Blank Dr 1 Texas PDF Form

Blank Dr 1 Texas PDF Form

The DR-1 Texas form is the official application used to request a copy of your driver record from the Texas Department of Public Safety. This form allows individuals to obtain various types of driving records, whether for personal use or on behalf of an organization. If you need to fill out the form, click the button below to get started.

The DR-1 form, officially known as the Texas Department of Public Safety Application for Copy of Driver Record, serves a crucial role for individuals seeking access to their driving history. This form allows requestors to obtain various types of driver records, including basic information such as name, date of birth, and license status, as well as detailed accounts of crashes and moving violations. Depending on the specific needs, individuals can choose from several options, each with its associated fee. For instance, a basic record costs $4.00, while a more comprehensive three-year record detailing crashes and violations is available for $6.00. If a certified version is required, the fee increases slightly. The form also emphasizes the importance of privacy, requiring written consent from the driver license or ID card holder for the release of personal information, unless certain exceptions apply. This ensures compliance with both state and federal privacy laws, safeguarding sensitive data. The Texas Department of Public Safety encourages online requests for convenience, but for those opting to mail their applications, specific instructions are provided, including payment methods and expected processing times. Understanding the nuances of the DR-1 form is essential for anyone looking to navigate the complexities of driver record requests in Texas.

Document Sample

DR-1 (Rev. 5/12)

TEXAS DPS

APPLICATION FOR COPY OF DRIVER RECORD

* 0 1 2 0 0 4 *

MAIL TO: Texas Department of Public Safety, Box 149008, Austin, TX 78714-9008

DO NOT MAIL CASH. Mail check or money order payable to: Texas Department of Public Safety

Any questions regarding the information on this form should be directed to

the Contact Center at 512-424-2600. Allow 2-3 weeks for delivery.

 

Check Type of Record Desired

 

FEE

 

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1.

Name – DOB – License Status – Latest Address.

$

4.00

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2.

Name – DOB – License Status – 3 Year Record only lists Crashes/Moving Violations.

$

6.00

 

 

 

 

 

 

 

 

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2A. CERTIFIED version of #2. This Record is Not acceptable for a Defensive Driving Course (DDC).

$ 10.00

 

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3.

Name – DOB – License Status – Record of ALL Crashes/Violations. Furnished to Licensee Only.

$

7.00

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3A. CERTIFIED version of #3. Furnished to Licensee Only and is Acceptable for DDC.

$ 10.00

 

 

 

 

 

 

 

 

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Other: (Original Application, DWLI, etc.) | | | | | | | | | | | | | | | | | | |

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(If Required)

 

 

 

 

 

 

 

 

 

 

Mail Driver Record To: (Please Print or Type)

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Requestor’s Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Requestor’s First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Texas Driver License Number

 

 

 

 

 

 

 

 

 

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City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

Zip Code

 

 

 

 

 

 

 

Daytime Telephone Number (include area code)

 

If requesting on behalf of a business, organization, or other entity, please include the following:

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Name of business, organization, entity, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Your Title or Affiliation with above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Type of business, organization, etc. (i.e., insurance provider, towing company, private investigation, firm, etc.)

Information Requested On:

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| M | M | / | D |D | / | Y | Y | Y |Y |

 

 

 

 

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Texas Driver License Number

 

 

 

 

 

 

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suffix (SR., JR., etc.)

 

 

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Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Middle Name/Maiden Name

Individual’s Written Consent For ONE TIME Release to Above Requestor

(Requestor, if you do not meet one of the exceptions listed on the back of this form, please be advised that without the written consent of the driver license/ID card holder, the record you receive will not include personal information.)

I,

 

, hereby certify that I granted access on this one occasion to my Driver License/ID Card

record, inclusive of the personal information (name, address, driver identification number, etc.) to

 

 

 

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Signature of License / ID Card Holder or Parent / Legal Guardian

 

Date

State and Federal Law Requires Requestors to Agree to the Following:

In requesting and using this information, I acknowledge that this disclosure is subject to the federal Driver’s Privacy Protection Act (18 U.S.C. Section 2721 et seq.) and Texas Transportation Code Chapter 730. False statements or representations to obtain personal information pertaining to any individual from the DPS could result in the denial to release any driver record information to myself and the entity for which I made the request. Further, I understand that if I receive personal information as a result of this request, it may only be used for the stated purpose and I may only resell or redisclose the information pursuant to Texas Transportation Code §730.013. Violations of that section may result in a criminal charge with the possibility of a $25,000 fine.

