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Navigating the maze of paperwork required for maintaining, updating, or obtaining driver's licenses in the United States can often feel daunting. Among the various forms an individual might encounter is the DL-43 form, a critical document utilized for multiple purposes within the realm of motor vehicle administration. This form, integral to the bureaucracy of motor vehicle departments across the country, serves as a versatile application for a variety of driver's licensing and identification processes. Whether individuals are seeking to renew their driver's license, request a duplicate, or make changes to their personal information such as an address update, the DL-43 form stands as a necessary step in these procedures. Its significance extends not only to those undergoing these changes but also shapes the framework within which state agencies manage and verify driver information. Understanding the applications, requirements, and implications of the DL-43 form is essential for anyone navigating the intricacies of driver's license administration, reflecting the form's central role in ensuring the accuracy and security of driver records.

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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?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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).

 

 

 

 

 

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b)

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)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

SI NO

¿Es usted ciudadano de los Estados Unidos?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

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

3.

 

 

 

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?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

¿Desea apoyar el Programa de Registro de Texas-Glenda Dawson Donar Vida? En caso afirmativo, indicar una cantidad de la donación

5.

 

 

 

de $1 o más $

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¿Desea registrarse como donador de órganos?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

 

¿Quieres apoyar a los sobrevivientes de asalto sexual? Si es así, porfavor indique la cantidad de donación de $1 o más $

 

 

.00 para

7.

 

 

 

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 $

 

 

 

 

 

 

 

8.

 

 

 

¿Tiene usted alguna afección médica que le pueda impedir la comunicación con un oficial de la policía? En caso afirmativo, por favor indique

9.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(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

 

 

 

 

b)

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?

 

 

 

 

a)

Nombre

 

 

 

 

 

 

 

 

 

 

 

 

 

Número telefónico

 

 

 

 

 

 

 

 

 

Domicilio

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b)

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 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

 

 

 

 

File Attributes

Fact Name Description
Purpose of the DL-43 Form Used for various requests related to a driver's license, such as name or address changes, renewals, or duplicates.
State Specificity The DL-43 form pertains to Texas and is governed by the Texas Department of Public Safety (DPS).
Accessibility Available online through the Texas DPS website or at physical DPS locations.
Required Information Applicants must provide personal information, details about their current license, and the specific request reason.
Processing Time Varies depending on the request but typically processed within a few weeks.
Governing Laws Subject to Texas Transportation Code and applicable federal laws.
Application Fee Fees vary based on the type of service requested; detailed fee information can be found on the DPS website or at DPS offices.

How to Fill Out DL-43

Filling out the DL-43 form is a crucial step for individuals looking to handle certain transactions with the Department of Motor Vehicles (DMV). While the specific nature of these transactions is diverse, ensuring that the form is completed accurately and thoroughly is paramount for a smooth process. Here are the steps necessary to fill out the DL-43 form properly. Keep in mind that these instructions are based on a general understanding of such documents, as the content of the DL-43 form has not been provided.

  1. Start by reading through the entire form to understand what information and documentation are required.
  2. In the section asking for personal information, fill in your full legal name, including first, middle, last, and suffix, if applicable.
  3. Enter your date of birth in the specified format, usually month/day/year.
  4. Provide your Social Security Number (SSN) if it is mandatory for the form. Ensure this is filled in accurately.
  5. Include your mailing address. This should be where you can reliably receive important documents from the DMV. If your residential address is different from your mailing address, make sure to provide both.
  6. Details about your current driver's license or ID card, if any, should be added next. This could include the license or ID card number and the state of issuance.
  7. Depending on what the form is used for, you might need to answer questions regarding your driving history, medical conditions that could affect your driving, or reasons for applying for a new document. Be honest and provide detailed responses where applicable.
  8. Check the box for any declarations you must make or services you are requesting through this form. Read each item carefully to ensure you understand what you are selecting.
  9. If the form requires parental or legal guardian consent for individuals under a certain age, ensure the appropriate section is signed by a parent or guardian.
  10. Review the form to ensure all information is complete and accurate. Make any necessary corrections.
  11. Sign and date the form in the designated area. Your signature is necessary to validate the information provided.
  12. Follow the instructions on the form for submission, which may include mailing it to a specified address or bringing it to a DMV office.

Once the form is submitted, the next steps typically involve waiting for processing by the DMV. This may include a review of the information provided, verification of documents, and possibly additional requirements such as passing a driving test or paying a fee. The time it takes to process the form can vary, so patience is often necessary. Keeping a copy of the form for personal records is advisable.

Frequently Asked Questions

What is a DL-43 form?

