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Blank Texas Dl 64 PDF Template

The Texas DL 64 form is an application used for changing your address or obtaining a replacement for a valid Texas driver license, commercial driver license, or identification card. This form must be completed and submitted to the Texas Department of Public Safety along with the required fee. It is essential for maintaining accurate records and ensuring compliance with state regulations.

Open Form

Contents

Form Example

Application for Change of Address or Replacement on valid Texas Driver

DL-64 10/2021

License (DL), Commercial Driver License (CDL) & Identification Card (ID)

* 1 6 4 1 0 2 1 *

DO NOT MAIL CASH

Mail check or money order payable to: Texas Department of Public Safety

MAIL COMPLETED FORM AND $10 FEE TO:

Texas Department of Public Safety, PO Box 149008, Austin, Texas, 78714-9008

Are you a citizen of the United States?

Yes

Do you want to support the Glenda

Dawson Donate Life Texas Donor

Driver License Number

Identification Card Number

registry? If yes, please indicate a

donation amount of $1 or more.

$ _______.00

Yes

Date of Birth MM/DD/YYYY

Phone Number

Social Security Number

Suffix (SR., JR., etc.)

Last Name

Would you like to register as an organ donor?

Yes No

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).

Yes No

First Name

Middle Name / Birth Surname

Residence – Street Address (Address cannot be a post office box or business address)

Do you want to support the issuance of a DL/ID for foster or homeless youth? If yes, please indicate a donation amount of $1 or more $ _______.00 to

exempt this population from paying any fees. (This donation does not apply to CDL holders)

Yes No

City

County

State

Zip Code

Mailing – Street Address or Post Office Box

City

County

State

Zip Code

Do you want a Veteran designator on your DL or ID, or are you 50% disabled or are you 40% and have had a lower extremity amputated and want a Disabled Veteran

designator on your DL or ID? If yes, select one:

Veteran

Disabled Veteran

(Proof of honorable discharge required; some acceptable documents are DD214/215, NGB22, VA disability letter, Veteran Identification card, proof of service/verification of honorable service card. Proof of disability is also required for Disabled Veteran designator)

If you want a Veteran or Disabled Veteran designator, do you also want the branch of service shown on your DL or ID? (your choice must match the documentation provided)

If yes, select one:

Army

Air Force

Coast Guard

Marines

Navy

Information on the front and back of this form must be completed before submitting.

No Waiting in Line! – Change your address online at	DL-64 10/2021
https://www.texas.gov/txt	DL-64 10/2021

	* 2 6 4 1 0 2 1 *
	* 2 6 4 1 0 2 1 *

If you are a U.S. citizen, would you like to register to vote? If registered, would you like to update your voter information?

Yes No

Would you like to be an Election Judge?

Yes No

I understand that giving false information to procure a voter registration is perjury, and a crime under state and federal law. Conviction of this crime may result in imprisonment up to 180 days, a fine up to $2,000, or both. PLEASE READ ALL THREE STATEMENTS TO

AFFIRM BEFORE SIGNING.

I am a resident of the county provided above, and a U.S. citizen; I have not been finally convicted of a felony, or if a felon, I have completed all of my punishment including any term of incarceration, parole, supervision, period of probation, or I have been pardoned; And I have not been determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially mentally incapacitated without the right to vote.

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.

In the event of injury or death would you like to provide two (2) emergency contacts? If yes, please print clearly:

First Name

Last Name

Street Address

Phone Number

City

State

Zip Code

First Name

Last Name

Street Address

Phone Number

City

State

Zip Code

If you currently hold a valid Texas non-commercial driver license or identification card and have not reported your change of address as required by TRC 521.054 and Administrative Code 15.25, you may do so by mail or on the Internet. To report a change of address by mail, complete this form and mail along with the required fee(s) to the Texas Department of Public Safety. To report a change of address online, go to https://www.texas.gov/txt. A driver license or identification card validating your reported address change will be mailed to you.

This form may ONLY be used to change your address or obtain a replacement DL or ID card. If you need to change information other than your address or desire a new photo, you must make an appointment at the local driver license office.

United States Selective Service

Any male at least 18 but younger than 26 years of age submitting this application consents to registration with the United States Selective Service System. Alternative options for those who object to conventional military service for religious or other conscientious reasons may be found at: https://www.sss.gov/About/Alternative-Service. By submitting this application, I am consenting to registration with the United States Selective Service System if my registration is required by federal law.

