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Get Tx Pers 262 2019-2024

: (936) 437-3109 Date Faxed: PLEASE PRINT Requestor s Full Name: Last First MI Unit or Dept: Telephone: Area Code Mainframe Email USERID: Request the below named individual be cleared for access to TDCJ units and departments. Applicant s Full Name: Last First MI Applicant s Date of Birth: (MM/DD/YYYY) Position Title: Unit or Department of Assignment: ID CARD REQUIRED: Status: Yes No Individual Contract Contract with Parent Organization Other: Parent Organization, if applicabl.

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