The DL-43 form, commonly known as the Texas Driver License or Identification Card Renewal/Duplicate Application, is used for processing either the renewal of an existing driver's license or identification card, or the request for a duplicate copy in Texas. This form serves individuals looking to update or replace their current documentation due to various reasons including loss, damage, or expiration.

Who needs to complete the DL-43 form?

Individuals residing in Texas who wish to renew their driver's license or identification card, as well as those needing a duplicate of their license or ID card due to it being lost, stolen, or damaged, are required to complete the DL-43 form.

Where can I obtain the DL-43 form?

The DL-43 form is available through several channels for the convenience of Texas residents:

  • Online, through the official Texas Department of Public Safety website.
  • By visiting any Texas Department of Public Safety office.
  • Upon request, the form can be mailed to your home address by contacting the Texas Department of Public Safety.

What information do I need to complete the DL-43 form?

In order to successfully complete the DL-43 form, you'll need to provide specific information, including:

  • Personal information such as your full name, date of birth, and Social Security Number (SSN).
  • Your Texas driver's license or identification card number.
  • Details about your residence.
  • Affirmation of any changes in health conditions that might affect your driving abilities.
Additional documentation may be required depending on your individual circumstances.

How do I submit the completed DL-43 form?

Completed DL-43 forms can be submitted through multiple methods:

  1. In person at a Texas Department of Public Safety office.
  2. Via mail, to the address provided on the form.
  3. Online, for eligible individuals, through the Texas Department of Public Safety's official website.
Note: Online submission may not be available for all applicants based on eligibility criteria.

Is there a fee for processing the DL-43 form?

Yes, processing the DL-43 form requires a fee. The amount varies depending on the type of application (renewal, duplicate, etc.) and the applicant's age. Up-to-date fee information can be found on the Texas Department of Public Safety website or by contacting a local DPS office directly.

How long does it take to process the DL-43 form?

The processing time for DL-43 forms can vary. Generally, once the form and fee have been received, it may take several weeks for the renewal or duplicate to be processed and mailed to the applicant. For more accurate timing, contact the Texas Department of Public Safety directly.

Can I track the status of my DL-43 form application?

Yes, applicants can track the status of their DL-43 form application. This can be done by visiting the Texas Department of Public Safety's official website and accessing the license eligibility and status checker. You will need your driver's license or identification card number to use this feature.

What should I do if I do not receive my renewed or duplicate license/ID after submitting the DL-43 form?

If you haven't received your renewed or duplicate license or ID within the expected time frame after submitting the DL-43 form, it is recommended that you contact the Texas Department of Public Safety directly. Have your application details and any reference numbers at hand to facilitate the process.

Is it possible to make corrections to my driver's license or ID card through the DL-43 form?

Yes, corrections to personal information on your driver's license or ID card, such as your name or address, can be requested through the DL-43 form. You will need to provide documentation to support the requested changes. Detailed instructions and required documentation can be found on the Texas Department of Public Safety website or by inquiring at a local DPS office.

Common mistakes

Filling out the DL-43 form, which is used for driver's license renewals or changes in Texas, often results in errors that can delay processing. A common mistake is not checking the form for accuracy before submission. Applicants sometimes hastily fill in the information without verifying details such as their address or date of birth. This oversight can lead to unnecessary delays in processing the application.

Another frequent error involves not signing the form. The signature is a crucial part of the application, serving as a personal attestation to the information provided. Without it, the application is considered incomplete and cannot be processed, leading to potential setbacks in receiving the necessary documents.

Incorrectly listing the eye color is a surprisingly common mistake. People often forget or rush through this section, not realizing its importance. The eye color must match what is officially recognized and used for identification purposes to ensure consistency across government-issued identifications.

Not updating the address is another issue that applicants run into. When people move and fail to update their address on the DL-43 form, it not only delays the process but also causes issues with receiving the updated license. This error could complicate legal matters, such as traffic ticket notifications or jury duty summons, which rely on current address information.

Choosing the wrong license type can also lead to problems. The form allows applicants to request renewal, address change, or a replacement license. Misunderstanding these options or selecting the wrong one can cause delays and may even require starting the application process from scratch.

Failure to include necessary supplementary documents is a critical mistake. Depending on the nature of the application, additional paperwork such as proof of identity, Social Security Number, or legal change of name documentation may be required. Overlooking these requirements can halt the process until the correct documents are submitted.

Entering an incorrect Social Security Number (SSN) is a major issue. The SSN must be accurate for identity verification purposes. An incorrect SSN not only delays the process but also triggers a review of the applicant’s information for potential fraud which can significantly extend processing times.

