The DL-43 form is a crucial document used in the process of obtaining a driver's license in certain states. This form helps to verify identity and residency, ensuring that applicants meet the necessary requirements. Understanding how to complete the DL-43 accurately can streamline your application process and avoid potential delays.
The DL-43 form is an important document for individuals looking to obtain or renew a Pennsylvania driver's license or identification card. This form plays a crucial role in the application process, ensuring that all necessary information is collected and verified. It requires applicants to provide personal details such as their name, address, and date of birth, along with information regarding their previous driving history. Additionally, the DL-43 form may require individuals to present various forms of identification and documentation to establish their identity and residency. Understanding the requirements and steps involved in completing this form can help streamline the process, making it easier for residents to navigate the often complex world of driver licensing. Whether you're a first-time applicant or renewing your credentials, knowing the ins and outs of the DL-43 form can save you time and reduce potential headaches along the way.
What is the DL-43 form?
The DL-43 form is a specific document used by individuals seeking to obtain or renew a driver's license in certain states. It serves as an application for a driver's license and collects essential information about the applicant, including personal details and identification verification. Understanding this form is crucial for ensuring a smooth application process.
Who needs to fill out the DL-43 form?
Anyone who is applying for a new driver's license or renewing an existing one may be required to complete the DL-43 form. This includes first-time drivers, individuals moving to a new state, and those whose licenses have expired. It is important to check your state's requirements, as they may vary.
What information do I need to provide on the DL-43 form?
The DL-43 form typically requires personal information such as your full name, address, date of birth, and Social Security number. Additionally, you may need to provide details about your driving history, including any previous licenses held and any traffic violations. Accurate information is essential, as it helps to verify your identity and driving eligibility.
Where can I obtain the DL-43 form?
You can usually find the DL-43 form on your state’s Department of Motor Vehicles (DMV) website. Many states also offer the option to complete the form online, which can save time. If you prefer a physical copy, you can visit your local DMV office to request one. Be sure to check for any specific instructions or updates related to your state.
What should I do after completing the DL-43 form?
After filling out the DL-43 form, review it carefully to ensure all information is accurate and complete. Then, submit the form according to your state’s guidelines, which may involve mailing it in, submitting it online, or bringing it to a DMV office in person. Be prepared to provide any additional documentation required, such as proof of identity or residency.
The DL-43 form is essential for individuals seeking to obtain a duplicate or replacement driver's license in certain states. Here are some key takeaways regarding its use:
The DL-43 form is often misunderstood, leading to confusion for those who need to use it. Here are four common misconceptions about the DL-43 form:
Many believe that the DL-43 form is solely for individuals applying for their first driver's license. In reality, it is also used for renewals and changes to existing licenses, such as updating personal information or changing your address.
Some people think they can complete and submit the DL-43 form online. However, this form typically requires in-person submission at a designated office, where identification and other supporting documents must be presented.
This form is often thought to be applicable only in specific states. In truth, the DL-43 form is used across many states, but the requirements may vary. Always check with your local Department of Motor Vehicles for the most accurate information.
Many individuals feel intimidated by the DL-43 form, assuming it is complex. While it does require careful attention, the form is straightforward. Most people can complete it without any legal assistance if they follow the provided instructions closely.
APPLICATION FOR RENEWAL/REPLACEMENT/CHANGE
(Replacement also called Duplicate)
OF A TEXAS DRIVER LICENSE OR IDENTIFICATION CARD
DL or ID NUMBER
APPLICANT INFORMATION
CONTACT INFORMATION
LAST NAME:
HOME PHONE:
FIRST NAME:
OTHER PHONE:
MIDDLE NAME:
EMAIL:
SUFFIX:
ADDRESS INFORMATION
MAIDEN NAME:
RESIDENCE ADDRESS:
DATE OF BIRTH (mm/dd/yyyy):
—
CITY:
STATE:
SSN:
ZIP CODE:
COUNTY:
SEX: (Mark One)
MALE
FEMALE
WEIGHT: lbs.
MAILING ADDRESS:
EYE COLOR:
HEIGHT: ft.
in.
