Blank Texas Dr 1 PDF Form

Blank Texas Dr 1 PDF Form

The Texas DR-1 form is an official application used to request a copy of an individual's driver record from the Texas Department of Public Safety. This form allows individuals to obtain various types of driving records, including personal details, accident history, and moving violations. To get started on your request, simply fill out the form by clicking the button below.

The Texas DR-1 form serves as a crucial tool for individuals and entities seeking access to driver records within the state. This application form, issued by the Texas Department of Public Safety, facilitates requests for various types of driver records, including basic information such as name, date of birth, license status, and the latest address. Additionally, it allows requesters to obtain detailed records that list accidents and moving violations from the past three years or even all accidents and violations in a driver’s history. For those requiring certified versions of these records, the form provides specific options, ensuring compliance with necessary regulations. It is important to note that personal information is protected under state and federal law, and individuals requesting records must often secure written consent from the driver license or ID card holder. The form also outlines various exceptions under which personal information may be disclosed without consent, such as for government functions or legal proceedings. Completing the DR-1 form accurately is essential, as any inaccuracies could delay the processing of requests, which typically takes 2-3 weeks for delivery. For those seeking immediate assistance, the Texas Department of Public Safety offers a customer service line to address any inquiries regarding the form and its requirements.

Document Sample

DR-1 (Rev. 5/08)

TEXASDPS

APPLICATIONFORCOPYOFDRIVERRECORD

* 0 1 2 0 0 4 *

MAILTO:DriverRecordsBureau,TexasDepartmentofPublicSafety,Box149246,Austin,TX78714-9246

Make CHECK or MONEY ORDER Payable To:

TEXAS DEPARTMENTOF PUBLIC SAFETY

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

Customer Service at 512-424-2600. Allow 2-3 weeks for delivery.

 

CheckTypeofRecordDesired

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEE

 

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1.

Name - DOB - License Status - LatestAddress.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

4.00

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2.

Name - DOB - License Status - List ofAccidents/Moving Violations in Record within Immediate Past 3Year Period.

 

 

 

$

6.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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2A. CERTIFIED version of #2. This Record is NotAcceptable for DDC Course.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$ 10.00

 

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3.

Name - DOB - License Status - List ofALLAccidents and Violations in Record. Furnished to Licensee ONLY.

 

 

 

 

$

7.00

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3A. Certified version of #3. Furnished to Licensee ONLY and is Acceptable for DDC Course.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$ 10.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Other: (OriginalApplication, DWLS, etc.)

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(If Required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MailDriverRecordTo:

(PleasePrintorType)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Requestor’s Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Requestor’s First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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StreetAddress

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Texas Driver License Number

 

 

 

 

 

 

 

 

 

 

 

 

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City

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

Zip Code

 

 

 

 

 

 

 

DaytimeTelephone 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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YourTitle orAffiliation with above

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

InformationRequestedOn:

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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’sWrittenConsentFor ONETIME ReleasetoAboveRequestor

(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/IDCard

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

 

 

StateandFederalLawRequiresRequestorstoAgreetotheFollowing:

In requesting and using this information, I acknowledge that this disclosure is subject to the federal Driver’s Privacy ProtectionAct (18 U.S.C. Section 2721etseq.)andTexasTransportationCodeChapter730. Falsestatementsorrepresentationstoobtainpersonalinformationpertainingtoanyindivid- ualfromtheDPScouldresultinthedenialtoreleaseanydriverrecordinformationtomyselfandtheentityforwhichImadetherequest. Further,Iunder- standthatifIreceivepersonalinformationasaresultofthisrequest,itmayonlybeusedforthestatedpurposeandImayonlyresellorredisclosethe information pursuant toTexasTransportation Code §730.013. Violations of that section may result in a criminal charge with the possibility of a $25,000 fine.

