The DL-43 form is a document used in the United States for individuals seeking to apply for or renew a driver's license or identification card. This form collects essential information to verify identity and residency. For those ready to get started, fill out the form by clicking the button below.
The DL-43 form plays a crucial role in various administrative processes, particularly in the context of driver's licensing and identification in the United States. This form is primarily utilized by individuals seeking to apply for, renew, or update their driver's licenses or state identification cards. It serves as a comprehensive application that gathers essential personal information, such as the applicant's name, address, date of birth, and Social Security number. Additionally, the DL-43 form may require individuals to provide documentation proving their identity and residency, which helps ensure the integrity of the licensing process. Understanding the nuances of this form is vital for applicants to navigate the often complex requirements set forth by state departments of motor vehicles. By familiarizing themselves with the DL-43 form, individuals can streamline their application process, avoid potential delays, and ensure that they meet all necessary criteria for obtaining or maintaining their driving privileges.
APPLICATION FOR RENEWAL/REPLACEMENT/CHANGE
(Replacement also called Duplicate)
OF A TEXAS DRIVER LICENSE OR IDENTIFICATION CARD
DL or ID NUMBER
APPLICANT INFORMATION
CONTACT INFORMATION
LAST NAME:
HOME PHONE:
FIRST NAME:
OTHER PHONE:
MIDDLE NAME:
EMAIL:
SUFFIX:
ADDRESS INFORMATION
MAIDEN NAME:
RESIDENCE ADDRESS:
DATE OF BIRTH (mm/dd/yyyy):
—
CITY:
STATE:
SSN:
ZIP CODE:
COUNTY:
SEX: (Mark One)
MALE
FEMALE
WEIGHT: lbs.
MAILING ADDRESS:
EYE COLOR:
HEIGHT: ft.
in.
RACE/ETHNICITY:
(I)
American Indian/Alaska
Native
(A) Asian/Pacific Islander
(B) Black (H) Hispanic (O) Other
(W) White
INFORMATION FORM (ALL APPLICANTS please answer questions 1 through 10)
1. YES NO
Are you a citizen of the United States?
2.
If you are a US citizen, would you like to register to vote? If registered, would you like to update your voter information?
By providing my electronic signature, I understand the personal information on my application form and my electronic signature will be used for submitting
my voter’s registration application to the Texas Secretary of State’s office. Wanting to register to vote, I authorize the Department of Public Safety to
3.
transfer this information to the Texas Secretary of State.
Do you wish to donate $1.00 to the Blindness Education Screening and Treatment Program?
4.
Do you want to support the Glenda Dawson Donate Life Texas donor registry? If yes, please indicate a donation amount of $1 or more $
.00
5.
Would you like to register as an organ donor?
6.
Do you want to support survivors of sexual assault? If yes, please indicate a donation amount of $1 or more $
.00 to help fund the testing
7.
of sexual assault evidence collection kits (rape kits).
Do you want to support Texas Veterans?
If yes, please indicate your donation amount $
8.
Do you have a health condition that may impede communication with a peace officer? If yes, please list
9.
(physician must complete form DL-101 prior to the issuance of a DL/ID).
a) Do you want a Veteran designator on your driver license or identification card?
(proof of Honorable discharge required; acceptable documents
b)
are DD214/5, NGB22, VA disability letter, proof of service/verification of honorable service card)
10.
Are you a 60% disabled Veteran receiving compensation and want to waive the application fee? (see 9a for documents required)
In the event of injury or death would you like to provide two (2) emergency contacts? If yes, please list:
a)
Name
Telephone Number
Address
For all Driver License Renewals complete MEDICAL questions 11 to 17. Answers to the questions below are for the confidential use of the Department.
11.
Do you currently have or have you ever been diagnosed with or treated for any medical condition that may affect your ability to safely operate a
motor vehicle?
Examples, including but not limited to: Diagnosis or treatment for heart trouble, stroke, hemorrhage or clots, high blood pressure, emphysema (within past two years)
progressive eye disorder or injury (i.e., glaucoma, macular degeneration, etc.) loss of normal use of hand, arm, foot or leg blackouts, seizures, loss of consciousness
or body control (within the past two years)
difficulty turning head from side to side
loss of muscular control stiff joints or neck inadequate hand/eye
coordination medical condition that affects your judgment dizziness or balance problems
missing limbs
If you answered YES above, has your condition
IMPROVED or
DETERIORATED since your last application for an original/renewal remake of your driver license?
12.
Do you have a mental condition that may affect your ability to safely operate a motor vehicle?
If yes, please explain:
13.
Have you ever had an epileptic seizure, convulsion, loss of consciousness, or other seizure?
14.
Do you have diabetes requiring treatment by insulin?
15.
Do you have any alcohol or drug dependencies that may affect your ability to safely operate a motor vehicle or have you had any episodes
16.
of alcohol or drug abuse within the past two years?
Within the past two years, have you been treated for any other serious medical conditions?
17.
Explain:
Have you EVER been referred to the Texas Medical Advisory Board for Driver Licensing?