CERTIFICATION

I do solemnly swear, affirm, or certify that I am the person named herein and that the statements on this application are true and correct. I further certify my residence address is a (select 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. I further understand that I am required by law to report any change of name or address to the Department of Public Safety within thirty days.

Signature of Applicant _________________________________________________ Date _________________________

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Common mistakes

Incorrect Personal Information: Many people mistakenly enter incorrect names, dates of birth, or Social Security numbers. Ensure all personal details are accurate.
Skipping the Signature: Forgetting to sign the application can lead to delays. Always double-check that you have signed and dated the form.
Improper Payment Method: Some applicants send cash instead of a check or money order. Only checks or money orders made out to the Texas Department of Public Safety are acceptable.
Using a P.O. Box: The residence address must be a physical address. Using a P.O. box can result in rejection of the application.
Missing Donation Amounts: If you choose to support causes, make sure to fill in the donation amounts clearly. Leaving this blank can lead to confusion.
Not Checking Eligibility for Veteran Designator: Applicants often forget to confirm their eligibility for a Veteran or Disabled Veteran designator, which requires proof of service.
Ignoring Voter Registration Questions: Some individuals overlook the voter registration section. If you want to register or update your information, make sure to answer these questions.
Inaccurate Emergency Contact Information: Providing incorrect or incomplete emergency contact details can be problematic. Ensure all contact information is accurate and complete.
Failing to Read Instructions: Many people do not read the instructions carefully. Understanding the requirements can prevent mistakes.
Not Submitting Within the Required Timeframe: Remember that changes must be reported within 30 days. Delays can lead to penalties.

Key takeaways

When filling out the Texas DL 64 form, there are several important points to keep in mind:

Purpose: The DL 64 form is primarily used to change your address or to request a replacement for your Texas driver license, commercial driver license, or identification card.
Fee: A fee of $10 is required when submitting the form. Ensure you include a check or money order made out to the Texas Department of Public Safety, as cash is not accepted.
Mailing Instructions: Send the completed form along with your payment to the Texas Department of Public Safety at the specified address in Austin, Texas.
Eligibility: Only individuals with a valid Texas driver license or ID can use this form. If you need to change other information, like your name or photo, you must visit a local driver license office.
Online Option: You can also change your address online, which can save you time. Visit the Texas government website for more details.
Emergency Contacts: The form allows you to provide two emergency contacts. This can be helpful in case of an accident or emergency.
Voter Registration: If you are a U.S. citizen, you can register to vote or update your voter information through this form.
Donations: The form includes options to make donations to support various causes, such as organ donation and assistance for survivors of sexual assault.
Veteran Designator: If applicable, you can request a veteran or disabled veteran designation on your license or ID. Proof of service is required.
Certification: You must certify that the information provided is accurate and that you will report any changes in your medical condition that could affect your ability to drive.

By keeping these key points in mind, you can ensure a smoother process when filling out and submitting the Texas DL 64 form.

⇓ Texas Dl 64 PDF

Steps to Using Texas Dl 64

Filling out the Texas DL 64 form is a straightforward process. Once completed, you will need to mail it along with the required fee to the Texas Department of Public Safety. Follow these steps to ensure you fill out the form correctly.

Obtain the Texas DL 64 form from the Texas Department of Public Safety website or a local office.
Indicate if you are a U.S. citizen by checking "Yes" or "No."
If you wish to support the Glenda Dawson Donate Life Texas registry, specify a donation amount of $1 or more.
Fill in your date of birth in MM/DD/YYYY format.
Provide your phone number and Social Security Number.
Enter your last name, first name, and middle name/birth surname.
Complete your residence address, including street address, city, county, state, and zip code. Note that a post office box is not acceptable.
If applicable, indicate if you want to register as an organ donor and support survivors of sexual assault with a donation.
Provide your mailing address if different from your residence address.
If you are a veteran or disabled veteran, select the appropriate designation and provide the required proof.
Indicate if you would like to register to vote and provide your emergency contact information if desired.
Read and affirm the certification statements regarding your residency and medical condition.
Sign and date the application at the designated space.
Mail the completed form along with a check or money order for $10 to the Texas Department of Public Safety at the specified address.