DL-43 Template Access DL-43 Editor Now

DL-43 Template

The DL-43 form is an application used by individuals seeking to make official changes to their driver's license or identification card details. This form is essential for updating personal information, such as name, address, or corrections to current license information. For those ready to amend their details, a straightforward process awaits with a simple click on the button below.

Access DL-43 Editor Now
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In navigating the landscape of state regulations and procedural requirements, individuals often encounter a myriad of documents necessary for maintaining or updating personal information with government agencies. Among these, the DL-43 form serves a critical role for residents seeking to amend or renew identification credentials. This document, integral to the infrastructure of state-level identification processes, facilitates a range of modifications pertinent to an individual's legal identification. These modifications might include changes in name, address, or other personal details, as well as the renewal or replacement of a license or identification card. Its accessibility and utility underscore the form’s importance in ensuring that citizens can smoothly transition through various life events that necessitate an update to their official identification. Utilizing this form correctly is paramount, as it directly impacts one's ability to engage in numerous everyday activities, from driving to voting, highlighting the form's significance within the broader schematic of civic engagement and legal compliance.

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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

 

 

 

 

Form Breakdown

Fact Number DL-43 Form Fact
1 The DL-43 form is used for updating personal information on a driver's license or identification card in Texas.
2 Applicants can use this form to request changes such as a name or address change, or to update their signature.
3 This form is available on the Texas Department of Public Safety (DPS) website for download.
4 To process a change, completed forms must be submitted to the DPS, either in person or by mail.
5 Proof of identification and any relevant legal documents (e.g., marriage certificate for a name change) must accompany the form when submitted.
6 There may be a fee associated with the processing of the DL-43 form, depending on the nature of the update or correction.
7 Governing Law: The DL-43 form is regulated under Texas state law, specifically by the Texas Department of Public Safety (DPS).

Guidelines on Filling in DL-43

Filling out a DL-43 form typically involves updating personal information or requesting a duplicate for lost or stolen documents. It is an important step in ensuring your records with the department are current and accurate. Understanding the form's structure and the details it requires can streamline the process, making it more efficient and less daunting. Remember, accuracy is key when completing any official document, as it helps prevent potential delays or issues with your request.

  1. Begin by providing your full legal name, ensuring it matches other identification documents.
  2. Enter your date of birth using the MM/DD/YYYY format for consistency with U.S. standards.
  3. Supply your Social Security Number (SSN), which is critical for identity verification purposes.
  4. List your current address, including any apartment or unit numbers, to ensure correct document delivery.
  5. Specify your mailing address if it differs from your current address, to direct where any correspondence should be sent.
  6. Indicate your gender, as some states require this information for demographic and identification purposes.
  7. Detail any changes in your personal information since your last issuance, such as name changes due to marriage or legal proceedings.
  8. For requests related to a duplicate license or ID, explain the reason for your request (e.g., lost, stolen, damaged).
  9. Sign and date the form to validate the information provided and agree to any statements or declarations as required.
  10. If applicable, include the appropriate fee for your request by check or money order, adhering to the instructions provided by the issuing authority.

After completing the DL-43 form, review it carefully to ensure all information is accurate and complete. Missing or incorrect information can lead to processing delays. Once satisfied, submit the form following the instructions provided, which may include mailing it to a designated address or visiting a local office in person. Submission procedures can vary by state or jurisdiction, so following the specific guidelines provided with the form or on the official website is crucial.

Learn More on DL-43

What is the DL-43 form?

The DL-43 form, typically issued by the Department of Motor Vehicles (DMV) in various states, is an application used for a range of driver's license services. These services might include renewing a driver's license, applying for a duplicate license, or making changes to the personal information listed on your driver's license, such as your address or name.

How can one obtain a DL-43 form?

Obtaining a DL-43 form can be done through multiple channels. The most direct method is to visit your local DMV office. Many DMVs also offer the ability to download the form from their official website. Alternatively, you may request the form to be mailed to you by contacting the DMV through their customer service line.

What information is needed to complete the DL-43 form?

