Contents
The DL-43 form plays a crucial role in the landscape of driver's license applications and renewals in the United States. This form is primarily used for individuals seeking to obtain a driver's license or state-issued identification card, particularly when they are applying for a license for the first time or when their current license has expired. It requires applicants to provide personal information, including their name, address, and date of birth, as well as to disclose any relevant medical conditions that might affect their driving ability. Additionally, the DL-43 form often includes sections for verifying identity and residency, which may necessitate the submission of supporting documents. Understanding the nuances of this form is essential for anyone navigating the often complex process of securing a driver's license, as errors or omissions can lead to delays or denials. Moreover, the form may vary slightly from state to state, reflecting local regulations and requirements, which adds another layer of complexity for applicants. Familiarity with the DL-43 form not only streamlines the application process but also ensures compliance with state laws, ultimately paving the way for a smoother path to obtaining a driver's license.
Preview - DL-43 Form
INFORMATION FORM (ALL APPLICANTS please answer questions 1 through 10)
YES NO
1. 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
transfer this information to the Texas Secretary of State.
3. 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
of sexual assault evidence collection kits (rape kits).
7. Do you want to support Texas Veterans? If yes, please indicate your donation amount $ .00
8. Do you have a health condition that may impede communication with a peace officer? If yes, please list
(physician must complete form DL-101 prior to the issuance of a DL/ID).
9. a) Do you want a Veteran designator on your driver license or identification card? (proof of Honorable discharge required; acceptable documents
are DD214/5, NGB22, VA disability letter, proof of service/verification of honorable service card)
b) Are you a 60% disabled Veteran receiving compensation and want to waive the application fee? (see 9a for documents required)
10. 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
of alcohol or drug abuse within the past two years?
16. Within the past two years, have you been treated for any other serious medical conditions?
Explain:
17. 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
APPLICANT INFORMATION
LAST NAME:
FIRST NAME:
MIDDLE NAME:
SUFFIX:
MAIDEN NAME:
DATE OF BIRTH (mm/dd/yyyy): — —
SSN: — —
SEX: (Mark One) MALE FEMALE WEIGHT: lbs.
EYE COLOR: HEIGHT: ft. in.
RACE/ETHNICITY: (I) American Indian/Alaska Native
(A) Asian/Pacific Islander (B) Black (H) Hispanic (O) Other (W) White
APPLICATION FOR RENEWAL/REPLACEMENT/CHANGE
OF A TEXAS DRIVER LICENSE OR IDENTIFICATION CARD
DL or ID NUMBER
(Replacement also called Duplicate)
CONTACT INFORMATION
HOME PHONE:
OTHER PHONE:
EMAIL:
ADDRESS INFORMATION
RESIDENCE ADDRESS:
CITY: STATE:
ZIP CODE: COUNTY:
MAILING ADDRESS:
CITY: STATE:
ZIP CODE: COUNTY:
INFORMACIÓN SOBRE EL SOLICITANTE (TODOS LOS SOLICITANTES favor de contestar las preguntas 1 a 10)
SI NO
1. ¿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
de Seguridad Pública para transferir esta información a la Secretaría del Estado de Texas.
3. ¿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
de $1 o más $ .00
5. ¿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
ayudar a financiar la recopilación de evidencia de asalto sexual (kit de violación)
7. ¿Desea apoyar los Veteranos de Texas? Si la respuesta es sí, por favor, indique la cantidad de su donación $ .00
8. ¿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).
9. 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)
b) ¿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).
10. En caso de sufrir lesiones o la muerte, ¿le gustaría proporcionar dos (2) contactos para emergencias? En caso afirmativo, por favor indique:
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 SÍ a la pregunta anterior, ¿su afección ha MEJORADO o EMPEORADO desde su última solicitud de original/renovación de licencia de conducir?
12. ¿Tiene usted un condición mental que puede afectar su capacidad para operar con seguridad un vehículo motorizado? Si su respuesta es si,
por favor de explicar:
13. ¿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
segura o ha tenido algún episodio de abuso de drogas o alcohol en los últimos dos años?