IcertifythatIhavereadandagreewiththeaboveconditionsandthattheinformationprovidedbymeinthisrequestistrueandcorrect. IfIamrequest- ingthisdriverrecordonbehalfofanentity,IalsocertifythatIamauthorizedbythatentitytomakethisrequestontheirbehalf. Ialsoacknowledgethat 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 havethe written consent of

 

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

TexasDepartment

ofPublicSafety

SaveTime - RequestYourDriverRecordOnline

www.texasonline.com

Important Instructions - Read Carefully

The Texas Department of Public Safety may disclose personal information toarequestorwithoutwrittenconsentoftheDL/IDholder,onproof oftheiridentityandacertificationbytherequestorthattheuseofthepersonalinformationisauthorizedunderstateandfederallawandthat 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.Foruseinconnectionwithanymatterof(a)motorvehicleormotorvehicleoperatorsafety;(b)motorvehicletheft;(c)motor vehicle emissions; (d) motor vehicle product alterations, recalls, or advisories; (e) performance monitoring of motor vehi- clesormotorvehicledealersbyamotorvehiclemanufacturer;or(f)removalof nonownerrecordsfromtheoriginalowner records of a motor vehicle manufacturer to carry out the purposes of theAutomobile Information DisclosureAct, theAnti Car TheftAct of 1992, the CleanAirAct, 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.Foruseinconnectionwithamatterof(a)motorvehicleormotorvehicle operatorsafety;(b)motorvehicletheft;(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.Foruseinthenormalcourseofbusinessbyalegitimatebusinessoranauthorizedagentofthebusiness,butonlytoveri- fytheaccuracyofpersonalinformationsubmittedbytheindividualtothebusinessortheauthorizedagentofthebusiness 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 beforeanyselfregulatorybody,includingserviceofprocess,investigationinanticipationoflitigation,executionorenforce- 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.Forusebyanemployeroranauthorizedagentorinsureroftheemployertoobtainorverifyinformationrelatingtoahold- 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 ReportingAct (15 U.S.C. §1681 et seq.) for a pur- pose permitted under theAct.

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.

This form is read by machine. Please print the numbers and letters as shown below:

| 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 Description
Form Purpose The Texas DR-1 form is used to request a copy of an individual's driver record from the Texas Department of Public Safety.
Fees The fees for obtaining records range from $4.00 to $10.00, depending on the type of record requested.
Governing Laws This form is governed by the federal Driver’s Privacy Protection Act and Texas Transportation Code Chapter 730.
Delivery Time After submission, allow 2-3 weeks for delivery of the requested driver record.

How to Use Texas Dr 1

Filling out the Texas DR-1 form is a straightforward process that allows you to request a copy of your driver record. Before you begin, make sure you have all the necessary information at hand. This will help streamline the process and ensure your request is processed without delays.

  1. Download the form: Obtain the Texas DR-1 form from the Texas Department of Public Safety website or any authorized location.
  2. Check the type of record desired: In the designated section, mark the type of record you wish to request. Options include a basic record, a record with accidents and violations, or a certified version.
  3. Fill in your information: Provide your last name, first name, street address, Texas driver license number, city, state, zip code, and daytime telephone number.
  4. For businesses or organizations: If you are requesting on behalf of an entity, include the name of the business, your title, and the type of business.
  5. Provide requested individual's information: Enter the last name, first name, middle name/maiden name, date of birth, and Texas driver license number of the individual whose record you are requesting.
  6. Obtain written consent: If necessary, ensure you have the written consent of the driver license/ID card holder. This is required for personal information to be included in the record you receive.
  7. Sign and date: Both the requestor and the license/ID card holder must sign and date the form to certify the information provided is accurate and true.
  8. Payment: Include a check or money order made payable to the Texas Department of Public Safety for the appropriate fee based on the type of record requested.
  9. Mail the form: Send the completed form and payment to the address provided on the form: Driver Records Bureau, Texas Department of Public Safety, Box 149246, Austin, TX 78714-9246.

Once your form is submitted, allow 2-3 weeks for delivery. If you have any questions during the process, you can reach out to customer service at 512-424-2600 for assistance.

Your Questions, Answered

What is the Texas DR 1 form?

The Texas DR 1 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 you to specify the type of record you need, including details such as license status and any accidents or moving violations on record.

How do I submit the Texas DR 1 form?

You can submit the Texas DR 1 form by mailing it to the Driver Records Bureau at the Texas Department of Public Safety, Box 149246, Austin, TX 78714-9246. Make sure to include a check or money order made payable to the Texas Department of Public Safety for the appropriate fee.

What types of records can I request with the Texas DR 1 form?

The form allows you to request various types of records, including:

  • Name, date of birth, license status, and latest address ($4.00)
  • Name, date of birth, license status, and a list of accidents/moving violations in the past 3 years ($6.00)
  • A comprehensive list of all accidents and violations, furnished to the licensee only ($7.00)
  • Certified versions of these records, which may have different fees ($10.00 for certain records)

How long does it take to receive my driver record?