When filling out the DL-43 form, you will be required to provide specific information, which includes:

  • Your full legal name
  • Your date of birth
  • Social Security Number (SSN), if applicable
  • Current driver's license number, if you have one
  • Your mailing and residential addresses
  • Details regarding any changes to your name or address, if applicable

This information helps the DMV process your application accurately and update their records as needed.

Is there a fee associated with submitting a DL-43 form?

Yes, there is typically a fee associated with processing the DL-43 form, but it varies depending on the state and the type of transaction. For example, renewing your driver's license might have a different fee compared to requesting a duplicate license. It's advisable to check with your local DMV for the most current fee schedule.

Can the DL-43 form be submitted online?

Whether the DL-43 form can be submitted online depends on the specific services offered by your state's DMV. Some states provide online services for tasks such as renewing your driver's license, which might allow you to submit a form electronically. Visit your DMV's official website or contact them directly to find out if online submission is available in your state.

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

The processing time for a DL-43 form can vary widely based on the specific request and the DMV's current workload. Typical processing times can range from a few days for simple address changes to several weeks for more complex services such as renewing or replacing a license. For the most accurate estimate, contact your local DMV.

What should one do if there are corrections to be made after submitting the DL-43 form?

If you notice errors or need to make changes after submitting your DL-43 form, it's important to contact the DMV as soon as possible. Depending on the nature of the correction, you may be required to provide additional documentation or fill out another form to amend the original submission.

Are there any prerequisites for submitting a DL-43 form for a driver's license renewal?

Yes, there are typically prerequisites for using the DL-43 form to renew your driver's license, including:

  1. Your current driver's license must be close to its expiration date or recently expired.
  2. You must meet your state's requirements for vision tests or provide a recent vision test report, if applicable.
  3. You should not have any outstanding traffic tickets, fines, or suspensions that would prevent renewal.

Check with your local DMV for any additional state-specific requirements.

Can the DL-43 form be used to update organ donor status?

Yes, in many states, the DL-43 form includes sections for updating your organ donor status. By indicating your wishes regarding organ donation, the DMV can update their records and your driver's license to reflect your decision. This information is vital in emergency situations and helps support organ donation initiatives.

What are the consequences of not filling out the DL-43 form correctly?

Incorrectly completed DL-43 forms can lead to delays in processing, incorrect information on your driver's license, or even the outright rejection of your application. It's crucial to carefully review all the information you provide, ensuring accuracy to the best of your knowledge. If you have questions or uncertainties about how to complete the form, it's advisable to seek assistance from DMV representatives.

Common mistakes

When applying for a driver’s license or ID card renewal or change in Texas, the DL-43 form is crucial. This form can be daunting, and mistakes are common. Recognizing and avoiding these errors can save time and prevent delays in processing your application.

  1. Not checking the most current form version – Forms are regularly updated, and using an outdated version may result in an application being rejected.

  2. Failing to complete every required section – Skipping sections can lead to incomplete applications, ensuring every section is filled out is crucial.

  3. Writing illegibly – If the handwriting is difficult to read, it may lead to incorrect information being recorded, always aim for clear, legible writing.

  4. Using incorrect information – Ensure the information provided, such as personal details and addresses, is accurate and up-to-date to avoid potential hold-ups.

  5. Not providing the necessary supporting documents – Forgetting to attach required documents like proof of identity or residency prolongs the process.

  6. Misunderstanding the renewal and replacement sections – People often confuse these sections, leading to errors in application; understanding the difference is key.

  7. Forgetting to sign and date the form – An unsigned or undated form is deemed incomplete and will not be processed.

  8. Incorrect fee calculation – Miscalculating the required fee can result in delays; it’s important to double-check the correct amount due.

  9. Using non-standard ink colors – Stick to blue or black ink as other colors might not be accepted or can cause scanning issues.

  10. Overlooking the need for parental consent – Applicants under 18 must have parental consent; omitting this can halt the application for younger drivers.

Avoiding these mistakes can greatly smooth the application process. Paying attention to detail, carefully reviewing instructions, and ensuring that all information is accurate and complete will lead to successful processing of the DL-43 form.

