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Embarking on the journey to update personal details on a driving license can seem daunting, but understanding the key to unlocking this process makes all the difference – the DL-43 form. Often overlooked, this critical document serves as the foundation for various changes one might need to make, from adjustments in name and address to requests for a duplicate license. Its significance cannot be understated, as it marks the beginning of a straightforward path to ensuring your driving license reflects your current situation accurately. This form, characterized by its user-friendly layout, is designed to simplify what might otherwise be considered a complex procedure. By providing comprehensive information and following the guided steps, applicants find themselves navigating through the process with ease. The DL-43 form not only stands out as an essential tool for updating personal details but also underscores the system's commitment to accommodating the needs of drivers, ensuring their records are up-to-date and in compliance with state regulations.

Form Preview Example

 

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 Characteristics

Fact Name Description
Purpose of the DL-43 Form This form is typically used for requesting duplicate or corrected driver licenses or identification cards.
Accessibility It is available at the Department of Motor Vehicles (DMV) or its equivalent in respective states, often accessible online or in person.
Required Information Applicants must provide personal information, details of the previous license or ID, and reasons for the duplicate or correction request.
Governing Laws Each state has specific statutes and regulations governing the issuance of duplicate or corrected licenses and ID cards, emphasizing the importance of accuracy and fraud prevention.

Steps to Writing DL-43

Filling out the DL-43 form is a necessary step for individuals looking to request changes related to their driving records or licenses. Whether it's for an update in personal details, a renewal, or a replacement, accurately completing this form is crucial. Here's a straightforward guide to help navigate the process, ensuring the form is filled out correctly and efficiently.

  1. Begin by gathering all necessary personal information, including your current driver's license number, Social Security Number, and any other identification details that may be required.
  2. Read through the entire form once before writing anything to familiarize yourself with the sections and the type of information requested.
  3. Fill in your personal information section carefully. Ensure that your name, address, and contact details are current and accurately reflect your identification documents.
  4. If the form requests details about your driving history or any prior incidents, compile this information beforehand to ensure accuracy. Be honest and thorough in your responses.
  5. For sections requiring a signature or date, double-check that these are placed correctly and are legible. Your signature is a necessary component for the validation of the form.
  6. Before submitting the form, review every section to confirm that no fields have been missed and all information is correct. Mistakes can lead to delays or the need to resubmit the form.
  7. Follow the submission instructions provided with the form closely. These may include mailing addresses, required fees, or instructions for online submission.

Once you've submitted the DL-43 form, the process of updating or renewing your records begins. Depending on the complexity of the request and the volume of applications being processed, the time to receive confirmation or any further requests for information can vary. Maintaining a copy of your submitted form and any related correspondence can be useful for future reference or if additional information is required by the agency handling your request.

Important Details about DL-43

What is a DL-43 form?

The DL-43 form, commonly associated with the Department of Motor Vehicles (DMV) in various states, is an application used for managing driver's license services. This includes requests for renewal, replacement, or changes to a personal driver’s license. It serves as an official document for individuals seeking to update their driving records or identification details.

Who needs to fill out the DL-43 form?

Any individual requiring updates to their driver's license, such as address change, name change, renewal of an expired license, or replacement of a lost or stolen license, must complete the DL-43 form. It is an essential step for maintaining accurate and current identification with the DMV.

How can one obtain a DL-43 form?

The DL-43 form can be obtained through several means. Individuals can visit their local DMV office to pick up a physical copy or access the DMV’s official website to download a digital version. In some states, the form can also be requested through mail by contacting the DMV's customer service center.

What information is required when filling out the DL-43 form?

When completing the DL-43 form, individuals will need to provide personal information, including their full legal name, date of birth, Social Security number (if applicable), current driver’s license number, and residential address. Additional details might be required depending on the specific reason for the application, such as proof of identity or legal documents supporting a name change.

Is there a fee to submit the DL-43 form?

Yes, there is usually a fee associated with the submission of the DL-43 form, particularly for services like license renewal, replacement, or changes requiring new issuance of a license. The amount depends on the state’s fee structure for driver's license services. It is advisable to check the current fees on the DMV’s website or at a local DMV office.

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

The processing time for a DL-43 form can vary depending on the request and the specific DMV’s workload. Generally, it takes a few weeks for the application to be processed and for the individual to receive their updated driver's license. Some states offer expedited services for an additional fee.

Can the DL-43 form be submitted online?

Whether the DL-43 form can be submitted online depends on the state’s DMV services. Some states have implemented digital platforms that allow individuals to complete and submit the form electronically, along with any required documentation. It’s recommended to visit the official DMV website of one's state to check for this option.

What happens if my DL-43 form gets rejected?

If a DL-43 form gets rejected, the individual will receive a notice detailing the reasons for rejection. Common issues include incorrect information, missing documentation, or failure to pay the associated fee. To resolve the matter, it’s important to address the specified issues and resubmit the form. For additional guidance, contacting the DMV directly is advised.

Is it necessary to renew my driver’s license with the DL-43 form if I move to another state?

