APPLICATION FOR TEXAS DRIVER LICENSE OR IDENTIFICATION CARD
NOTICE: All information on this application must be in INK.

Applications held only 90 days.

DPS CANNOT REFUND PAYMENT ONCE APPLICATION IS SUBMITTED.

APPLICATION for:

DRIVER LICENSE

COMMERCIAL DRIVER LICENSE (CDL)

IDENTIFICATION CARD

Class (Circle)

A

B

C

M

HOME PHONE:

FIRST NAME:

OTHER PHONE:

MIDDLE NAME:

EMAIL:

SUFFIX:

ADDRESS INFORMATION

MAIDEN NAME:

DATE OF BIRTH (mm/dd/yyyy):
EYE COLOR:

LEARNER LICENSE

CONTACT INFORMATION

LAST NAME:

SEX: (Circle One)

ASSIGNED #

NON-RESIDENT COMMERCIAL DRIVER LICENSE

APPLICANT INFORMATION

SSN:

FOR DEPARTMENT USE ONLY
RESTRICTIONS/ENDORSEMENTS

—

MALE

RACE / ETHNICITY:

—

—

RESIDENCE ADDRESS:

—

CITY:

FEMALE

ZIP CODE:

HAIR COLOR:

MAILING ADDRESS:

(I) American Indian /Alaska Native

(A) Asian / Pacific Islander (B) Black (H) Hispanic (O) Other (W) White
HEIGHT: ft.

PLACE OF BIRTH: CITY:

in.

CITY:

WEIGHT: lbs.

FATHER’S LAST NAME:

COUNTY:

ZIP CODE:

STATE:

COUNTY:

COUNTY:

STATE:

STATE:

COUNTRY:

MOTHER’S MAIDEN NAME:

REQUIRED INFORMATION FROM ALL APPLICANTS
1.

YES

NO

2.

Are you a citizen of the United States?

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?