Combative Sports Second License Application Instructions printable pdf download

PO Box 12157  Austin, Texas 78711-2157

(800) 803-9202  (512) 463-5101  FAX (512) 463-1087

 Combative.Sports@tdlr.texas.gov

COMBATIVE SPORTS SECOND LICENSE APPLICATION INSTRUCTIONS

The application must be completed and signed by the applicant. An application is not considered complete and will not

be processed until all required items have been submitted. All information provided must be typed or printed in black

ink. Attachments must be submitted on separate pieces of single-sided, 8½” x 11” paper. Use a paperclip to fasten all

pages together, with a cashier’s check or money order on top. Do not use staples.

DOCUMENTS SUBMITTED WITH YOUR APPLICATION WILL NOT BE RETURNED. KEEP A COPY OF YOUR

COMPLETED APPLICATION, ALL ATTACHMENTS, AND YOUR CASHIER’S CHECK OR MONEY ORDER.

1. NAME - Write your legal name in the spaces provided. (Last, First, Middle Name, Suffix) Examples of a suffix include

Jr., Sr., and III. (Mr. is not a suffix.)

2. DATE OF BIRTH - Write your birthdate.

3. GENDER - Select whether you or male or female.

4. SOCIAL SECURITY NUMBER - Social security number disclosure is required by Section 231.302(1) of the Texas

Family Code in order to obtain a license. Your social security number is subject to disclosure to an agency author-

ized to assist in the collection of child support payments. For more information regarding child support payments,

contact the Texas Attorney General at: or call (512) 460-6000 or (800) 252-8014

5. FOREIGN NATIONAL PASSPORT NUMBER - Applicants that are foreign nationals must provide their passport

number.

6. MAILING ADDRESS - Write your current mailing address. This is the address where we will send you mail. This ad-

dress can be a post office box. You can use the zip plus-4 to help the postal service deliver mail more efficiently and

accurately.

7. PHONE NUMBER - Write a telephone number, including the area code, where we can reach you during the day.

This may be your office phone number where we can leave a message.

8. EMAIL ADDRESS - Write your email address. Please provide your email address so the department may email li-

cense information and required notices to you. Your email address is confidential pursuant to the Texas Public Infor-

mation Act, and the department will not share it with the public.

9. CRIMINAL HISTORY – Indicate if you have ever been convicted of, or placed on deferred adjudication for, any mis-

demeanor or felony, other than a minor traffic violation. If YES, complete and attach a Criminal History Questionnaire

for each offense. This form can be obtained from the TDLR website at /misc/LIC002.pdf

If you are worried your criminal history could prevent you from getting this license, Texas allows you to have your

criminal history evaluated before submitting your application and non-refundable fees. To request a criminal

history evaluation, submit a Criminal History Evaluation Letter, a completed Criminal History Questionnaire form

for each crime you were convicted of, or placed on deferred adjudication for, and a $25 fee. You can find more

information on the process and download the necessary forms on the TDLR website at

/crimHistoryEval.htm

10. DISCIPLINARY ACTION HISTORY - Indicate if you have ever had an occupational license, certification, or

registration suspended, revoked, or denied in any state. If you have, complete and attach the

Disciplinary Action Questionnaire for each disciplinary action. This form can be obtained from the TDLR website at

/misc/Disciplinary Action Questionnaire.pdf

11. DO YOU HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST - Check YES or NO to indicate if you have any

type of financial interest in management of a contestant, manager, or sanctioning body. If YES, attach a full explana-

tion to your application.

12. STATEMENT OF APPLICANT - Carefully read the statement before you sign and date your application.

Combative Sports Second License Application Instructions

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