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The DL-43 form is an important document used in various administrative processes, particularly related to vehicle registration and driver licensing. It serves as a request for a duplicate driver's license or identification card in cases where the original has been lost, stolen, or damaged. Understanding the DL-43 form is crucial for anyone who needs to replace their identification quickly and efficiently. Completing the form accurately ensures that the application process goes smoothly. Additionally, the DL-43 form may require specific information such as personal identification details, the reason for the request, and possibly a fee. Knowing how to fill out this form properly can save time and reduce frustration when dealing with state motor vehicle departments. Familiarity with the requirements and procedures associated with the DL-43 form can empower individuals to navigate the system with confidence.

Form Sample

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:
⇩ PDF

Document Specifications

Fact Name Description
Purpose The DL-43 form is used for requesting a duplicate driver's license in certain states.
Eligibility Individuals must provide identification and meet specific requirements to apply for a duplicate license.
Governing Law In Pennsylvania, the DL-43 form is governed by the Pennsylvania Vehicle Code.
Submission Process The form can typically be submitted online, by mail, or in person at designated offices.

Steps to Filling Out DL-43

After obtaining the DL-43 form, you will need to complete it accurately to ensure a smooth processing experience. Follow these steps carefully to fill out the form correctly.

  1. Begin by entering your full name in the designated field.
  2. Provide your current address, including city, state, and ZIP code.
  3. Indicate your date of birth in the specified format.
  4. Fill in your driver's license number if applicable.
  5. Complete the section regarding your Social Security number.
  6. Review the list of required documents and ensure you have them ready to submit.
  7. Sign and date the form at the bottom.
  8. Double-check all entries for accuracy before submission.

Once you have filled out the form, gather any necessary documents and prepare for submission according to the instructions provided on the form.

More About DL-43

What is the DL-43 form?

The DL-43 form is a document used in the United States for specific licensing purposes, typically related to driving or identification. It is often required for individuals seeking to obtain a driver's license, permit, or state-issued ID. This form collects essential information to verify the identity and eligibility of the applicant.

Who needs to fill out the DL-43 form?

Individuals who are applying for a new driver's license, renewing an existing license, or obtaining a state ID may need to complete the DL-43 form. It is particularly important for first-time applicants or those who have undergone significant changes in their personal information, such as a name change or a change in residency.

Where can I obtain the DL-43 form?

The DL-43 form can typically be obtained from your state's Department of Motor Vehicles (DMV) website or office. Many states offer the form for download online, allowing you to fill it out before visiting the DMV. Alternatively, you can request a physical copy at the DMV when you go to apply for your license or ID.

What information do I need to provide on the DL-43 form?

When filling out the DL-43 form, you will generally need to provide personal information such as your full name, date of birth, address, and Social Security number. Additionally, you may be required to disclose details about your driving history, including any previous licenses held and any traffic violations.

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

Yes, there is usually a fee associated with the application process that includes the submission of the DL-43 form. The amount can vary by state and may depend on whether you are applying for a new license, renewing an existing one, or obtaining a state ID. It's important to check with your local DMV for the exact fee structure.

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

The processing time for the DL-43 form can vary based on the state and the volume of applications being handled at the time. Generally, you can expect to receive your driver's license or ID within a few weeks after submission. However, some states may offer expedited services for an additional fee.

Can I submit the DL-43 form online?

Some states allow applicants to submit the DL-43 form online, especially for renewals or replacements. If your state offers this option, you will typically need to create an account on the DMV website and follow the instructions provided. Be sure to check your state's specific guidelines regarding online submissions.

What should I do if I make a mistake on the DL-43 form?

If you realize that you made a mistake on your DL-43 form after submission, it's important to contact your local DMV as soon as possible. Depending on the nature of the error, they may instruct you to submit a correction or provide guidance on how to proceed. Prompt action can help avoid delays in processing your application.

What happens if my DL-43 form is denied?

If your DL-43 form is denied, the DMV will typically provide a reason for the denial. Common reasons include failure to meet identification requirements or discrepancies in the information provided. You will usually have the opportunity to address the issues and reapply. It's advisable to carefully review the feedback from the DMV to understand the next steps.

Can I get help with filling out the DL-43 form?

Yes, if you need assistance with filling out the DL-43 form, you can seek help from family members, friends, or staff at the DMV. Many DMV offices have personnel available to answer questions and provide guidance on how to complete the form accurately. Additionally, online resources and guides may be available to assist you.

Common mistakes

  1. Incomplete Information: Many individuals forget to fill out all required fields. Leaving sections blank can lead to delays in processing.

  2. Incorrect Personal Details: Mistakes in names, addresses, or dates of birth are common. Double-checking this information is crucial to avoid complications.

  3. Signature Issues: Some people neglect to sign the form or use a different signature than what is on their identification. This inconsistency can cause the application to be rejected.

  4. Failure to Provide Identification: Applicants often forget to include necessary identification documents. Without these, the form cannot be processed.

  5. Using the Wrong Version of the Form: It’s important to ensure that you are using the most current version of the DL-43 form. Outdated forms may not be accepted.

  6. Not Reading Instructions: Skipping over the instructions can lead to misunderstandings about what is required. Taking the time to read them can save a lot of hassle.

  7. Providing Inaccurate Payment Information: When paying fees, some people enter incorrect credit card numbers or fail to include payment altogether. This can halt the processing of the application.