RACE/ETHNICITY:
(I)
American Indian/Alaska
Native
(A) Asian/Pacific Islander
(B) Black (H) Hispanic (O) Other
(W) White
INFORMATION FORM (ALL APPLICANTS please answer questions 1 through 10)
1. YES NO
Are you a citizen of the United States?
2.
If you are a US citizen, would you like to register to vote? If registered, would you like to update your voter information?
By providing my electronic signature, I understand the personal information on my application form and my electronic signature will be used for submitting
my voter’s registration application to the Texas Secretary of State’s office. Wanting to register to vote, I authorize the Department of Public Safety to
3.
transfer this information to the Texas Secretary of State.
Do you wish to donate $1.00 to the Blindness Education Screening and Treatment Program?
4.
Do you want to support the Glenda Dawson Donate Life Texas donor registry? If yes, please indicate a donation amount of $1 or more $
.00
5.
Would you like to register as an organ donor?
6.
Do you want to support survivors of sexual assault? If yes, please indicate a donation amount of $1 or more $
.00 to help fund the testing
7.
of sexual assault evidence collection kits (rape kits).
Do you want to support Texas Veterans?
If yes, please indicate your donation amount $
8.
Do you have a health condition that may impede communication with a peace officer? If yes, please list
9.
(physician must complete form DL-101 prior to the issuance of a DL/ID).
a) Do you want a Veteran designator on your driver license or identification card?
(proof of Honorable discharge required; acceptable documents
b)
are DD214/5, NGB22, VA disability letter, proof of service/verification of honorable service card)
10.
Are you a 60% disabled Veteran receiving compensation and want to waive the application fee? (see 9a for documents required)
In the event of injury or death would you like to provide two (2) emergency contacts? If yes, please list:
a)
Name
Telephone Number
Address
For all Driver License Renewals complete MEDICAL questions 11 to 17. Answers to the questions below are for the confidential use of the Department.
11.
Do you currently have or have you ever been diagnosed with or treated for any medical condition that may affect your ability to safely operate a
motor vehicle?
Examples, including but not limited to: Diagnosis or treatment for heart trouble, stroke, hemorrhage or clots, high blood pressure, emphysema (within past two years)
progressive eye disorder or injury (i.e., glaucoma, macular degeneration, etc.) loss of normal use of hand, arm, foot or leg blackouts, seizures, loss of consciousness
or body control (within the past two years)
difficulty turning head from side to side
loss of muscular control stiff joints or neck inadequate hand/eye
coordination medical condition that affects your judgment dizziness or balance problems
missing limbs
If you answered YES above, has your condition
IMPROVED or
DETERIORATED since your last application for an original/renewal remake of your driver license?
12.
Do you have a mental condition that may affect your ability to safely operate a motor vehicle?
If yes, please explain:
13.
Have you ever had an epileptic seizure, convulsion, loss of consciousness, or other seizure?
14.
Do you have diabetes requiring treatment by insulin?
15.
Do you have any alcohol or drug dependencies that may affect your ability to safely operate a motor vehicle or have you had any episodes
16.
of alcohol or drug abuse within the past two years?
Within the past two years, have you been treated for any other serious medical conditions?
17.
Explain:
Have you EVER been referred to the Texas Medical Advisory Board for Driver Licensing?
Any male United States citizen or immigrant who is at least 18 years of age but less than 26 years of age submitting this application consents to registration with the
United States Selective Service System. You must be registered to qualify for federal student aid (to include Pell grant), job training, federal employment, and citizenship
if an immigrant. In Texas, you must be registered to qualify for state college student aid or state employment. If convicted, failure to register with the Selective Service is
a felony punishable by up to five years in prison and/or a $250,000 fine. If not registered by age 26, you can no longer register and could permanently lose those benefits
associated with registration. For alternative options for applicants who object to conventional military service for religious or other conscientious reasons information is
available at: http://www.sss.gov/FactSheets/FSaltsvc.pdf.
