Fillable LICENSEE’S REQUEST FOR RELEASE OF (F-5) SEPARATION OF LICENSEE (TEXAS COMMISSION ON LAW ENFORCEMENT)

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LICENSEE’S REQUEST FOR RELEASE OF (F-5) SEPARATION OF LICENSEE (TEXAS COMMISSION ON LAW ENFORCEMENT)

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The Texas Real Estate Commission (TREC) is an agency that governs real estate practices in the state of Texas USA. I its headquarters are located in Ausin Texas at 1700 North Congress.

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Licensee’s Request for Release of (F-5) Separation of Licensee 3.10.2014
TEXAS COMMISSION ON LAW ENFORCEMENT
6330 E. Highway 290, Ste. 200
Austin, Texas 78723-1035
Phone: (512) 936-7700
http://www.tcole.texas.gov
LICENSEE’S REQUEST FOR RELEASE OF (F-5) SEPARATION OF LICENSEE
PLEASE PRINT AND MAIL TO TCOLE
Texas Occupations Code §1701.454. Confidentiality
(a) All information submitted to the commission under this subchapter is confidential and is not subject to
disclosure under Chapter 552, Government Code, unless the person resigned or was terminated due to
substantiated incidents of excessive force or violations of the law other than traffic offenses.
(b) Except as provided by this subchapter, a commission member or other person may not release information
submitted under this subchapter.
Date: ________________
TCOLE PID #___________ _,
(Print name)
I am requesting a copy of ONLY my (F-5) Separation of Licensee for service for:
Department: End date of service:
OR
I am requesting a copy of ALL my (F-5) Separation of Licensee for service as:
Peace Officer Reserve Officer County Corrections Officer Telecommunicator
________________________________________
Affiant Signature
SWORN TO and subscribed before me on the __________ day of________________________ _, 20 .
________________________________________
Notary Public, State of Texas
________________________________________
Notary’s Printed or Typed Name
________________________________________
Notary’s Commission Expires
Please Mail or Email directly to me at:
Address: Apt. #: ______
City: State: Zip Code:
Telephone Number: E-Mail: ______________________ _______ _
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LICENSEES REQUEST FOR RELEASE OF (F-5) SEPARATION OF LICENSEE (TEXAS COMMISSION ON LAW ENFORCEMENT)

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Completed 29 August 2020

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