The DL-43 form is an essential document for anyone looking to update personal information on their driver's license or ID card in certain states. It serves as a request form for changes such as name, address, or even organ donor status. Given the importance of keeping such IDs current, understanding and accurately completing this form is crucial for residents.
For many individuals, navigating the nuances of legal paperwork can feel overwhelming, particularly when it pertains to matters as critical as personal identification and driving privileges. Among the myriad of forms one might encounter, the DL-43 form holds a significant place. It serves as a comprehensive application for individuals seeking to renew, replace, or update their driver's license or identification card in certain jurisdictions. This form not only facilitates the renewal process but also allows for changes to be made to personal details, ensuring that all identification documents remain current and accurate. Given its importance, understanding the DL-43 form's purpose, the requisite information needed to complete it, and the process for submission is crucial for anyone looking to navigate this aspect of their legal and personal documentation seamlessly.
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
SOLICITUD PARA RENOVAR, REEMPLAZAR, Ó HACER
(El reemplazo también es llamado duplicado)
CAMBIOS EN LA LICENCIA DE CONDUCIR O TARJETA DE
NUMERO DE LICENCIA O DE TARJETA DE IDENTIFICACIÓN:
IDENTIFICACIÓN DEL ESTADO DE TEXAS
INFORMACIÓN DEL SOLICITANTE
INFORMACIÓN DE CONTACTO
APELLIDO:
NÚMERO DE TELÉFONO:
PRIMER NOMBRE:
TELÉFONO SECUNDARIO:
SEGUNDO NOMBRE:
CORREO ELECTRÓNICO:
SUFIJO:
SU DOMICILIO
APELLIDO DE SOLTERA:
DOMICILIO DONDE RESIDE:
FECHA DE NACIMIENTO (mm/dd/aaaa):
CIUDAD:
ESTADO:
NÚMERO DE SEGURO SOCIAL:
CÓDIGO POSTAL:
CONDADO:
SEXO: (Marque uno)
HOMBRE
MUJER
PESO: en libres.
DOMICILIO POSTAL (Lugar donde recibe su correspondencia):
COLOR DE LOS OJOS:
ESTATURA: pies
pulg.
RAZA/ETNIA:
(I) Amerindio/Nativo de Alaska
(A) Asiático/nativo
de las Islas del Pacífico (B) Negro (H) Hispano (O) Otro (W) Blanco
INFORMACIÓN SOBRE EL SOLICITANTE (TODOS LOS SOLICITANTES favor de contestar las preguntas 1 a 10)
1.
SI NO
¿Es usted ciudadano de los Estados Unidos?
Si usted es ciudadano de los Estados Unidos, ¿le gustaría registrarse para votar? Si ya está registrado, ¿le gustaría actualizar su información de votante?
Al proporcionar mi firma electrónica, comprendo que la información personal en mi solicitud, junto con mi firma electrónica, se usará para enviar mi
solicitud de registro electoral a la oficina de la Secretaría del Estado de Texas. Deseo registrarme para votar; por lo tanto, autorizo al Departamento
de Seguridad Pública para transferir esta información a la Secretaría del Estado de Texas.
¿Desea usted donar $1.00 al Programa de Educación, Evaluación y Tratamiento de la Ceguera?
¿Desea apoyar el Programa de Registro de Texas-Glenda Dawson Donar Vida? En caso afirmativo, indicar una cantidad de la donación
de $1 o más $
¿Desea registrarse como donador de órganos?
¿Quieres apoyar a los sobrevivientes de asalto sexual? Si es así, porfavor indique la cantidad de donación de $1 o más $
.00 para
ayudar a financiar la recopilación de evidencia de asalto sexual (kit de violación)
¿Desea apoyar los Veteranos de Texas? Si la respuesta es sí, por favor, indique la cantidad de su donación $
¿Tiene usted alguna afección médica que le pueda impedir la comunicación con un oficial de la policía? En caso afirmativo, por favor indique
(el médico debe llenar el formulario DL-101 antes de emitir una licencia de conducir o tarjeta de identificación).
a) Desea una insignia de Veterano en su licencia de conducir o su tarjeta de identificación? (Se requiere comprobante de baja honorable; los
documentos aceptables son DD214/5, NGB22, carta de discapacidad del VA, prueba de servicio/verificación de la tarjeta de servicio honorable)
¿Es usted un Veterano que recibe 60% de compensación por discapacidad y desea quedar exento de los derechos de solicitud?