I do solemnly swear, affirm, or certify that I am the person named herein and that the statements on this information form are true and correct. I further certify my resi-
dence address is a (check one): (
) single family dwelling, (
) apartment, ( ) motel, (
) temporary shelter. I agree to immediately report to the Texas Department of
Public Safety any changes in my medical condition which may affect my ability to safely operate a motor vehicle.
DL-43 (Rev. 1/18)
SIGNATURE OF APPLICANT
DATE
SOLICITUD PARA RENOVAR, REEMPLAZAR, Ó HACER
(El reemplazo también es llamado duplicado)
CAMBIOS EN LA LICENCIA DE CONDUCIR O TARJETA DE
NUMERO DE LICENCIA O DE TARJETA DE IDENTIFICACIÓN:
IDENTIFICACIÓN DEL ESTADO DE TEXAS
INFORMACIÓN DEL SOLICITANTE
INFORMACIÓN DE CONTACTO
APELLIDO:
NÚMERO DE TELÉFONO:
PRIMER NOMBRE:
TELÉFONO SECUNDARIO:
SEGUNDO NOMBRE:
CORREO ELECTRÓNICO:
SUFIJO:
SU DOMICILIO
APELLIDO DE SOLTERA:
DOMICILIO DONDE RESIDE:
FECHA DE NACIMIENTO (mm/dd/aaaa):
CIUDAD:
ESTADO:
NÚMERO DE SEGURO SOCIAL:
CÓDIGO POSTAL:
CONDADO:
SEXO: (Marque uno)
HOMBRE
MUJER
PESO: en libres.
DOMICILIO POSTAL (Lugar donde recibe su correspondencia):
COLOR DE LOS OJOS:
ESTATURA: pies
pulg.
RAZA/ETNIA:
(I) Amerindio/Nativo de Alaska
(A) Asiático/nativo
de las Islas del Pacífico (B) Negro (H) Hispano (O) Otro (W) Blanco
INFORMACIÓN SOBRE EL SOLICITANTE (TODOS LOS SOLICITANTES favor de contestar las preguntas 1 a 10)
1.
SI NO
¿Es usted ciudadano de los Estados Unidos?
Si usted es ciudadano de los Estados Unidos, ¿le gustaría registrarse para votar? Si ya está registrado, ¿le gustaría actualizar su información de votante?
Al proporcionar mi firma electrónica, comprendo que la información personal en mi solicitud, junto con mi firma electrónica, se usará para enviar mi
solicitud de registro electoral a la oficina de la Secretaría del Estado de Texas. Deseo registrarme para votar; por lo tanto, autorizo al Departamento
de Seguridad Pública para transferir esta información a la Secretaría del Estado de Texas.
¿Desea usted donar $1.00 al Programa de Educación, Evaluación y Tratamiento de la Ceguera?
¿Desea apoyar el Programa de Registro de Texas-Glenda Dawson Donar Vida? En caso afirmativo, indicar una cantidad de la donación
de $1 o más $
¿Desea registrarse como donador de órganos?
¿Quieres apoyar a los sobrevivientes de asalto sexual? Si es así, porfavor indique la cantidad de donación de $1 o más $
.00 para
ayudar a financiar la recopilación de evidencia de asalto sexual (kit de violación)
¿Desea apoyar los Veteranos de Texas? Si la respuesta es sí, por favor, indique la cantidad de su donación $
¿Tiene usted alguna afección médica que le pueda impedir la comunicación con un oficial de la policía? En caso afirmativo, por favor indique
(el médico debe llenar el formulario DL-101 antes de emitir una licencia de conducir o tarjeta de identificación).
a) Desea una insignia de Veterano en su licencia de conducir o su tarjeta de identificación? (Se requiere comprobante de baja honorable; los
documentos aceptables son DD214/5, NGB22, carta de discapacidad del VA, prueba de servicio/verificación de la tarjeta de servicio honorable)
¿Es usted un Veterano que recibe 60% de compensación por discapacidad y desea quedar exento de los derechos de solicitud?
(vea el punto 9a para conocer qué documentos se requieren).
En caso afirmativo, por favor indique:
En caso de sufrir lesiones o la muerte, ¿le gustaría proporcionar dos (2) contactos para emergencias?
