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Fill Out a Valid DL-43 Form

The DL-43 form is an essential document used by individuals in the United States to apply for a driver's license or identification card. This form helps streamline the application process, ensuring that all necessary information is collected efficiently. Ready to get started? Fill out the form by clicking the button below.

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Structure

The DL-43 form is an essential document utilized in various administrative processes, particularly in the context of driver's licensing and identification verification. This form serves multiple purposes, including the application for a driver's license, identification card, or renewal of existing credentials. Individuals seeking to obtain or update their driving privileges must accurately complete the DL-43 form, ensuring that all personal information is provided. The form typically requires details such as the applicant's name, address, date of birth, and social security number, among other relevant data. Additionally, the DL-43 may include sections for applicants to disclose any medical conditions that could affect their driving ability, thus promoting safety on the roads. Understanding the requirements and implications of the DL-43 form is crucial for applicants, as errors or omissions can lead to delays or complications in the licensing process.

Common mistakes

Incomplete Information: Many individuals forget to fill out all required sections of the DL-43 form. Leaving sections blank can lead to delays or rejections. Ensure every part is addressed, even if it seems minor.
Incorrect Personal Details: It’s common to make mistakes in personal information, such as misspelling names or entering the wrong date of birth. Double-checking these details can prevent complications.
Failure to Sign: Some people overlook the importance of signing the form. An unsigned form is considered invalid. Always remember to provide your signature at the designated area.
Not Providing Necessary Documentation: Submitting the DL-43 form without the required supporting documents can lead to processing issues. Review the checklist to ensure all necessary paperwork is included.
Ignoring Submission Guidelines: Each state may have specific guidelines for submitting the DL-43 form. Failing to follow these can result in delays. Familiarize yourself with the submission process for your state.

Preview - DL-43 Form

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

CITY:

STATE:

(A) Asian/Pacific Islander

(B) Black (H) Hispanic (O) Other

(W) White

ZIP CODE:

COUNTY:

INFORMATION FORM (ALL APPLICANTS please answer questions 1 through 10)

1. YES NO

Are you a citizen of the United States?

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

transfer this information to the Texas Secretary of State.

Do you wish to donate $1.00 to the Blindness Education Screening and Treatment Program?

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

Would you like to register as an organ donor?

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

of sexual assault evidence collection kits (rape kits).

.00

Do you want to support Texas Veterans?

If yes, please indicate your donation amount $

Do you have a health condition that may impede communication with a peace officer? If yes, please list

(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

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:

Name

Telephone Number

Address

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

CIUDAD:

ESTADO:

de las Islas del Pacífico (B) Negro (H) Hispano (O) Otro (W) Blanco

CÓDIGO POSTAL:

CONDADO:

INFORMACIÓN SOBRE EL SOLICITANTE (TODOS LOS SOLICITANTES favor de contestar las preguntas 1 a 10)

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 $

.00

¿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)

.00

¿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?

10.

(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

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.

11.

¿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?

12.

¿Tiene usted un condición mental que puede afectar su capacidad para operar con seguridad un vehículo motorizado? Si su respuesta es si,

13.

por favor de explicar:

¿Alguna vez ha tenido un ataque epiléptico, convulsión, pérdida de la consciencia u otro ataque?

14.

¿Tiene diabetes que requiera tratamiento con insulina?

15.

¿Tiene alguna dependencia del alcohol o de drogas que pudiera afectar su capacidad de operar un vehículo motorizado de manera

16.

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?

17.

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.

DL-43 (Rev. 1/18)

FIRMA DEL ASPIRANTE

FECHA

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Documents used along the form

The DL-43 form is commonly used for various purposes, particularly in relation to driver's licenses and identification cards. When completing this form, individuals often need to consider several other documents that support their application or request. Below is a list of related forms and documents that are frequently used in conjunction with the DL-43 form.

Application for a Driver's License (DL-1): This form is typically the initial application required to obtain a driver's license. It collects personal information and details about driving history.
Homeschool Letter of Intent: Essential for families choosing to homeschool, this document notifies the state of the decision to educate at home and can be found here: Homeschool Letter of Intent.
Identification Card Application (DL-54): For those who do not wish to obtain a driver's license but need a state-issued ID, this form serves that purpose.
Medical Examination Report (DL-102): Certain applicants may need to submit this form to confirm their physical ability to operate a vehicle safely.
Vision Test Report (DL-103): This document may be required to ensure that the applicant meets the necessary vision standards for driving.
Proof of Residency (various forms): Applicants often need to provide documentation that verifies their current address, such as utility bills or lease agreements.
Social Security Number Verification (DL-4): This form helps verify the applicant's social security number, which is necessary for identification purposes.
Parental Consent Form (if applicable): Minors applying for a driver's license may need this form signed by a parent or guardian to grant permission.
Driving Record Request Form: This document allows individuals to obtain a copy of their driving history, which may be required for certain applications.
Payment Receipt or Fee Waiver (if applicable): Proof of payment for application fees or documentation supporting a fee waiver may be necessary to complete the process.