Documents used along the form

The DL-43 form is just one of many documents that individuals may need to provide when dealing with driver's license services in the United States. While the DL-43 form itself serves a specific purpose, it's often accompanied by additional documentation to verify identity, residency, legal presence, and other important aspects of an applicant’s profile. Below is a list of other common forms and documents that might be required or used in conjunction with the DL-43 form for various reasons, including renewal or correction of driver's licenses, identification processes, and more.

  • Birth Certificate: An official document serving as proof of birth, which is crucial for verifying age and citizenship.
  • Social Security Card: Used to confirm an individual's Social Security number, which is necessary for identification purposes and to comply with federal laws.
  • Passport: A government-issued document that can serve as proof of identity and citizenship, especially useful for international travel or identification purposes.
  • Proof of Residence: Documents such as utility bills or lease agreements that confirm an individual's current living address within the state.
  • Marriage Certificate: Required for individuals who have changed their name due to marriage and need to update their driver’s license or other legal documents.
  • Application for Texas Driver License or Identification Card (DL-14A): A form specific to Texas, necessary for applying for a new, renew, or updated driver's license or identification card.
  • Vehicle Registration Documents: Necessary for individuals who are applying for driver's licenses and own a vehicle. These documents are proof of vehicle ownership and registration within the state.
  • Legal Presence Documents: For non-citizens, documents such as a green card, visa, or employment authorization document that prove legal presence in the United States.
  • Driver Education Completion Certificate: For new drivers or those under a certain age, a certificate that proves completion of a state-approved driver's education course.

Collectively, these documents facilitate a smoother process for various driver's license services, ensuring that all legal and state requirements are met. By understanding the importance and function of each document, individuals can prepare more effectively for their visit to the Department of Motor Vehicles (DMV) or other relevant authorities, thus saving time and avoiding potential complications.

Similar forms

  • The Application for Employment Authorization (Form I-765) is similar to the DL-43 form because both require personal information and are initial steps towards obtaining a benefit (work authorization in the U.S. for the I-765 and driver’s license renewal or changes for the DL-43).

  • Passport Renewal Application (DS-82) shares similarities with the DL-43 form in that both are used for renewal purposes, requiring current identification details and reason for renewal.

  • The Change of Address Form (USPS Form 3575) is similar to the DL-43 in that it facilitates an official update to personal information, which is pivotal for maintaining current records with government entities.

  • Voter Registration Form is akin to the DL-43 form because it collects personal identification to provide access to a civic right, much like the DL-43 form processes changes for driving privileges.

  • The Social Security Card Application (Form SS-5) resembles the DL-43 as both involve providing detailed personal information to update or replace an essential government-issued ID.

  • Vehicle Registration Application is similar to the DL-43 since both are necessary for legally operating a vehicle, with each requiring owner identification and respective vehicle information.

  • A Marriage License Application is comparable to the DL-43 as both processes require personal information and potentially other documents for verification to obtain the license or make updates.

  • The Birth Certificate Request Form shares a purpose with the DL-43 form in allowing individuals to request an official document based on personal identifying information.

  • College Application Forms can be likened to the DL-43 because they initiate a process to gain access to a service/institution, requiring comprehensive personal and educational background information.

  • Last, the Health Insurance Enrollment Form is similar to the DL-43 form because it comprises detailed personal and sometimes family information to provide access to health insurance benefits, akin to how the DL-43 form facilitates continued legal driving benefits.

Dos and Don'ts

When filling out the DL-43 form, a document used to apply for a Texas driver's license or to make changes to an existing license, it's important to approach the task with attention to detail and clarity. Below are lists of things you should do and things you should avoid to ensure the process goes smoothly and your application is processed without unnecessary delays.

Things You Should Do

  1. Read through the entire form before beginning to fill it out to understand all the requirements and instructions.
  2. Use black or blue ink when filling out the form, as these colors are the most legible and widely accepted for official documents.
  3. Provide accurate and current information for every question, making sure that all personal details match those on your official documents.
  4. Double-check your answers for typos, especially when it comes to sensitive information like your Social Security number or driver's license number.
  5. Sign and date the form in the designated areas, as an unsigned or undated form might be considered incomplete and could be rejected.