Nombre
Número telefónico
Domicilio
Para todas las Renovaciones de Licencia de Conducir, complete las preguntas MÉDICAS 11 a 17.
Las respuestas a las siguientes preguntas son para uso confidencial del Departamento.
¿Tiene actualmente o alguna vez ha sido diagnosticado con o tratado por alguna enfermedad que pueda afectar su capacidad de
operar un vehículo motorizado de manera segura?
Ejemplos, incluyendo pero no limitado a: Diagnóstico o tratamiento por problemas cardíacos, derrame cerebral, hemorragia o coágulos, presión arterial alta, enfisema (en los últi-
mos dos años) enfermedad progresiva o lesión de la vista (como glaucoma, degeneración macular, etc.) pérdida del uso normal de la mano, brazo, pie o pierna desvanec-
imientos, ataques, pérdida de la consciencia o control del cuerpo (en los últimos dos años)
dificultad para voltear la cabeza de un lado a otro
pérdida de control muscular artic-
ulaciones o cuello rígidos coordinación inadecuada de mano/ojo afección médica que altere su juicio mareos o problemas de equilibrio pérdida de algún miembro
Si respondió SÍ a la pregunta anterior, ¿su afección ha
MEJORADO o
EMPEORADO desde su última solicitud de original/renovación de licencia de conducir?
¿Tiene usted un condición mental que puede afectar su capacidad para operar con seguridad un vehículo motorizado? Si su respuesta es si,
por favor de explicar:
¿Alguna vez ha tenido un ataque epiléptico, convulsión, pérdida de la consciencia u otro ataque?
¿Tiene diabetes que requiera tratamiento con insulina?
¿Tiene alguna dependencia del alcohol o de drogas que pudiera afectar su capacidad de operar un vehículo motorizado de manera
segura o ha tenido algún episodio de abuso de drogas o alcohol en los últimos dos años?
En los últimos dos años, ¿ha recibido tratamiento por alguna otra afección médica grave?
Explique:
¿Alguna vez ha sido remitido al Comité Asesor Médico de Licencias de Conducir de Texas?
Cualquier hombre ciudadano o inmigrante de los Estados Unidos entre 18 y 26 años de edad que presente esta solicitud otorga su consentimiento para ser registrado
en el Sistema de Servicio Militar Selectivo de los Estados Unidos. Usted debe estar registrado para tener derecho a recibir ayuda federal estudiantil (incluso la beca
Pell Grant), capacitación laboral, empleo federal y la ciudadanía si es inmigrante,. En Texas, usted debe estar registrado para tener derecho a recibir ayuda estudiantil
universitaria o empleo con el Estado. No registrarse en el Servicio Militar Selectivo es un delito mayor. Si es declarado culpable de ello, podría ser castigado hasta con
cinco años de prisión y/o una multa de 250,000 dólares. Si no se ha registrado antes de cumplir 26 años, ya no se podrá registrar y podría perder permanentemente los
beneficios asociados con el registro. Para conocer otras opciones alternativas para solicitantes que se oponen al servicio militar convencional por motivos religiosos u otros
motivos de conciencia, podrá encontrar información disponible en: http://www.sss.gov/FactSheets/FSaltsvc.pdf.
Juro solemnemente, afirmo o certifico que soy la persona que se indica en el presente documento y que las declaraciones en esta solicitud son verdaderas y correctas. Además
certifico que mi domicilio de residencia es (marque una opción): (
) casa residencial, (
) apartamento, ( ) hotel, ( ) sitio de refugio temporal. Estoy de acuerdo en informar
inmediatamente al Departamento de Seguridad Pública de Texas cualquier cambio en mi condición médica que pueda afectar mi capacidad para conducir de manera segura
un vehículo motorizado.
FIRMA DEL ASPIRANTE
FECHA
College Credits Expire - Follow up if you do not receive confirmation of your request.
For those navigating the rental process, understanding the nuances of the Arizona Residential Lease Agreement is vital. This form serves as the foundation for a successful tenancy, ensuring clarity in roles and expectations. To learn more about the essential components involved, check out the information on our residential lease agreement essentials.