Understanding these related forms and documents can streamline the process of applying for or renewing a driver's license or identification card. Being prepared with the right paperwork ensures a smoother experience when dealing with licensing authorities.

Similar forms

The DL-43 form is often compared to the DL-44 form, which is used for applying for a driver's license in many states. Like the DL-43, the DL-44 requires personal information, proof of identity, and residency documentation. Both forms serve the essential purpose of granting individuals the right to operate a motor vehicle legally, ensuring that applicants meet the necessary criteria set by the state.

For those navigating the complexities of legal agreements, understanding the concept of a Hold Harmless Agreement is essential. Such documents are designed to protect parties from liability issues. For more detailed guidance, refer to this comprehensive Hold Harmless Agreement overview.

Another similar document is the DL-45 form, which is specifically designed for individuals seeking a learner's permit. This form, like the DL-43, requires the applicant to provide identification and other personal details. The DL-45 serves as a stepping stone for new drivers, allowing them to practice driving under certain conditions, similar to how the DL-43 allows for full driving privileges.

The DL-46 form also shares similarities with the DL-43. This form is utilized for renewing a driver's license. It requires similar information and documentation to verify the identity of the applicant. Just like the DL-43, the DL-46 ensures that the individual is still qualified to drive and complies with state regulations.

The DL-47 form is another related document, as it is used for replacing a lost or stolen driver's license. Applicants must provide personal information and proof of identity, just as they would with the DL-43. Both forms are critical for maintaining a valid driving record and ensuring that individuals can legally operate a vehicle.

The DL-48 form is used for changing an address on a driver's license. This document requires similar information to the DL-43, ensuring that the state's records are up to date. Keeping personal information current is important for both forms, as it helps maintain accurate driving records and ensures that individuals receive important communications from the state.

The DL-49 form is relevant for those who need to update their name on their driver's license. This form, like the DL-43, requires proof of identity and documentation supporting the name change. Both forms help ensure that the information on the driver's license accurately reflects the individual's current legal name.

The DL-50 form is used for applying for a motorcycle license. This document is similar to the DL-43 in that it requires personal information and proof of identity. Both forms are essential for granting individuals the ability to operate specific types of vehicles legally, ensuring that they meet the necessary safety and training requirements.

The DL-51 form is utilized for obtaining a commercial driver's license (CDL). This form shares similarities with the DL-43, as it also requires extensive personal information and proof of identity. Both forms are designed to ensure that applicants meet the qualifications necessary for driving different classes of vehicles, with the DL-51 focusing on commercial driving standards.

Lastly, the DL-52 form is used for applying for an identification card. This document is similar to the DL-43 in that it requires personal details and proof of identity. While the DL-43 grants driving privileges, the DL-52 serves those who may not drive but still need a valid form of identification for various purposes.

Dos and Don'ts

When filling out the DL-43 form, it is important to follow specific guidelines to ensure accuracy and compliance. Below is a list of dos and don'ts that can help streamline the process.

Do read the instructions carefully before starting to fill out the form.
Do provide accurate personal information, including your full name and address.
Do double-check your entries for any typographical errors.
Do sign and date the form where indicated.
Don't leave any required fields blank; make sure all necessary information is filled in.
Don't use correction fluid or tape on the form, as this can lead to processing delays.
Don't submit the form without ensuring that you have included any required supporting documents.
Don't forget to keep a copy of the completed form for your records.

Following these guidelines can help avoid common pitfalls and ensure that your application is processed smoothly.

Key takeaways

When filling out and using the DL-43 form, there are several important points to keep in mind to ensure a smooth process. Here are four key takeaways:

Accurate Information is Crucial: Ensure that all the information you provide on the DL-43 form is accurate and up-to-date. Incorrect details can lead to delays or complications in processing.
Check for Required Documents: Before submitting the form, verify which supporting documents are necessary. This may include identification or proof of residency, depending on your specific situation.
Submission Methods Vary: Be aware of the different ways you can submit the DL-43 form. Options may include online submission, mailing it in, or delivering it in person at designated offices.
Keep Copies for Your Records: Always make copies of the completed form and any documents you submit. This can be helpful for future reference or in case any issues arise.

How to Use DL-43

Filling out the DL-43 form is a straightforward process that requires careful attention to detail. Once completed, this form will help you proceed with your intended application or request. Follow the steps below to ensure you fill out the form correctly.

Begin by gathering all necessary personal information, such as your full name, address, and date of birth.
Obtain the DL-43 form from the appropriate source, whether online or in person.
Read the instructions on the form carefully to understand what information is required.
Fill in your personal information in the designated fields. Ensure that all entries are accurate and legible.
If applicable, provide any additional information requested, such as identification numbers or previous addresses.
Review your completed form for any errors or omissions. Double-check that all information is correct.
Sign and date the form where indicated. Your signature confirms the accuracy of the information provided.
Submit the form according to the instructions provided, either online or by mailing it to the appropriate address.