I certify that I have read and agree with the above conditions and that the information provided by me in this request is true and correct. If I am request- ing this driver record on behalf of an entity, I also certify that I am authorized by that entity to make this request on their behalf. I also acknowledge that failure to abide by the provisions of this agreement and any state and federal privacy law can subject me to both criminal and civil penalties.

Signature of Requestor

Date

If you are not requesting a copy of your own record or do not have the written consent of

DL/ID holder, you must provide the information requested on the reverse.

Texas Department

of Public Safety

Save Time – Request Your Driver Record Online

www.texas.gov

Important Instructions – Read Carefully

The Texas Department of Public Safety may disclose personal information to a requestor without written consent of the DL/ID holder, on proof of their identity and a certification by the requestor that the use of the personal information is authorized under state and federal law and that the information will be used only for the purpose stated and in complete compliance with state and federal law.

You must meet one or more of the following exceptions if you do not have written consent of the DL/ID holder to be entitled to receive personal information on the above named individual. Please initial each category that applies to the requested driver record.

1.For use in connection with any matter of (a) motor vehicle or motor vehicle operator safety; (b) motor vehicle theft; (c) motor vehicle emissions; (d) motor vehicle product alterations, recalls, or advisories; (e) performance monitoring of motor vehi- cles or motor vehicle dealers by a motor vehicle manufacturer; or (f) removal of nonowner records from the original owner records of a motor vehicle manufacturer to carry out the purposes of the Automobile Information Disclosure Act, the Anti Car Theft Act of 1992, the Clean Air Act, and any other statute or regulation enacted or adopted under or in relation to a law included in the above.

2.For use by a government agency in carrying out its functions or a private entity acting on behalf of a government agency in carrying out its functions.

3.For use in connection with a matter of (a) motor vehicle or motor vehicle operator safety; (b) motor vehicle theft; (c) motor vehicle product alterations, recalls, or advisories; (d) performance monitoring of motor vehicles, motor vehicle parts, or motor vehicle dealers; (e) motor vehicle market research activities, including survey research; or (f) removal of nonowner records from the original owner records of motor vehicle manufacturers.

4.For use in the normal course of business by a legitimate business or an authorized agent of the business, but only to veri- fy the accuracy of personal information submitted by the individual to the business or the authorized agent of the business and to obtain correct information if the submitted information is incorrect to prevent fraud by pursuing a legal remedy against, or recovering on a debt or security interest against the individual.

5.For use in conjunction with a civil, criminal, administrative, or arbitral proceeding in any court or government agency or before any self regulatory body, including service of process, investigation in anticipation of litigation, execution or enforce- ment of a judgement or order, or under an order of any court.

6.For use in research or in producing statistical reports, but only if the personal information is not published, redisclosed, or used to contact any individual.

7.For use by an insurer or insurance support organization, or by a self insured entity, or an authorized agent of the entity, in connection with claims investigation activities, antifraud activities, rating or underwriting.

8.For use in providing notice to an owner of a towed or impounded vehicle.

9.For use by a licensed private investigator agency or licensed security service for a purpose permitted as stated on this page.

10.For use by an employer or an authorized agent or insurer of the employer to obtain or verify information relating to a hold- er of a commercial driver license that is required under 49 U.S.C. Chapter 313.

11.For use in connection with the operating of a private toll transportation facility.

12.For use by a consumer-reporting agency as defined by the Fair Credit Reporting Act (15 U.S.C. §1681 et seq.) for a pur- pose permitted under the Act.

13.For any other purpose specifically authorized by law that relates to the operation of a motor vehicle or to public safety. Please state specific statutory authority

14.For use in the preventing, detecting, or protecting against identity theft or other acts of fraud. The Department prior to release of personal information may require additional information.