Things You Shouldn't Do

  • Do not leave any fields blank, unless specified that it's optional; if a section does not apply to you, mark it as 'N/A' (not applicable).
  • Do not use white-out or correction tape; if you make a mistake, it's better to start over on a new form to ensure legibility.
  • Avoid guessing on dates or information; if you're unsure, take the time to verify the correct details before submitting.
  • Do not fold or damage the form; keep it in good condition to ensure all information can be clearly read once submitted.
  • Avoid rushing through the form; take your time to fill it out carefully and correctly to avoid errors that could lead to delays in processing.

Misconceptions

When discussing the Texas Department of Public Safety's (DPS) DL-43 form, commonly used for driver’s license applications or renewals, several misconceptions frequently arise. Understanding the actual processes and requirements can simplify interactions with the DPS, ensuring a smoother experience for all involved.

Misconception 1: The DL-43 Form Is Only for Renewing a Driver’s License

One common misconception is that the DL-43 form is exclusively for renewing a driver's license. In reality, this form has multiple uses, including applying for a new license, updating personal information, and requesting a duplicate license. This means that whether you're getting your first driver's license, need to update your address, or replace a lost license, the DL-43 form is relevant to your needs.

Misconception 2: You Must Complete the DL-43 Form In-Person at a DPS Office

Many people believe they need to fill out the DL-43 form in person at a DPS office. However, this is not always the case. The form can also be completed and submitted online or via mail for certain transactions. This flexibility helps accommodate those who may have scheduling conflicts or live far from a DPS office.

Misconception 3: Every Section of the DL-43 Form Must Be Filled Out

It's often assumed that every section of the DL-43 form must be completed. While it's important to provide all requested information accurately, some sections of the form may not apply to every individual. For example, sections pertaining to commercial driver licenses (CDL) or motorcycle licenses need only be filled out by individuals applying for those specific types of licenses.

Misconception 4: Submitting the DL-43 Form Guarantees Approval of Your Application

Another misunderstanding is that submitting the DL-43 form guarantees the approval of your application or renewal. Submitting this form is merely the first step in the application process. Applicants must also meet all eligibility requirements, which may include passing vision, written, and driving tests, as well as completing any required education courses for new drivers.

Dispelling these misconceptions can make dealing with the Department of Public Safety less daunting. Armed with accurate information, individuals can navigate the process of applying for or renewing their driver's license with greater confidence and efficiency.

Key takeaways

The DL-43 form, while it might seem daunting at first, plays a pivotal role in various driver’s license transactions, from renewals to address changes and beyond. Understanding its application thoroughly can ensure a smoother process for anyone navigating through these sometimes complex procedures. Here are four key takeaways to keep in mind when filling out and utilizing the DL-43 form:

  • Accuracy is Key: The information you provide on the DL-43 form must be accurate and current. Misinformation can lead to delays or even the rejection of your application. Double-check personal details like your full name, address, date of birth, and Social Security Number for accuracy before submission.
  • Completion is Crucial: Every question on the DL-43 form serves a purpose and requires an answer. Incomplete forms are likely to be returned, delaying the process significantly. If a question does not apply, responding with “N/A” (not applicable) is often more favorable than leaving a blank space.
  • Understanding the Purpose: The DL-43 form is versatile and used for a variety of requests such as renewing or replacing a driver's license, updating information, or changing personal details like your name. Be clear about your specific need for the form, as this will guide you in providing the correct information and supporting documents.
  • Supporting Documentation: Depending on the purpose of your DL-43 form submission, you may need to attach additional documents. These could include proof of identity, legal name change documentation, or proof of residency. Ensure you are aware of and include all necessary supporting materials to avoid unnecessary delays.

Approach the DL-43 form with confidence and diligence, recognizing its importance in keeping your driver's license information up-to-date and valid. A careful and informed approach to filling out this form can save time and prevent headaches down the road.

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