16. En los últimos dos años, ¿ha recibido tratamiento por alguna otra afección médica grave?
Explique:
17. ¿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
INFORMACIÓN DEL SOLICITANTE
APELLIDO:
PRIMER NOMBRE:
SEGUNDO NOMBRE:
SUFIJO:
APELLIDO DE SOLTERA:
FECHA DE NACIMIENTO (mm/dd/aaaa):
NÚMERO DE SEGURO SOCIAL: — —
SEXO: (Marque uno) HOMBRE MUJER PESO: en libres.
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
SOLICITUD PARA RENOVAR, REEMPLAZAR, Ó HACER
CAMBIOS EN LA LICENCIA DE CONDUCIR O TARJETA DE
IDENTIFICACIÓN DEL ESTADO DE TEXAS
NUMERO DE LICENCIA O DE TARJETA DE IDENTIFICACIÓN:
(El reemplazo también es llamado duplicado)
INFORMACIÓN DE CONTACTO
NÚMERO DE TELÉFONO:
TELÉFONO SECUNDARIO:
CORREO ELECTRÓNICO:
SU DOMICILIO
DOMICILIO DONDE RESIDE:
CIUDAD: ESTADO:
CÓDIGO POSTAL: CONDADO:
DOMICILIO POSTAL (Lugar donde recibe su correspondencia):
CIUDAD: ESTADO:
CÓDIGO POSTAL: CONDADO:
Document Specifics
| Fact Name | Details |
|---|---|
| Form Title | DL-43 Form |
| Purpose | The DL-43 form is used for driver's license applications and renewals. |
| Governing Law | This form is governed by state motor vehicle laws. |
| Eligibility | Applicants must meet age and residency requirements. |
| Required Documents | Proof of identity, residency, and Social Security number are needed. |
| Submission Method | The form can be submitted online or in person at designated offices. |
| Processing Time | Processing may take several weeks, depending on the state. |
| Fees | A fee is required for application or renewal, varying by state. |
| Expiration | Driver's licenses issued are typically valid for 4 to 8 years. |
| Special Considerations | Some states may have additional requirements for specific populations. |
DL-43: Usage Instruction
Completing the DL-43 form is a straightforward process that requires careful attention to detail. Once you have filled out the form, you will be prepared to submit it for processing. Below are the steps to guide you through the completion of the form.
- Start by obtaining the DL-43 form from the appropriate source, whether online or at a local office.
- Read the instructions provided with the form to understand what information is required.
- Begin filling out the personal information section. This includes your full name, date of birth, and address.
- Provide your driver's license number if applicable, or indicate if you are applying for a new license.
- Complete the section regarding your identification documents. List the documents you will submit with the form.
- Fill in any additional information requested, such as your Social Security number, if required.
- Review your entries for accuracy. Ensure that all information is complete and correct.
- Sign and date the form at the designated area to certify that the information provided is true.
- Prepare to submit the form along with any required documentation and payment, if applicable.
Following these steps will help ensure that your DL-43 form is filled out correctly and submitted properly. Take your time and double-check your work to avoid any delays in processing.
Learn More on DL-43
What is the DL-43 form?
The DL-43 form is a specific document used in certain states for various purposes related to driver's licenses or identification cards. It may be required for applications, renewals, or changes to personal information associated with these documents. Always check your state's Department of Motor Vehicles (DMV) website for the most accurate information regarding its use.
Who needs to fill out the DL-43 form?
Individuals who are applying for or renewing their driver's licenses or state-issued identification cards may need to complete the DL-43 form. Additionally, those who wish to update their personal information, such as a name or address change, might also be required to submit this form.
Where can I obtain the DL-43 form?
The DL-43 form can typically be found on your state’s DMV website. Most states offer downloadable versions of the form, which you can print and fill out at home. Alternatively, you can visit a local DMV office to obtain a physical copy.
What information is required on the DL-43 form?
The DL-43 form generally requires personal information such as:
- Your full name
- Your date of birth
- Your current address
- Your driver's license number (if applicable)
- Any changes you wish to make
Be sure to provide accurate and complete information to avoid delays in processing.
