Official source
co.refugio.tx.us
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Applicants complete this statement as part of an agency’s background investigation before appointment or employment. It requests personal and contact details, family and reference information, prior applications, and other background history; applicants must answer accurately, provide requested supporting documents, and use additional sheets when needed.

Who needs it

Applicants for peace officer, county jailer, telecommunicator, or civilian employment with a law enforcement agency complete this statement.

How to submit it

Submit the completed statement and all requested documents in a sealed envelope marked “Personal and Confidential” to your assigned background investigator.

About notarization

This statement is completed without a notary; the applicant initials the pages and signs and dates the form, and no notarized attachment is identified.

How to submit this form

  1. 1

    Download the Statement

    Download the personal history statement PDF.

  2. 2

    Complete the Statement

    Type or print legibly in black ink, answer all questions truthfully, and enter N/A when a question does not apply.

  3. 3

    Gather Requested Documents

    Include all documents requested for the position and your history; attach extra answer sheets when needed and identify the related question and page.

  4. 4

    Submit to the Investigator

    Place the statement and requested documents in a sealed envelope marked “Personal and Confidential” for your assigned background investigator.

Frequently asked questions

What is the Law Enforcement Personal History Statement?
It gathers applicant information for an agency background investigation, including personal details, relatives, references, and prior law enforcement applications.
Who completes this personal history statement?
Applicants for peace officer, county jailer, telecommunicator, or civilian employment with a law enforcement agency complete the statement.
Do I need a notary for the Law Enforcement Personal History Statement?
No. The statement is completed without a notary; applicants initial the pages and sign and date the form. No notarized attachment is identified.
How do I submit the personal history statement?
Place the completed statement and all requested documents in a sealed envelope marked “Personal and Confidential,” and give it to your assigned background investigator.

Need something notarized?

This Law Enforcement Personal History Statement doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.