Below is an example of how numbers and letters should be written on front of this form:

| 1 | 2 | 3 |4 | 5 | 6 | 7 | 8 | 9 |0 |

|A | B| C | D | E | F| G |H | I | J| K | L |M|N|O| P|Q| R | S |T | U| V |W| X| Y| Z |

* 0 1 2 0 0 4 *

File Specifics

Fact Name Details
Form Purpose The DR-1 form is used to request a copy of a driver's record from the Texas Department of Public Safety.
Submission Address Requests must be mailed to the Texas Department of Public Safety, Box 149008, Austin, TX 78714-9008.
Payment Method Cash is not accepted. Payment should be made via check or money order payable to the Texas Department of Public Safety.
Processing Time Allow 2-3 weeks for delivery of the requested driver record.
Governing Laws This form is governed by the federal Driver’s Privacy Protection Act and Texas Transportation Code Chapter 730.
Types of Records Various types of records can be requested, including a 3-year record of crashes/moving violations and a certified version for defensive driving courses.

How to Use Dr 1 Texas

Completing the DR-1 form is a straightforward process, but accuracy is essential. Ensure that all information is filled out correctly to avoid delays in processing your request. Once the form is completed, it will need to be mailed to the Texas Department of Public Safety along with the appropriate payment. Allow a waiting period of 2-3 weeks for the delivery of your driver record.

  1. Obtain the DR-1 form from the Texas Department of Public Safety website or a local office.
  2. Indicate the type of record you wish to request by checking the appropriate box. Options include:
    • Name, Date of Birth, License Status, Latest Address - $4.00
    • Name, Date of Birth, License Status, 3-Year Record (only crashes/moving violations) - $6.00
    • Certified version of the 3-Year Record - $10.00
    • Name, Date of Birth, License Status, Record of All Crashes/Violations (for licensee only) - $7.00
    • Certified version of the All Crashes/Violations Record (for licensee only) - $10.00
    • Other (specify) - $____
  3. Fill out the section titled "Mail Driver Record To" with your last name, first name, street address, Texas driver license number, city, state, zip code, and daytime telephone number.
  4. If you are requesting the record on behalf of a business or organization, provide the name of the entity, your title, and the type of business.
  5. Complete the section requesting information on the individual whose record you are requesting, including their Texas driver license number, date of birth, last name, first name, and middle name/maiden name.
  6. Obtain the written consent of the driver license/ID card holder if required. This section must be signed and dated by the license/ID card holder or their parent/legal guardian.
  7. Read and agree to the statement regarding state and federal law. Sign and date this section as the requestor.
  8. Make a payment via check or money order payable to the Texas Department of Public Safety. Do not send cash.
  9. Mail the completed form and payment to the Texas Department of Public Safety at Box 149008, Austin, TX 78714-9008.

Your Questions, Answered

  1. What is the DR-1 Texas form?

    The DR-1 Texas form is an application used to request a copy of an individual's driver record from the Texas Department of Public Safety (DPS). This form allows individuals to obtain various types of records, including personal information, crash history, and moving violations, depending on the type of record requested.

  2. How do I submit the DR-1 form?

    To submit the DR-1 form, complete all required sections accurately. Once filled out, mail the form along with a check or money order (never cash) to the Texas Department of Public Safety at Box 149008, Austin, TX 78714-9008. Ensure that the payment is made out to the Texas Department of Public Safety. Allow 2-3 weeks for processing and delivery.

  3. What types of records can I request?

    The DR-1 form offers several options for records, including:

    • Name, date of birth, license status, and latest address for $4.00.
    • A 3-year record listing crashes and moving violations for $6.00.
    • A complete record of all crashes and violations for $7.00, available only to the licensee.
    • Certified versions of these records, which may be required for defensive driving courses, are also available for an additional fee.
  4. If you do not have written consent from the driver license holder, you must meet specific exceptions outlined in the form to receive personal information. These exceptions include situations related to motor vehicle safety, government functions, and legal proceedings. You will need to initial the applicable categories when submitting your request.

  5. Can I request a record on behalf of someone else?

    Yes, you can request a record on behalf of another individual, provided you have their written consent. The form includes a section for the license or ID card holder to grant access to their records for one-time release. Without this consent, the request may be denied unless you meet one of the exceptions specified.

  6. How much does it cost to obtain a driver record?

    The cost to obtain a driver record varies based on the type of record requested. For instance, the basic record costs $4.00, while a complete record costs $7.00. Certified versions of records incur additional fees, typically around $10.00. Be sure to include the correct payment amount with your application.

