The DL-43 form is an essential document required by individuals wishing to update, replace, or make any changes to their driver's license or identification card in certain jurisdictions. It serves as a formal request to the issuing authority, helping ensure that one's personal identification remains accurate and up-to-date. For those looking to complete this critical step, simply click the button below to commence the process of filling out your DL-43 form with ease.
Navigating the landscape of driver's license applications and renewals in the United States often involves encountering a wide array of forms and documents, each playing a unique role in the process. Among these, the DL-43 form stands out due to its pivotal function for individuals seeking to request duplicate licenses, apply for renewal, or make changes to their existing driver's license information. This form serves as a critical tool for ensuring personal information is up-to-date and accurately reflected on one’s driving credentials. While the process of filling out and submitting the DL-43 may appear daunting at first, understanding its purpose, the required information it solicits, and the specific scenarios under which it must be used, can greatly alleviate the complexity surrounding driver's license management. It is a key piece in maintaining the integrity and accuracy of one’s driving record and personal identification, vital for legal and security reasons. Through a detailed exploration of the DL-43 form, individuals can gain insights into its significance within the bureaucratic framework that governs driving in the United States, thereby facilitating a smoother interaction with the relevant state department of motor vehicles (DMV).
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
The DL-43 form is a crucial document for individuals looking to request changes to their driver's license or identification card in certain areas. Successfully completing this form is essential for processing your request efficiently. The steps to fill out the form are straightforward, ensuring that applicants can submit their information accurately and promptly. Below is a detailed guide to help you through each section of the DL-43 form to facilitate a smooth transaction.
Filling out the DL-43 form diligently is the first step towards updating your driver's license or identification card. By following the step-by-step instructions provided, applicants can ensure their requests are handled swiftly and efficiently. Remember, the accuracy of the information you provide and adherence to the submission guidelines are paramount in achieving a successful outcome.
What is a DL-43 form and who needs to fill it out?
The DL-43 form is an official document used for updating or making changes to your driver's license or identification card information. Anyone who needs to change their name, address, or other personal details on their driving records must fill it out. It's also used for requesting a duplicate or replacement of a lost, stolen, or damaged license or ID.
How can I obtain a DL-43 form?
You can get a DL-43 form by visiting your local Department of Motor Vehicles (DMV) office. It's also possible to download the form from the DMV's official website for your state. Some states may allow you to request the form to be mailed to you by contacting the DMV directly.
What information do I need to provide when filling out the DL-43 form?
When completing the DL-43 form, you will be required to provide personal information such as your full legal name, date of birth, Social Security number, and current address. Depending on the nature of your request, you might also need to provide specific details about your current driver's license or ID, such as the license number and issuance date.
Is there a fee associated with submitting a DL-43 form?
Yes, there is usually a fee for processing the DL-43 form, especially when requesting a duplicate or replacement license or ID card. The amount of the fee varies by state and the type of service requested. It's recommended to check with your local DMV for the exact fees related to your specific needs.
After submitting the DL-43 form, how long will it take to receive my updated license or ID?
The processing time for receiving your updated license or ID can vary depending on your state's DMV. Generally, it takes a few weeks from the date of submission to receive your new document. Some states may offer expedited services for an additional fee if you need your updated license or ID sooner.
Filling out the DL-43 form, which is commonly used for driver's license renewals and changes in Texas, requires attention to detail. Errors in this process can lead to delays and additional paperwork. Below are 10 mistakes frequently made when completing this form:
Not checking the document requirements beforehand, leading to missing or incorrect information.
Failing to provide complete and accurate personal information such as full legal name and address.
Omitting details about any previous or current driver's license held in another state or country.
Using nicknames or abbreviations instead of the full legal name required for government documents.
Inaccurately reporting eye color, height, and weight, which must match with other identification documents.
Forgetting to sign the form, which is a common but critical oversight.
Overlooking the need for a parent or guardian signature when the applicant is under 18 years old.
Not specifying whether they are applying for a renewal, duplicate, or change of information on the license.
Missing the section that requires information on any physical or mental conditions that may affect driving ability.
Failure to update the form with a new address when the applicant has moved since their last renewal.
Correctly filling out the DL-43 form is crucial for ensuring that the application process is smooth and free from unnecessary delays. Applicants are encouraged to review their application thoroughly before submission. Additionally, seeking assistance from a specialist can further minimize errors.
When individuals engage in applying for a driver's license renewal or making changes to their existing driver's license in the United States, the DL-43 form is a crucial document. However, the process usually requires additional documentation to ensure accuracy and verify the identity and eligibility of the applicant. The collection of these forms and documents streamlines the process, assisting both applicants and officials in maintaining a clear and efficient pathway to completing these formalities.
The combination of the DL-43 form with the above documents forms a comprehensive bundle, facilitating a smoother process for both the applicants and the authorities involved. These documents help in ensuring that all necessary legal and procedural requirements are met with precision. The compilation of accurate and verifiable information supports the integrity of the driver's license issuance and renewal system, safeguarding public safety and the rights of individuals.
When completing the DL-43 form, it is essential to pay careful attention to detail and understand the requirements. This form is often used for driver's license renewals or amendments, and properly filling it out is crucial. Below is a list of dos and don'ts that can help make the process smoother and avoid common mistakes.
Filling out the DL-43 form correctly is critical for ensuring your driving record and license are up to date. By following these suggestions, you can improve the chances that your submission will be processed efficiently and without unnecessary delays.
There are several misconceptions surrounding the DL-43 form, a document that plays a crucial role in various official processes. Understanding these misconceptions can help individuals navigate their requirements more effectively. Here are ten common misconceptions about the DL-43 form, each clarified to provide better insight.
Clarifying these misconceptions about the DL-43 form can help individuals approach their DMV tasks with better knowledge and confidence, ensuring smoother transactions and interactions.
The DL-43 form is a document used in various transactions with the Department of Motor Vehicles (DMV), such as updating personal information or applying for a replacement ID. Understanding how to properly fill out and use this form ensures these transactions proceed smoothly. Here are five key takeaways about filling out and using the DL-43 form:
By following these guidelines, you can minimize potential issues and ensure that your dealings with the DMV regarding the DL-43 form are as efficient as possible.
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