Last but not least, not specifying desired changes on the form, such as an address update or a name change due to marriage, leads to confusion and extended processing times. It's crucial to clearly indicate any changes to ensure the updated license reflects the correct information.

Avoiding these mistakes when completing the DL-43 form can greatly streamline the renewal or update process, helping to ensure a smooth and efficient transaction.

Documents used along the form

When it comes to navigating the complexities of vehicle and driver services, the DL-43 form is often just the tip of the iceberg. This form is commonly utilized by individuals looking to request a duplicate driver's license or identification card among other services. It's a crucial piece of documentation, but it rarely travels alone. Several other forms and documents typically accompany or complement it in various processes, each serving its unique purpose in ensuring accuracy and compliance in the administration of vehicle and driver services.

  • DL-14A: This form is a staple for anyone applying for a new, renewal, or replacement driver's license in the United States. It's a comprehensive application that collects personal information, driving history, and eligibility details to ensure the applicant meets all the requirements for the type of license they are applying for.
  • DL-80: For individuals wishing to change their name or address on their driver's license, the DL-80 form is necessary. It's a straightforward document that updates the personal details on an existing license, ensuring that all information remains current and accurate.
  • DL-180: Teen drivers embarking on their journey to acquire their first driver’s license will find the DL-180 form essential. This form is a permit application that assesses the eligibility of a young driver based on their age, education, and parental consent, setting the stage for their foray into becoming licensed drivers.
  • Proof of Identity Documents: Though not a form, the requirement for proof of identity documents is integral to almost every application process related to driver's licenses and ID cards. Whether it's a birth certificate, passport, or social security card, these documents validate the identity of the applicant, anchoring the entire process in verifiable facts.

Together, these forms and documents weave a comprehensive narrative of an individual's identity, skills, and eligibility to drive, ensuring that the roads are safe for everyone. Obtaining, completing, and submitting the correct paperwork is vital, not just for legal compliance, but for the safety and security it provides to both the individual and the community at large. Understanding each document's role and requirement can significantly streamline any application process, making it less daunting for applicants and more efficient for the agencies involved.

Similar forms

The DL-43 form is commonly used for various driver's license services in the United States, such as renewals or updates to personal information. Similar to the DL-43, the DS-82 form is used for U.S. Passport renewals by mail. Both forms are designed to streamline the process of renewing government-issued identification by allowing individuals to submit their requests without having to appear in person. This convenience helps reduce wait times at government offices and makes it easier for citizens to maintain valid identification.

Another document akin to the DL-43 form is the SS-5 form, used to apply for a Social Security card. Both the DL-43 and SS-5 forms are integral to updating personal information with government databases, such as name changes due to marriage or other reasons. While the DL-43 focuses on drivers’ licenses, the SS-5 caters to social security records, showing how both serve to keep personal identification documents current.

The Voter Registration Application form shares similarities with the DL-43 form, as both are essential for civic engagement and identity verification. The Voter Registration form is used to enroll in the electoral roll, which is necessary for participating in democratic elections, just as the DL-43 is used to ensure one's driver's license is valid. Both forms act as gateways to exercising legal rights—driving for the DL-43 and voting for the Voter Registration Application.

The Form I-9, Employment Eligibility Verification, while primarily used by employers, also mirrors the personal identification update feature of the DL-43 form. The I-9 requires employees to prove their eligibility to work in the U.S. through various documents, often including a driver's license. In this way, a current and valid driver's license, ensured through the DL-43 form, plays a crucial role in the employment verification process.

Similarly, the Medical Examination Report Form for Commercial Driver License (CDL) mirrors the DL-43 in its purpose for drivers, specifically those operating large or specialized vehicles. Both documents are crucial in the licensing process, with the Medical Examination Report ensuring the driver's health and fitness for duty, and the DL-43 facilitating updates and renewals of the license itself. The focus on safety and eligibility underscores the importance of both forms in the transportation sector.

Lastly, the Change of Address form provided by the United States Postal Service (USPS) shares a functional likeness with the DL-43 form in facilitating updates to personal records. When an individual moves, updating their address with the USPS ensures mail is correctly delivered, just as updating address information via the DL-43 ensures a current driver's license. Both processes are critical for maintaining accurate records and receiving essential government and personal correspondence.

Dos and Don'ts

When completing the DL-43 form, attention to detail is essential for ensuring the process is smooth and error-free. Below is a guide designed to assist you in avoiding common mistakes and making sure your application is processed efficiently.