  7. What should I do if I have questions about the form?

    If you have questions regarding the DR-1 form or the process for obtaining a driver record, you can contact the Texas Department of Public Safety's Contact Center at 512-424-2600. They can provide assistance and clarification on any concerns you may have.

  8. How can I save time when requesting my driver record?

    To save time, consider requesting your driver record online through the Texas Department of Public Safety's website at www.texas.gov. This option may expedite the process compared to mailing a physical form.

Common mistakes

  1. Incomplete Information: One of the most common mistakes is failing to fill out all required fields. Ensure that all necessary details, such as your name, address, and Texas Driver License Number, are included. Missing information can delay your request.

  2. Incorrect Payment Method: Many people mistakenly send cash instead of a check or money order. Remember, the Texas Department of Public Safety does not accept cash payments. Always use a check or money order made out to the Texas Department of Public Safety.

  3. Choosing the Wrong Record Type: Selecting the incorrect type of record can lead to receiving information that does not meet your needs. Review the options carefully and ensure you select the one that aligns with your request.

  4. Not Providing Written Consent: If you are requesting someone else's driver record, you must have their written consent. Without this, you may not receive the personal information you are seeking. Make sure to obtain and include this consent to avoid complications.

  5. Ignoring the Processing Time: Many individuals overlook the note about processing times. Allow 2-3 weeks for delivery of your driver record. Planning ahead can help you avoid unnecessary stress if you need the record by a specific date.

Documents used along the form

The DR-1 Texas form is essential for obtaining a copy of your driver record from the Texas Department of Public Safety. Along with this form, several other documents may be required or helpful in various situations related to driver records. Here’s a brief overview of some commonly used forms and documents.

  • Driver License Application (DL-14): This form is used when applying for a new Texas driver license or renewing an existing one. It collects personal information, including your name, address, and date of birth.
  • Request for Driver Record (DR-2): Similar to the DR-1, this form is specifically for requesting a driver record on behalf of someone else. It requires the consent of the individual whose record is being requested.
  • Driver License Renewal Application: This document is necessary for renewing your driver license. It may require you to provide updated personal information and possibly undergo a vision test.
  • Defensive Driving Course Certificate: This certificate is issued upon completion of a defensive driving course. It may help to reduce points on your driving record or dismiss a traffic citation.
  • Accident Report (CR-3): If you’ve been involved in a vehicle accident, this report is filed with the Texas Department of Transportation. It documents the details of the incident and may be required for insurance claims.
  • Driver Record Request for Employment (DR-3): Employers may use this form to request a driving record for potential employees, especially for positions that involve driving as part of the job.

Understanding these forms can streamline your interactions with the Texas Department of Public Safety. Ensure you have the necessary documents ready to avoid delays in processing your requests.

Similar forms

The DR-1 Texas form is similar to the Form I-20, which is used by international students to apply for a student visa. Both documents require personal information, such as the applicant's name and date of birth. Each form serves a specific purpose: the DR-1 is for obtaining a driver record, while the Form I-20 is necessary for maintaining legal student status in the U.S. Both forms also emphasize the importance of accuracy and the need for signatures to validate the information provided.

Another document that shares similarities with the DR-1 is the DMV Form REG 343, which is used to request a vehicle record in California. Like the DR-1, the REG 343 requires personal identification details and specifies the type of record being requested. Both forms are designed to ensure that the requester has a legitimate reason for accessing sensitive information. They also include sections for the applicant's signature, affirming that the information is correct and that the request complies with state laws.

The Form DS-11, which is used for applying for a U.S. passport, also resembles the DR-1. Both documents require proof of identity and personal information. The DR-1 focuses on driver records, while the DS-11 pertains to passport applications. Each form has specific instructions for submission and processing times. Both emphasize the need for applicants to provide accurate information and may require additional documentation to verify identity.

The IRS Form 4506-T, which requests a transcript of tax return information, is another document similar to the DR-1. Both forms require the applicant's personal details and specify the type of information being requested. While the DR-1 pertains to driver records, the 4506-T is focused on tax information. Each form includes a section for the applicant's signature, confirming the authenticity of the request and compliance with privacy laws.

Similarly, the Social Security Administration's Form SS-5, used to apply for a Social Security card, shares common elements with the DR-1. Both require personal identification details, such as name and date of birth. Each form is aimed at obtaining a specific type of record, with the DR-1 focused on driving history and the SS-5 on Social Security numbers. Both forms also require the applicant's signature, affirming the accuracy of the information provided.