(vea el punto 9a para conocer qué documentos se requieren).
En caso afirmativo, por favor indique:
En caso de sufrir lesiones o la muerte, ¿le gustaría proporcionar dos (2) contactos para emergencias?
Nombre
Número telefónico
Domicilio
Para todas las Renovaciones de Licencia de Conducir, complete las preguntas MÉDICAS 11 a 17.
Las respuestas a las siguientes preguntas son para uso confidencial del Departamento.
¿Tiene actualmente o alguna vez ha sido diagnosticado con o tratado por alguna enfermedad que pueda afectar su capacidad de
operar un vehículo motorizado de manera segura?
Ejemplos, incluyendo pero no limitado a: Diagnóstico o tratamiento por problemas cardíacos, derrame cerebral, hemorragia o coágulos, presión arterial alta, enfisema (en los últi-
mos dos años) enfermedad progresiva o lesión de la vista (como glaucoma, degeneración macular, etc.) pérdida del uso normal de la mano, brazo, pie o pierna desvanec-
imientos, ataques, pérdida de la consciencia o control del cuerpo (en los últimos dos años)
dificultad para voltear la cabeza de un lado a otro
pérdida de control muscular artic-
ulaciones o cuello rígidos coordinación inadecuada de mano/ojo afección médica que altere su juicio mareos o problemas de equilibrio pérdida de algún miembro
Si respondió SÍ a la pregunta anterior, ¿su afección ha
MEJORADO o
EMPEORADO desde su última solicitud de original/renovación de licencia de conducir?
¿Tiene usted un condición mental que puede afectar su capacidad para operar con seguridad un vehículo motorizado? Si su respuesta es si,
por favor de explicar:
¿Alguna vez ha tenido un ataque epiléptico, convulsión, pérdida de la consciencia u otro ataque?
¿Tiene diabetes que requiera tratamiento con insulina?
¿Tiene alguna dependencia del alcohol o de drogas que pudiera afectar su capacidad de operar un vehículo motorizado de manera
segura o ha tenido algún episodio de abuso de drogas o alcohol en los últimos dos años?
En los últimos dos años, ¿ha recibido tratamiento por alguna otra afección médica grave?
Explique:
¿Alguna vez ha sido remitido al Comité Asesor Médico de Licencias de Conducir de Texas?
Cualquier hombre ciudadano o inmigrante de los Estados Unidos entre 18 y 26 años de edad que presente esta solicitud otorga su consentimiento para ser registrado
en el Sistema de Servicio Militar Selectivo de los Estados Unidos. Usted debe estar registrado para tener derecho a recibir ayuda federal estudiantil (incluso la beca
Pell Grant), capacitación laboral, empleo federal y la ciudadanía si es inmigrante,. En Texas, usted debe estar registrado para tener derecho a recibir ayuda estudiantil
universitaria o empleo con el Estado. No registrarse en el Servicio Militar Selectivo es un delito mayor. Si es declarado culpable de ello, podría ser castigado hasta con
cinco años de prisión y/o una multa de 250,000 dólares. Si no se ha registrado antes de cumplir 26 años, ya no se podrá registrar y podría perder permanentemente los
beneficios asociados con el registro. Para conocer otras opciones alternativas para solicitantes que se oponen al servicio militar convencional por motivos religiosos u otros
motivos de conciencia, podrá encontrar información disponible en: http://www.sss.gov/FactSheets/FSaltsvc.pdf.
Juro solemnemente, afirmo o certifico que soy la persona que se indica en el presente documento y que las declaraciones en esta solicitud son verdaderas y correctas. Además
certifico que mi domicilio de residencia es (marque una opción): (
) casa residencial, (
) apartamento, ( ) hotel, ( ) sitio de refugio temporal. Estoy de acuerdo en informar
inmediatamente al Departamento de Seguridad Pública de Texas cualquier cambio en mi condición médica que pueda afectar mi capacidad para conducir de manera segura
un vehículo motorizado.