  • Do double-check your personal information for accuracy. This includes your full name, date of birth, and Social Security Number.
  • Don't rush through the form. Take your time to thoroughly read and understand each section before filling it out.
  • Do use black or blue ink if you're filling out the form by hand. These colors are preferred for better legibility and scanning.
  • Don't leave mandatory fields blank. If a question does not apply to you, mark it as ‘N/A’ instead of leaving it empty.
  • Do make sure your signature matches the one on your current identification documents. Inconsistencies can cause delays.
  • Don't use correction fluid or tape on the form. Mistakes should be neatly crossed out, and the correct information should be clearly written.
  • Do review your form for any errors or omissions before submitting. This can prevent potential processing delays.
  • Don't forget to include all required documents when you submit your form. Incomplete submissions can lead to a denial of your request.

Misconceptions

The DL-43 form, often shrouded in misconceptions, plays a vital role in various administrative processes. Clearing up these misunderstandings is crucial for individuals navigating these procedures. Below is a list of common misconceptions about the DL-43 form.

  • Misconception 1: The DL-43 form is universally applicable for all states in the U.S. In reality, form names and requirements can vary significantly from one state to another, and the DL-43 may not be relevant or even existent in some states.
  • Misconception 2: The form can be used for both renewing a driver's license and registering a vehicle. However, the DL-43 form is typically designated for specific procedures, such as driver's license renewal or correction, not vehicle registration.
  • Misconception 3: Personal information is not secure when submitted through the DL-43 form. State agencies employ strict privacy and security measures to protect personal information provided on forms like the DL-43.
  • Misconception 4: The DL-43 form is available for completion and submission online in all jurisdictions. While many states offer online services, some still require in-person submission or mail for certain forms, including the DL-43.
  • Misconception 5: There is a one-size-fits-all version of the DL-43 form that is used across the country. The form's content, layout, and requirements are determined by individual states, leading to variations in the form's appearance and information requirements.
  • Misconception 6: The DL-43 form can only be used once, and a new form must be completed for each transaction. In some cases, a single form can be used to request multiple services or corrections, depending on state regulations and the specific services requested.
  • Misconception 7: Filling out the DL-43 form is complicated and requires legal assistance. While some legal documents can be complex, state agencies design forms like the DL-43 to be filled out by individuals without the need for legal counsel. Instructions are typically straightforward and assistance is often available.
  • Misconception 8: Any mistakes on the DL-43 form will result in significant delays or a complete denial of the application. Mistakes can often be corrected with minimal delay. Many agencies allow for the submission of corrected forms, or they may reach out to applicants for clarification.

Understanding the correct application and limitations of the DL-43 form is essential for anyone involved in the relevant administrative processes. Dispelling these misconceptions ensures that individuals can approach the form with confidence and clarity.

Key takeaways

Navigating the DL-43 form doesn't have to feel like wading through a swamp of confusion. Designed for those looking to make changes to their driver's license or identification card in certain states, understanding the ins and outs of this form can save you both time and headaches. Here are nine key takeaways to guide you through filling out and using the DL-43 form efficiently.

  • Accuracy is key. Ensure all information provided is accurate and matches the details on your official documents. Any discrepancies can lead to delays or rejections.
  • Review before submitting. Double-check your form for any missed fields or errors. Overlooking even a small detail can put a halt on your application process.
  • Have supporting documents ready. Depending on your needs—be it a name change, address update, or renewal—you'll need to provide specific documentation. Gather these before starting your form to know exactly what information you'll need to enter.
  • Know the fees. Understand the costs associated with your application. Fees can vary based on the type of request you're making, so it's essential to know the correct amount to include with your form.
  • Signature matters. A signature is typically required to validate the form. Ensure your signature matches the one on your official identification to avoid any issues with your application.
  • Timeliness is critical. Be mindful of any deadlines associated with your application, especially if you're renewing your license. Submitting your form within the required timeframe ensures continuity in your licensure.
  • Keep a copy. After completing and submitting the DL-43 form, make sure to keep a copy for your records. This can be helpful for tracking your application status or resolving any future discrepancies.
  • Follow up if needed. If you haven't received a response within the expected timeframe, don't hesitate to follow up with the issuing authority. Sometimes applications can get misplaced or require additional information.
  • Use the latest form version. Ensure you're filling out the most current version of the DL-43 form. Using an outdated form can lead to unnecessary delays, as policies and requirements may change.

Mastering the DL-43 form is akin to clearing a path through a dense forest. With these key takeaways, you're well equipped to navigate the process with ease, ensuring your journey to updating or renewing your license or identification card is as smooth as possible.

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