The Employment Eligibility Verification Form I-9 is another document that parallels the DR-1. Both forms require personal information and are used to verify identity. The DR-1 is for driver records, while the I-9 is necessary for employment verification in the U.S. Each form includes sections for the applicant's signature, ensuring that the information is accurate and complies with federal regulations.

The Form 1040, which is used for filing individual income tax returns, also shares similarities with the DR-1. Both require detailed personal information and are used to obtain specific records. The DR-1 focuses on driving records, while the 1040 pertains to tax information. Each form emphasizes the importance of providing accurate information and includes a signature section to validate the submission.

Lastly, the Form N-400, which is the application for U.S. citizenship, is similar to the DR-1 in that both require extensive personal information and documentation. The DR-1 is for driver records, while the N-400 is focused on immigration status. Both forms have strict guidelines for completion and require the applicant's signature to confirm that the information is true and complete. They also have specific processing times and instructions for submission.

Dos and Don'ts

When filling out the DR-1 Texas form, there are several important dos and don’ts to keep in mind. Following these guidelines can help ensure that your application is processed smoothly.

  • Do read the instructions carefully before starting to fill out the form.
  • Do provide accurate information, including your name, date of birth, and driver license number.
  • Do use a check or money order for payment; do not send cash.
  • Do ensure that all required signatures are included on the form.
  • Do include a daytime telephone number in case the Department needs to reach you.
  • Don’t forget to specify the type of record you are requesting.
  • Don’t leave any sections of the form blank; fill in all required fields.
  • Don’t submit the form without verifying that all information is correct.
  • Don’t forget to allow 2-3 weeks for processing and delivery.
  • Don’t attempt to obtain personal information without the necessary consent if you are not the individual requesting the record.

Misconceptions

Understanding the DR-1 Texas form is crucial for those seeking a copy of their driver record. However, several misconceptions can lead to confusion. Here are six common misunderstandings:

  • Misconception 1: The DR-1 form can be used to request any driver record.
  • This is not true. The form is specific to certain types of records, such as crash or violation history. Be sure to select the correct type of record you need.

  • Misconception 2: You can pay for the record using cash.
  • Cash payments are not accepted. Instead, you must use a check or money order made out to the Texas Department of Public Safety.

  • Misconception 3: You can request someone else's driver record without their consent.
  • Without the written consent of the individual whose record you are requesting, you may not receive personal information. Exceptions exist, but they are limited.

  • Misconception 4: The DR-1 form is only for personal use.
  • The form can also be used by businesses or organizations, provided they meet specific requirements and include relevant information about their affiliation.

  • Misconception 5: You will receive your driver record immediately after submitting the form.
  • Processing the request takes time. You should allow 2-3 weeks for delivery after your request is submitted.

  • Misconception 6: All records obtained through the DR-1 form are certified.
  • Not all records are certified. If you need a certified version, you must specifically request it on the form and may have to pay an additional fee.

Key takeaways

When filling out the DR-1 Texas form, it is essential to follow specific guidelines to ensure a smooth application process. Here are key takeaways to keep in mind:

  • Mailing Instructions: Send the completed form to the Texas Department of Public Safety at Box 149008, Austin, TX 78714-9008. Do not send cash; instead, use a check or money order.
  • Record Fees: The fees vary based on the type of record requested. For example, a basic record costs $4.00, while a certified version may cost $10.00.
  • Delivery Time: Expect delivery of your driver record within 2-3 weeks after submission.
  • Personal Information: Ensure that the requestor's information is accurately filled out, including the last name, first name, and contact details.
  • Written Consent: If you are not requesting your own record, you must obtain written consent from the driver license or ID card holder.
  • Exceptions to Consent: Familiarize yourself with the exceptions that allow access to personal information without consent, such as for government functions or safety matters.
  • Signature Requirement: Both the requestor and the license/ID card holder must sign the form where indicated, confirming the accuracy of the information provided.
  • Compliance with Laws: Understand that the request and use of driver records are subject to federal and state privacy laws, including the Driver’s Privacy Protection Act.
  • Online Requests: Consider using the online option available at www.texas.gov to save time when requesting your driver record.