Any male United States citizen or immigrant who is at least 18 years of age but less than 26 years of age submitting this application consents to registration with the
United States Selective Service System. You must be registered to qualify for federal student aid (to include Pell grant), job training, federal employment, and citizenship
if an immigrant. In Texas, you must be registered to qualify for state college student aid or state employment. If convicted, failure to register with the Selective Service is
a felony punishable by up to five years in prison and/or a $250,000 fine. If not registered by age 26, you can no longer register and could permanently lose those benefits
associated with registration. For alternative options for applicants who object to conventional military service for religious or other conscientious reasons information is
available at: http://www.sss.gov/FactSheets/FSaltsvc.pdf.
I do solemnly swear, affirm, or certify that I am the person named herein and that the statements on this information form are true and correct. I further certify my resi-
dence address is a (check one): (
) single family dwelling, (
) apartment, ( ) motel, (
) temporary shelter. I agree to immediately report to the Texas Department of
Public Safety any changes in my medical condition which may affect my ability to safely operate a motor vehicle.
DL-43 (Rev. 1/18)
SIGNATURE OF APPLICANT
DATE
After obtaining the DL-43 form, you will need to complete it accurately to proceed with your request. Ensure you have all necessary information at hand before starting the process.
What is the DL-43 form?
The DL-43 form is a specific document used in the United States for various purposes related to driver's licenses. It is often required for individuals who are applying for a new license, renewing an existing one, or making changes to their current license information. This form helps ensure that all necessary information is collected and processed efficiently by the relevant state department of motor vehicles (DMV).
Who needs to fill out the DL-43 form?
Anyone who is seeking to obtain or update a driver's license may need to fill out the DL-43 form. This includes first-time applicants, individuals renewing their licenses, and those who need to change personal details such as name or address. It is important to check with your local DMV to confirm if this form is required for your specific situation.
Where can I obtain the DL-43 form?
You can typically find the DL-43 form on your state’s DMV website. Many states provide the form as a downloadable PDF that you can print and fill out. Alternatively, you can visit your local DMV office to request a physical copy. Some states may also allow you to complete the form online, streamlining the application process.
What information do I need to provide on the DL-43 form?
When filling out the DL-43 form, you will need to provide personal information such as your name, address, date of birth, and Social Security number. Additionally, you may be required to provide details about your driving history and any previous licenses held. It’s crucial to ensure that all information is accurate and complete to avoid delays in processing.
How do I submit the DL-43 form?
Submission methods for the DL-43 form vary by state. Generally, you can submit the completed form in person at your local DMV office. Some states may also offer options for mailing the form or submitting it online. Be sure to check the specific submission guidelines provided by your state’s DMV to ensure your application is processed correctly.
Filling out the DL-43 form, which is essential for obtaining a Pennsylvania driver's license or identification card, can be a straightforward process. However, many individuals encounter common pitfalls that can lead to delays or complications. Understanding these mistakes can help ensure a smoother application experience.
One frequent error occurs when applicants fail to provide accurate personal information. This includes misspellings of names, incorrect addresses, or wrong dates of birth. Such inaccuracies can cause significant issues, including the potential rejection of the application. It is crucial to double-check all entries for correctness before submission.
Another common mistake is neglecting to sign the form. The DL-43 requires the applicant's signature to validate the information provided. Omitting this critical step can result in the application being deemed incomplete, which may lead to unnecessary delays in processing.
Many applicants also overlook the requirement for supporting documents. The DL-43 form often necessitates additional paperwork, such as proof of identity or residency. Failing to include these documents can hinder the application process. It is advisable to review the specific requirements carefully to ensure all necessary documentation is attached.
In addition, some individuals may not be aware of the fees associated with the DL-43 form. Submitting the application without the correct payment can result in rejection. Understanding the fee structure and ensuring that the payment is included can prevent this issue.
Lastly, applicants sometimes forget to review the expiration dates of their documents. If the identification or residency proof provided is expired, the application may be denied. Keeping track of these dates and ensuring that all documents are current is vital for a successful application.
The DL-43 form is commonly used in various administrative processes, particularly related to driver's licenses and identification in the United States. When submitting the DL-43, you may encounter several other forms and documents that complement its purpose. Below is a list of these documents, each serving a unique role in the application or renewal process.
Understanding these documents can streamline the process of obtaining or renewing a driver's license. Each form plays a crucial role in ensuring that the application is complete and meets all necessary requirements. Always check with your local Department of Motor Vehicles for specific requirements, as they can vary by state.
The DL-43 form is used primarily for specific purposes related to driver's licensing and identification in the United States. Here are five documents that share similarities with the DL-43 form:
When filling out the DL-43 form, it's important to approach the task with care. Here are some helpful tips on what to do and what to avoid:
By following these guidelines, you can help ensure that your DL-43 form is completed correctly and efficiently.
The DL-43 form, often associated with various legal and administrative processes, is surrounded by several misconceptions. Here are six common misunderstandings about this form:
Understanding these misconceptions can help streamline the process and ensure compliance with relevant regulations. Being informed is the first step toward successfully navigating any legal requirement.
The DL-43 form is an important document used for various purposes, particularly related to driver licensing and identification in the United States. Here are some key takeaways to keep in mind when filling out and using this form:
By following these takeaways, individuals can navigate the process of filling out and using the DL-43 form more effectively.