Yes, if you move to another state, you are typically required to obtain a new driver's license issued by your new state of residence. While the DL-43 form is pertinent to updating or replacing a license within the same state, most states require new residents to complete a different application process for initial licensing in that state.

How do I ensure that my DL-43 form is filled out correctly?

To ensure that the DL-43 form is filled out correctly, carefully read and follow all instructions provided on the form. Double-check that all personal information is accurate and that no required fields are left blank. Additionally, make sure to include any necessary supporting documents. For clarification on any of the form’s sections, the DMV's customer service can provide assistance.

Common mistakes

One common mistake when filling out the DL-43 form is providing incomplete information. Individuals often overlook sections such as emergency contact details or fail to update their current address. This oversight can lead to delays in processing the form or, in some cases, the inability to contact a designated person in urgent situations. It is crucial to review every section carefully and provide all the required information to ensure the form is processed efficiently.

Another error involves incorrect date format usage. The DL-43 form clearly specifies the date format that applicants should use (MM/DD/YYYY). Yet, some people mistakenly input dates in other formats, which can cause confusion and errors in document processing. Adhering to the specified date format is vital for maintaining accuracy and avoiding any potential delays in the processing of your application.

Failure to sign the form is also a frequent mistake. The signature is a critical component, serving as a personal certification of the accuracy and truthfulness of the information provided. An unsigned form is often considered incomplete and can be rejected outright, necessitating a new submission. It's important to check the document thoroughly and ensure that it is signed before submission.

Lastly, a mistake that can easily be avoided is using outdated or incorrect forms. The DL-43 form is subject to updates and revisions. Applicants sometimes use a version of the form that is no longer valid, which leads to the rejection of their application. It is advisable to always obtain the form from a reliable source, ensuring it is the most current version, to avoid such issues.

Documents used along the form

When dealing with the DL-43 form, typically used for driver license or identification card updates, renewals, or replacements in certain states, individuals are often required to submit additional documentation to verify their identity, residency, or status. The process underscores the importance of accurate and current information for state departments managing driver and vehicle services. Outlined below are other forms and documents frequently used in conjunction with the DL-43 to ensure a smooth and efficient application process.

  • Proof of Identity Documents: These could include a birth certificate, passport, or citizenship papers. They are essential for verifying the applicant's identity.
  • Proof of Social Security Number (SSN): Documents such as a Social Security card or a W-2 form are required to confirm the applicant's SSN.
  • Proof of Legal Presence: For non-U.S. citizens, documentation like a permanent resident card or an immigrant visa serves to prove legal status in the country.
  • Proof of Residency: Utility bills, lease agreements, or mortgage statements are needed to verify the applicant's current residential address.
  • Application for Texas Driver License or ID Card (DL-14A): This form is specific to Texas, illustrating the need to complete an initial application when applying for a license or ID for the first time or when moving from another state.
  • Vehicle Registration Forms: For individuals also looking to register a vehicle, state-specific vehicle registration forms will be required alongside personal identification documentation.
  • Medical Examination Report: For commercial driver license (CDL) applications, a medical exam report may be necessary to ensure fitness to operate commercial vehicles.
  • Change of Address Form: When individuals move, they must update their address with the department of motor vehicles, which may require a separate form or can sometimes be done via the DL-43 form, depending on the state.

The compilation of these documents alongside the DL-43 form allows for a comprehensive review by state agencies, ensuring that all necessary criteria for driver licensing or ID issuance are met. As with any government process, the specific requirements and forms can vary by state, so applicants should always check with their local department of motor vehicles for the most accurate and current information.

Similar forms

The DL-43 form, often used for various driver's license transactions, shares similarities with the DS-82 form, which is used for U.S. Passport renewal by mail. Both forms are designed to streamline the renewal process of essential identification documents, enabling individuals to update their information or request replacements without visiting a government office in person. The key similarity lies in their purpose to facilitate updates to legal identification documents, making them user-friendly and accessible for individuals seeking to maintain their documentation's validity without unnecessary hassle.

Similar to the DL-43 form, the Form I-90, Application to Replace Permanent Resident Card, serves a specific purpose in the world of identity documentation. The Form I-90 is utilized by permanent residents in the United States to renew or replace their Green Card. Like the DL-43, it's an essential tool for individuals to maintain their legal status and proof of identity within the country. Both forms ensure that individuals have continuous access to their required legal documentation, highlighting the government's effort to keep identification processes streamlined and efficient.

Another document bearing resemblance to the DL-43 form is the Voter Registration Application form used across various states. This document, while primarily focused on enrolling citizens in the electoral registry, similarly requires personal identification information to ensure accuracy and legitimacy within another critical governmental system. Both the Voter Registration Application and the DL-43 involve processes that affirm an individual's identity and residency, ensuring they are correctly represented within governmental records.

The SS-5 form, used to apply for a new or replacement Social Security card, also mirrors the DL-43 in its foundational purpose of updating or replacing personal identification documents. Both documents are crucial for maintaining accurate and up-to-date identification that allows individuals to partake fully in societal functions, such as banking, employment, and social services. The SS-5 and DL-43 forms facilitate access to essential services and rights, underscoring the importance of keeping personal identification documents current.