  8. Missing Deadlines: Applicants sometimes overlook submission deadlines. Late applications may not be processed, causing further delays.

  9. Not Keeping Copies: Failing to make copies of the completed form and submitted documents can lead to issues if something goes missing. Always keep records for your reference.

  10. Neglecting to Check for Updates: Regulations and requirements can change. It’s important to check for any updates to the DL-43 form before submitting.

Documents used along the form

The DL-43 form is an important document used in various legal and administrative processes. When dealing with this form, you may also encounter several other documents that are commonly required or beneficial to have on hand. Below is a list of these forms, along with a brief description of each.

  • DL-44 Form: This form is typically used to apply for a new driver's license or to renew an existing one. It collects personal information and verifies identity, ensuring that all drivers meet state requirements.
  • DL-45 Form: Often utilized for reporting a lost or stolen driver's license, this form helps individuals formally notify the state and request a replacement. It may also include details about the circumstances of the loss.
  • DL-46 Form: This document is used to update personal information on a driver's license, such as a change of address or name. Keeping this information current is essential for legal identification purposes.
  • DL-47 Form: This form is necessary for individuals applying for a commercial driver's license (CDL). It includes additional requirements and qualifications specific to commercial driving.
  • DL-48 Form: Used for medical evaluations, this form is required for certain drivers to ensure they meet health standards necessary for safe driving. It may involve a physician's assessment.
  • Proof of Identity Documents: While not a specific form, providing proof of identity—such as a birth certificate or passport—often accompanies the DL-43 form. These documents help verify your identity when applying for or renewing a license.

Understanding these related forms can help streamline your process when dealing with the DL-43 form. Each document serves a specific purpose, ensuring that you meet all necessary requirements and maintain accurate records. Being prepared with the right paperwork can save time and reduce stress.

Similar forms

The DL-44 form is similar to the DL-43 in that both are used for driver's license applications in California. The DL-44 is specifically for those applying for a new license or renewing an existing one. It collects personal information, residency details, and requires a signature. Just like the DL-43, the DL-44 must be completed accurately to avoid delays in processing.

The DL-45 form is another related document, used for identification cards in California. This form serves a similar purpose to the DL-43, as it gathers essential personal information to issue a state ID. The information required includes the applicant's name, address, and date of birth. Both forms require the applicant's signature and may need to be submitted in person.

The DL-46 form is used for temporary licenses. It is similar to the DL-43 in that it allows individuals who have applied for a license to drive legally while waiting for their permanent license. The DL-46 requires basic personal information and a signature, just like the DL-43, ensuring that the applicant is recognized as legally eligible to drive temporarily.

The DL-47 form is designed for those who need to replace a lost or stolen driver's license. This form is similar to the DL-43 in that it collects personal information to verify the identity of the applicant. Both forms require the applicant's signature and provide a means for the state to issue a new license or document based on the information provided.

The DL-48 form is used for updating personal information on an existing driver's license. This document is akin to the DL-43 since it requires the applicant to provide updated details, such as a change of address or name. Both forms require a signature and are essential for keeping driving records accurate and up to date.

The DL-49 form is for driver's license reinstatement after a suspension. This form shares similarities with the DL-43 as it requires personal information and a signature. Both forms are crucial for individuals looking to regain their driving privileges, ensuring that the state has the necessary information to process the reinstatement.

The DL-50 form is used for individuals applying for a commercial driver's license (CDL). This form is similar to the DL-43 in that it collects personal details and requires a signature. Both forms serve to verify the identity of the applicant, but the DL-50 includes additional questions related to commercial driving qualifications.

Dos and Don'ts

When filling out the DL-43 form, it's important to get it right to avoid delays or issues. Here are some dos and don'ts to keep in mind:

  • Do read the instructions carefully before starting.
  • Do provide accurate and complete information.
  • Do double-check your form for any errors before submission.
  • Don't leave any required fields blank.
  • Don't use whiteout or correction fluid on the form.
  • Don't forget to sign and date the form where indicated.

Misconceptions

The DL-43 form is often misunderstood. Here are four common misconceptions about it:

  • The DL-43 form is only for new drivers. This is not true. The DL-43 form is used for various purposes, including renewals and changes to existing driver information.
  • Submitting the DL-43 form guarantees immediate processing. While the form is essential for various transactions, processing times can vary. Factors such as workload and the method of submission can affect how quickly your request is handled.
  • All states use the DL-43 form in the same way. This is a misconception. Each state may have its own version or specific requirements for the DL-43 form, so it’s important to check local regulations.
  • Once submitted, you cannot make changes to the DL-43 form. This is incorrect. If you realize there’s an error after submission, you can often submit a correction request or follow the state’s procedure for amendments.

Key takeaways

When filling out and using the DL-43 form, keep the following key takeaways in mind:

  • Understand the Purpose: The DL-43 form is primarily used for applying for a duplicate or replacement of a driver's license.
  • Gather Required Information: Ensure you have all necessary personal information, including your full name, address, and date of birth.
  • Check for Fees: Be aware that there may be a fee associated with submitting the DL-43 form for a duplicate license.
  • Submit Correctly: Follow the instructions carefully to ensure the form is submitted to the correct department or agency.
  • Keep Copies: Retain a copy of the completed DL-43 form for your records in case of any issues.