FIRMA DEL ASPIRANTE
FECHA
After obtaining the DL-43 form, individuals are positioned to update or make changes to their driver's license or identification card. This document is crucial for ensuring that one's information is current and accurately reflected in state records. Filling it out correctly is essential to streamline the process and avoid potential delays. The steps given below are designed to help navigate the form's completion accurately.
Once the DL-43 form is completed and all necessary documentation is gathered, it should be submitted to the appropriate state department either via mail or in person, depending on the state's requirements. This step marks the beginning of the processing of your update or change request. Timely submission and ensuring that all information is accurate and complete can significantly expedite the reviewing process.
What is a DL-43 form?
The DL-43 form is used by individuals to request or apply for various services regarding a driver's license in the United States. This may include renewing a driver's license, requesting a duplicate license, updating personal information, or making other specific changes to their driver's license details.
Who needs to fill out the DL-43 form?
Individuals who wish to update their driver's license or identification card information, apply for a duplicate, or renew their existing license are required to fill out the DL-43 form. This form is essential for ensuring that one's driving records are current and correct.
Where can I find a DL-43 form?
The DL-43 form is available through the department that manages motor vehicles in your state. Most states offer this form online through their official website. Additionally, individuals can also visit a local office that handles driver's licenses to obtain a paper copy of the form.
How do I submit the DL-43 form?
After filling out the DL-43 form, the method of submission varies by state. Common methods include mailing the filled form to the designated address, submitting it in person at a local office, or through an online process if offered by the state's motor vehicle agency. Always check the specific instructions provided by your state.
What information do I need to provide on the DL-43 form?
When completing the DL-43 form, expect to provide personal information such as your full legal name, address, date of birth, Social Security Number (SSN), and details about your current driver's license or ID. Additional questions may pertain to your driving history or any changes in your health that could affect your driving.
Is there a fee associated with the DL-43 form?
Yes, in most cases, there is a fee associated with the services requested through the DL-43 form, such as renewing your driver's license or obtaining a duplicate. The exact fee varies depending on the state and the type of service requested. It is advisable to check with your state's motor vehicle agency for the current fee structure.
How long does it take to process the DL-43 form?
The processing time for the DL-43 form can vary widely depending on the service requested and the specific procedures of the state's motor vehicle agency. While some requests might be processed immediately, others could take several weeks. It's advisable to submit the DL-43 form well in advance of when you need the service completed, especially if you're dealing with time-sensitive matters like renewing an expired license.
Filling out governmental forms often feels like navigating through a maze, especially when it comes to the DL-43 form, a document crucial for various driver's license transactions in the United States. Common mistakes can lead to delays, or even the outright rejection of your application. Being aware of these pitfalls can make the process smoother and more efficient.
One of the most frequent errors is neglecting to provide complete personal information. Applicants sometimes leave fields partially filled or entirely blank, particularly when it comes to their full legal names or addresses. This might seem like a minor oversight, but completeness is key. The information should be consistent with other legal documents to avoid any confusion. Providing all relevant details in the required fields ensures the application is processed without unnecessary delays.
Incorrect or outdated information is another stumbling block. Life changes, such as moving to a new address or changing one's name, are common and yet often not reflected in official documentation. When filling out the DL-43 form, it’s crucial to ensure that all information is current. The state department responsible for driver services cross-references this data, and discrepancies can lead to complications in verifying one’s identity or processing the application.
Failure to sign or date the form appropriately also stands out as a common mistake. This might seem like a simple task, yet it's surprisingly easy to overlook. A signature and a date serve as a personal certification that the information provided is both truthful and accurate. Without this, the application cannot be processed, as it lacks the necessary verification of authenticity and agreement to the terms and conditions stated within the document.
Many applicants also miss attaching required documents when submitting their DL-43 form. The form often requires supplementary documents, such as proof of identity, residency, or a legal name change. Forgetting to attach these documents can result in a significant setback. It's advisable to double-check the list of required documents and ensure they are all accounted for before submission.
Lastly, overlooking the necessity of accurate fee payment can be detrimental. The DL-43 form process involves specific fees that vary by state and transaction type. Some applicants either forget to include the fee altogether or submit an incorrect amount. This mistake can halt the processing of an application until the correct fee is paid. Ensuring the accurate fee accompanies your application will help avoid unnecessary delays.