Is there a fee associated with submitting the DL-43 form?
Fees may apply when submitting the DL-43 form, especially if you are applying for a new license or making significant changes. The amount can vary by state and the type of service you are requesting. Check your state’s DMV website for specific fee information.
How long does it take to process the DL-43 form?
Processing times for the DL-43 form can vary widely based on the state and the volume of applications being handled. In many cases, you can expect a response within a few weeks. However, during peak times, such as summer or holiday seasons, it may take longer.
Can I submit the DL-43 form online?
Some states allow for online submissions of the DL-43 form, while others may require a physical copy to be mailed or delivered in person. Check your state’s DMV website to determine the available submission methods for your area.
What should I do if I make a mistake on the DL-43 form?
If you realize you've made a mistake after submitting the DL-43 form, contact your local DMV office as soon as possible. They can guide you on the necessary steps to correct the error, which may involve submitting a new form or providing additional documentation.
Common mistakes
Filling out the DL-43 form can be a straightforward process, but many individuals make common mistakes that can lead to delays or complications. One frequent error is failing to provide accurate personal information. This includes ensuring that names are spelled correctly and that the address matches official documents. Inaccuracies can cause significant issues, especially when it comes to identification verification.
Another mistake often seen is neglecting to sign the form. A signature is not just a formality; it confirms that the applicant has reviewed the information and agrees to the terms. Without a signature, the application may be considered incomplete and could be rejected outright.
Many applicants also overlook the importance of providing the correct identification documents. The DL-43 form typically requires specific forms of ID, and submitting the wrong type can result in processing delays. It's essential to check the list of accepted documents carefully and ensure that all required items are included with the application.
Additionally, individuals sometimes fail to double-check their contact information. Providing a phone number or email address that is incorrect can hinder communication from the issuing authority. If questions arise or additional information is needed, a lack of accurate contact details can lead to missed opportunities for clarification.
Lastly, some applicants do not keep a copy of their completed DL-43 form. This oversight can be problematic if any issues arise later in the process. Having a copy allows individuals to reference their original submission and resolve any discrepancies more efficiently.
Documents used along the form
The DL-43 form is commonly used for various purposes, particularly in the context of driver's license applications and renewals. When submitting the DL-43 form, you may also need to provide additional documents to support your application. Here are some forms and documents that are often required alongside the DL-43.
- Proof of Identity: This document verifies your identity and can include a passport, birth certificate, or government-issued ID.
- Proof of Residency: A utility bill, bank statement, or lease agreement can serve as proof of your current address.
- Social Security Card: This card is necessary to confirm your Social Security number, which is often required for driver's license applications.
- Medical Certification: If you have certain medical conditions that could affect your driving, you may need to provide a medical certification from a healthcare provider.
- Driving Record: A copy of your driving record may be requested, especially if you are applying for a commercial driver's license or have prior violations.
Having these documents ready can streamline the application process and help ensure that you meet all requirements. It is advisable to check with your local Department of Motor Vehicles (DMV) for any specific instructions related to your application.
Similar forms
The DL-43 form is similar to the Form I-9, which is used for employment eligibility verification in the United States. Both forms require individuals to provide personal information, including name, address, and date of birth. The Form I-9 also requires documentation to prove identity and employment authorization, similar to how the DL-43 may require identification for certain transactions.
Another comparable document is the DMV Form DL-44, which is the application for a California driver's license. Like the DL-43, the DL-44 collects personal information and requires proof of identity. The DL-44 is specifically tailored for California residents, while the DL-43 may be used in different jurisdictions, but both serve the purpose of obtaining a driver's license.
The National Voter Registration Form is another document that shares similarities with the DL-43. Both forms require personal identification information. The voter registration form is used to register to vote, while the DL-43 is related to obtaining a driver's license. Each form plays a critical role in verifying identity for civic participation and legal driving privileges.
The Form SS-5, which is used to apply for a Social Security card, is also akin to the DL-43. Both forms necessitate proof of identity and citizenship or immigration status. The SS-5 is essential for obtaining a Social Security number, which is often required for various legal and financial transactions, similar to how a driver's license is used for identification purposes.