Printable Patient Demographics Sheet - The ZIP code is necessary for accurate location services.
Tanzania Visum - Travelers must indicate their nationality on the application form.
When filling out the DL-43 form, it’s important to pay attention to detail. Here are nine common mistakes that people often make:
Incomplete Information: Leaving out required fields can delay processing. Ensure all sections are filled out completely.
Incorrect Personal Details: Double-check your name, address, and date of birth. Typos can lead to significant issues.
Signature Errors: Failing to sign the form or using a different signature than what is on file can cause problems.
Wrong Document Submission: Make sure to attach the correct supporting documents. Submitting the wrong ones can result in a rejection.
Ignoring Instructions: Each form has specific instructions. Not following them can lead to mistakes.
Missing Fees: Forgetting to include payment can stall your application. Check the fee requirements carefully.
Using Old Versions: Always use the most current version of the DL-43 form. Older versions may not be accepted.
Not Keeping Copies: Failing to make copies of the completed form and documents can be problematic. Always keep a record for your reference.
Submitting Late: Be mindful of deadlines. Late submissions can lead to additional complications or denial.
By avoiding these common pitfalls, you can help ensure that your DL-43 form is processed smoothly and efficiently. Take your time, review your information, and don’t hesitate to ask for help if needed.
When filling out the DL-43 form, attention to detail is crucial. Here are ten essential dos and don’ts to keep in mind:
The DL-43 form is a Pennsylvania Department of Transportation document used primarily for applying for a non-driver identification card. Similar to the DL-43, the Form MV-44 is also utilized within Pennsylvania. The MV-44 is specifically for applying for a driver’s license or learner’s permit. Both forms require personal information such as your name, address, and date of birth. Additionally, both forms serve as identification documents, though the MV-44 is focused on granting driving privileges while the DL-43 is for non-drivers.
Another document that shares similarities with the DL-43 is the Form MV-120. This form is used for a duplicate driver’s license or identification card. Like the DL-43, the MV-120 requires personal identification details. Both forms aim to provide individuals with a valid form of identification, ensuring that residents can prove their identity when necessary. The main difference lies in the purpose: the DL-43 is for obtaining a new ID, while the MV-120 is for replacing a lost or damaged one.
The Form MV-42 is also comparable to the DL-43, as it is used to apply for a photo identification card for individuals who are under 16 years old. Both forms require similar personal information and serve the purpose of providing a valid identification option. However, the MV-42 is specifically tailored for younger applicants, while the DL-43 is intended for adults and older teenagers who do not possess a driver’s license.
The Form MV-1 is another relevant document. This form is used for vehicle registration in Pennsylvania. While its primary purpose is different from that of the DL-43, both documents require personal information from the applicant. Additionally, both forms are essential for legal identification within the state. The MV-1 focuses on vehicle ownership, whereas the DL-43 is centered on personal identification without the necessity of a vehicle.
When dealing with various legal documents like the DL-43 form and the I-90 form, it's essential to have a solid understanding of how ownership and rights can be transferred, which is also true for boating. For instance, the Vessel Bill of Sale serves as an important tool for transferring ownership of boats, providing both buyers and sellers with security and clarity during the transaction process.
The Form DL-80 is similar to the DL-43 in that it is used for renewing a driver’s license or identification card. Both forms require applicants to provide personal details and may involve similar verification processes. The DL-80 is specifically for individuals who already hold a driver’s license and need to renew it, while the DL-43 is for those who do not have a license but need an ID.
The Form MV-70 is another document that can be compared to the DL-43. This form is used to apply for a Pennsylvania identification card for individuals who are homeless. Both forms serve the purpose of providing identification, but the MV-70 is specifically designed to address the needs of homeless individuals, ensuring they can obtain necessary identification regardless of their housing situation.
Lastly, the Form DL-14A is relevant as it is used for a change of address on a driver’s license or identification card. While it serves a different purpose, both the DL-14A and DL-43 require personal information and are essential for maintaining accurate identification records. The DL-14A focuses on updating existing information, while the DL-43 is for those who need to obtain an ID for the first time or without a driver’s license.