By paying attention to these common mistakes and approaching the DL-43 form with caution and completeness, applicants can streamline their experience significantly. It’s all about the details, and a careful review of your application before submission can make all the difference in a smooth and successful process.
The DL-43 form is utilized for a variety of purposes, including but not limited to the renewal, replacement, or change of a Texas driver's license or identification card. Completing transactions related to driver's documentation may require additional forms and documents to successfully process various requests. Here is a look at some of the documents often used in conjunction with the DL-43 form to provide a clearer, more comprehensive approach to managing driver's license services in Texas.
Together with the DL-43 form, these documents support a wide range of transactions, from simple updates to more complex applications for specific driving privileges. Each serves a unique function, ensuring that individuals can navigate the process of obtaining, renewing, or amending their driving records and identification with greater ease and accuracy. By understanding and preparing these additional forms and documents, applicants can streamline their interactions with the Texas Department of Public Safety, making for a more efficient and less stressful experience.
Application for Texas Driver License or Identification (DL-14A) Form: Similar to the DL-43 form, the DL-14A form is utilized in applying for a driver's license or identification card in Texas. Both documents are crucial for residents seeking to obtain or renew official state identification and require personal information, such as address, Social Security number, and proof of residency.
Change of Address (DMV 14) Form: Much like the DL-43 form, this document is used for updating personal information with the Department of Motor Vehicles (DMV). It ensures that any communication or legal documentation from the DMV reaches the applicant by maintaining current address information. Both forms serve the purpose of keeping personal information up to date with state agencies.
Vehicle Title Transfer (VTR-346) Form: While focusing on vehicle ownership, the VTR-346 form shares the DL-43 form's characteristic of being crucial for legal documentation within state departments. They both require accurate and current information for processing and reflect changes in legal status or ownership — the VTR-346 for vehicles and the DL-43 for driver's licensure and ID updates.
Application for Voter Registration (VR-8) Form: This document parallels the DL-43 form in its role in updating personal records with state authorities, specifically for the purpose of voter registration. Completing the VR-8 ensures that an individual's voter registration information is current, much like how the DL-43 form maintains up-to-date licensure and identification information with the Texas Department of Public Safety.
Filling out the DL-43 form, which is used for driver license or identification card applications or renewals, requires attention to detail and accuracy. Here are some guidelines you should follow to ensure the process goes smoothly:
When discussing the DL-43 form, various misconceptions cloud the true nature and use of this document. Below is a comprehensive list of these misunderstandings to set the record straight.
It's only for renewing a driver's license: Many believe the DL-43 form is solely for driver's license renewal, but its uses extend to include updates on personal information and requesting a replacement license.
Available in English only: Contrary to this misconception, the form is accessible in multiple languages to accommodate a wider range of applicants, ensuring inclusivity and understanding.
It requires in-person submission: While in-person submission is an option, the form can also be submitted online or via mail, offering convenient alternatives to fit different needs.
It comes with a fee: The belief that obtaining or submitting the DL-43 form incurs a fee is incorrect. However, the transactions carried out using this form, like renewing a license, may require payment.
Approval is guaranteed: Submitting a DL-43 form does not ensure approval of the request. Approval is contingent upon meeting specific criteria and the discretion of the issuing authority.
No personal identification is needed: Personal identification is a critical part of the submission process. Applicants must provide sufficient identification to prevent fraud and ensure accuracy.
It's the same across all states: Each state has its variation of the form with specific requirements and procedures. It's essential to consult the relevant state department for the correct version.
Electronic signatures are unacceptable: With the advancement of digital processes, many states now accept electronic signatures on the DL-43 form, aligning with modern convenience and security measures.
Anyone can fill out and submit the form for you: This statement is misleading. While assistance in filling out the form is allowed, the applicant must corroborate the information and, in many cases, sign the document themselves to ensure its legality.
Understanding these misconceptions clarifies the DL-43 form's purpose and the correct procedures for its use, preventing unnecessary mistakes and delays in processing.
The DL-43 form is an important document for individuals looking to request changes regarding their driver's license or identification card in certain jurisdictions. Proper completion and understanding of its use are crucial. Here are key takeaways to guide you through the process:
Properly completing and submitting the DL-43 form is pivotal in ensuring your driver's license or identification card reflects your current information. By paying close attention to these key takeaways, you can navigate the process more smoothly and avoid common pitfalls.
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