Dos and Don'ts

When filling out the DL-43 form, an application used for updating driver's license details or applying for a duplicate in some states, it's important to follow specific guidelines to ensure the process goes smoothly. Whether you are updating your information due to a change in address, name, or needing a replacement for a lost license, paying attention to these dos and don'ts can save you time and prevent unnecessary errors.

  • Do double-check the form for any specific instructions regarding where to submit or how to complete it. Different states may have unique requirements.
  • Do use black or blue ink if filling out the form by hand. These colors are generally preferred for clarity and legibility.
  • Do print clearly and legibly. If your handwriting is difficult to read, consider typing the information if the form's format allows.
  • Do ensure that all the information provided is accurate and up-to-date. This includes your current address, legal name, and any other requested details.
  • Don't leave any required fields blank. If a question does not apply to you, write "N/A" (not applicable) instead of leaving it empty.
  • Don't use correction fluid or tape. Mistakes should be neatly crossed out, and the correct information should be written nearby.
  • Don't sign the form until you are instructed to do so, especially if the form requires a witness or notary. This is often one of the final steps.
  • Don't forget to make a copy of the completed form for your records before submitting it. Having a copy can be helpful if there are any disputes or questions later on.

Following these guidelines will help make the process of completing and submitting the DL-43 form as straightforward and error-free as possible. Remember, the accuracy and completeness of your application can significantly impact the processing time and your overall experience.

Misconceptions

The DL-43 form, often required for certain Department of Motor Vehicles (DMV) transactions, is surrounded by a variety of misunderstandings. Clarifying these misconceptions can help streamline processes and reduce confusion for individuals looking to manage their driving records and vehicle registrations. Here are four common misconceptions:

  • It serves only one purpose. A common misconception is that the DL-43 form is used for a singular purpose, such as only for renewing a driver's license. In reality, this form can be used for multiple purposes, including but not limited to, renewing a driver's license, applying for a new identification card, or changing personal information on DMV records. The form's versatility makes it a critical document for various DMV transactions.

  • It can be submitted online by everyone. While many individuals believe that the DL-43 form can be submitted online by all applicants, this is not always the case. The ability to submit the form online depends on the state's DMV policies and the specific circumstances or qualifications of the applicant. Some may need to submit the form in person or by mail.

  • Personal appearance is not required when submitting the form. Another misconception is that submitting the DL-43 form exempts the individual from making a personal appearance at a DMV office. Depending on the transaction, some individuals may still need to visit a DMV office in person, even after submitting this form, to complete their request such as taking a photo for a new license or verifying identity.

  • Information updates are immediate. Many individuals expect that once the DL-43 form is submitted, any changes or updates will be reflected immediately in the DMV's system. However, processing times can vary significantly. It might take days or even weeks for the information to be updated, during which the individual's records will not reflect the recent changes.

Understanding the actual uses and requirements of the DL-43 form can help individuals navigate DMV processes more efficiently and with fewer setbacks.

Key takeaways

The DL-43 form is an important document for individuals looking to make specific changes regarding their driver's license or identification card in certain jurisdictions. While the actual content of the DL-43 form is not provided here, the following key takeaways provide guidance for successfully completing and utilizing the form. Understanding these key points can help simplify the process, ensuring accuracy and compliance with relevant regulations.

  • Personal Information: Ensure all personal information is filled out accurately. This includes your full legal name, date of birth, Social Security Number (if applicable), and current address. Inaccuracies can lead to delays in processing.
  • Specific Purpose: Clearly identify the purpose of your application. The DL-43 form may be used for a range of services, including renewing a driver’s license, updating personal details, or applying for a duplicate license. Each option requires specific sections of the form to be completed.
  • Supporting Documentation: Attach all required supporting documentation. Depending on your request, you may need to provide additional documents such as proof of identity, legal residence status, or a name change certificate. Failure to provide necessary documents could result in application denial.
  • Signature and Date: Don’t forget to sign and date the form. A signature is usually required to attest to the accuracy of the information provided and to agree to any terms or conditions. An unsigned form is considered incomplete.
  • Fees: Check for any applicable fees associated with your application. Depending on the nature of your request and jurisdiction, you may be required to pay processing fees. Information on how to pay these fees should also be carefully reviewed.
  • Submission Guidelines: Follow the submission guidelines. Each jurisdiction may have specific requirements regarding how to submit the DL-43 form, whether in person, by mail, or online. Ensure you follow these guidelines to avoid any processing delays.
  • Processing Time: Be aware of processing times. After submission, there may be a waiting period before your application is processed. It's helpful to know this timeframe so you can plan accordingly, especially if you need your driver’s license or identification card by a certain date.
  • Confirmation and Follow-up: Finally, make sure to obtain confirmation of your submission, if possible, and know how to follow up on your application's status. Some jurisdictions may offer online tracking systems, while others might require a phone call or an in-person visit.

By paying close attention to these key takeaways, individuals can navigate the process of filling out and using the DL-43 form more smoothly, ensuring that their needs are met in a timely and efficient manner.

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