The Form 1040, used for filing individual income tax returns, bears some resemblance to the DL-43. Both documents require personal information, including name and address. While the 1040 is focused on financial information, it also serves to verify identity in tax-related matters, similar to how the DL-43 verifies identity for driving privileges.
The Form N-400, Application for Naturalization, is another document that shares characteristics with the DL-43. Both forms require detailed personal information and documentation to establish identity and eligibility. The N-400 is specifically for those seeking U.S. citizenship, while the DL-43 is for obtaining a driver's license, yet both are crucial for legal status in the U.S.
The Form DS-11, Application for a U.S. Passport, is similar to the DL-43 in that it requires personal identification information and proof of citizenship. Both forms are used to establish identity for travel and legal purposes. The passport application is essential for international travel, while the DL-43 is necessary for domestic driving.
The Form 8862, Information to Claim Earned Income Credit After Disallowance, is another document that has similarities with the DL-43. Both forms require personal information and documentation to verify eligibility for benefits. The 8862 is used to claim tax credits, while the DL-43 is used for obtaining a driver's license, but both are essential for accessing certain rights and privileges.
Lastly, the Form 4506-T, Request for Transcript of Tax Return, also shares common ground with the DL-43. Both documents require personal information to verify identity. The 4506-T is used to obtain tax return information, which may be necessary for financial transactions, similar to how the DL-43 serves to verify identity for driving and identification purposes.
Dos and Don'ts
When filling out the DL-43 form, it is important to follow specific guidelines to ensure accuracy and compliance. Here is a list of things to do and avoid:
- Do read the instructions carefully before starting.
- Do provide accurate and up-to-date information.
- Do double-check your entries for any mistakes.
- Do sign and date the form where required.
- Do keep a copy of the completed form for your records.
- Don't leave any required fields blank.
- Don't use incorrect or outdated information.
- Don't submit the form without reviewing it thoroughly.
- Don't forget to include any necessary supporting documents.
Misconceptions
The DL-43 form is often misunderstood. Here are seven common misconceptions about this important document:
- It is only for new drivers. Many believe the DL-43 form is exclusively for individuals applying for their first driver's license. In reality, it can also be used for renewals and replacements.
- It can be submitted online. Some think they can complete and submit the DL-43 form entirely online. However, this form typically requires in-person submission at a designated location.
- It is the same as the driver's license application. The DL-43 form is often confused with the standard driver's license application. While related, they serve different purposes and have distinct requirements.
- All states use the DL-43 form. A misconception exists that the DL-43 form is a national standard. In fact, it is specific to certain states, and requirements may vary.
- There are no fees associated with the DL-43 form. Some individuals assume the form is free. However, there are typically fees for processing, which can vary by state.
- It does not require supporting documents. Many people think the DL-43 form can be submitted alone. In reality, it often requires additional documentation, such as proof of identity and residency.
- Once submitted, it cannot be changed. Lastly, there is a belief that the information on the DL-43 form is final once submitted. However, applicants can often request corrections if necessary.
Understanding these misconceptions can help streamline the application process and ensure compliance with state regulations.
Key takeaways
The DL-43 form is an important document used for various purposes, including vehicle registration and driver's license applications. Here are some key takeaways to keep in mind when filling out and using this form:
- Ensure you have the correct version of the DL-43 form. Using an outdated form may lead to delays.
- Fill out the form completely. Missing information can result in your application being rejected.
- Double-check your personal details. Errors in your name, address, or date of birth can cause complications.
- Provide accurate identification documents as required. This step is crucial for verification.
- Review the instructions carefully. Each section of the form may have specific requirements.
- Keep a copy of your completed form for your records. This can help if you need to reference it later.
- Submit the form through the appropriate channel. Whether online or in person, ensure you follow the correct procedure.
- Be aware of any associated fees. Payment may be required when submitting the form.
By following these guidelines, you can navigate the DL-43 form process more smoothly and increase the chances of a successful application.