Once your request is submitted, you should allow 2-3 weeks for delivery. This timeframe can vary based on the volume of requests being processed.

Can I request my driver record online?

Yes, you can save time by requesting your driver record online through the Texas Online portal. This option may expedite the process compared to mailing in the form.

What if I am requesting a record on behalf of someone else?

If you are requesting a record on behalf of another person, you will need their written consent. The form includes a section for the individual to grant access to their driver record. Without this consent, the record will not include personal information.

What are the fees associated with the Texas DR 1 form?

The fees for requesting records vary based on the type of information requested. Here’s a quick breakdown:

  1. $4.00 for basic information (name, DOB, license status, latest address)
  2. $6.00 for a list of accidents/moving violations in the past 3 years
  3. $7.00 for a complete list of all accidents and violations (licensee only)
  4. $10.00 for certified versions of certain records

What should I do if I have questions about the Texas DR 1 form?

If you have questions regarding the Texas DR 1 form or the information it contains, you can contact Customer Service at the Texas Department of Public Safety by calling 512-424-2600. They can provide assistance and clarify any concerns you may have.

Common mistakes

  1. Incomplete Information: Many individuals fail to provide all the necessary details required on the form. This includes not filling out fields like the requestor’s last name, first name, or address. Omitting any of these critical pieces of information can lead to delays or even rejection of the request.

  2. Incorrect Payment Method: Some people mistakenly choose to send cash instead of a check or money order. The Texas Department of Public Safety specifically requires payment to be made via check or money order. Using cash can result in the application being returned.

  3. Failure to Sign: A common oversight is neglecting to sign the form. The signature of the requestor is essential for processing the request. Without it, the request cannot be validated and will not be processed.

  4. Not Following Submission Guidelines: Many individuals do not adhere to the specified mailing address or submission guidelines. The form must be sent to the correct address, which is the Driver Records Bureau. Failing to follow these instructions can lead to significant delays in receiving the driver record.

Documents used along the form

The Texas DR-1 form is used to request a copy of an individual's driver record from the Texas Department of Public Safety. Along with this form, several other documents may be commonly required or referenced in conjunction with obtaining driver records. Below is a list of these documents, each described briefly.

  • Texas Driver License Application: This document is used when an individual applies for a new Texas driver license or renews an existing one. It collects personal information and verifies eligibility to drive.
  • Driver Record Request Form (DR-2): Similar to the DR-1, the DR-2 form is used to request a detailed driver record, including information on accidents and violations. It may be required for specific legal or insurance purposes.
  • Consent Form for Release of Information: This form is necessary when someone other than the driver requests access to their driving records. It ensures that the requestor has the driver’s permission to obtain sensitive information.
  • Affidavit of Identity: This document may be required to verify the identity of the individual making the request. It often includes a sworn statement confirming the requestor's identity and their relationship to the driver.

Understanding these documents can facilitate the process of obtaining driver records in Texas. Each form plays a specific role in ensuring compliance with state laws and protecting personal information.

Similar forms

The Texas DR-1 form is similar to the DMV Form 5050, which is used in California for requesting a driving record. Both forms require the requester to provide personal information, such as the individual's name and date of birth. Additionally, they both offer options for different types of records, including certified versions. The process for submitting these forms is similar, as both can be mailed to the respective state departments, and both require a fee depending on the type of record requested.

Another comparable document is the Florida HSMV 83330 form. This form is utilized for obtaining a driving history record in Florida. Like the Texas DR-1, it requires personal details from the requester and the individual whose record is being requested. The HSMV 83330 also has a fee structure based on the type of record, including options for certified copies. Both forms emphasize the importance of consent from the individual whose record is being accessed.

The New York DMV Form MV-15 is another document that shares similarities with the Texas DR-1 form. This form is used to request a driving record in New York. Both forms ask for the requestor's identification information and the driver's details. They also outline the types of records available, including accident and violation histories. The process for submitting the form and the associated fees is also quite similar.

The Illinois Secretary of State's Driving Record Request form is akin to the Texas DR-1 form. This document allows individuals to request their driving records or those of others, provided they have consent. Both forms require personal information and specify the types of records available. Fees vary based on the record type, and both forms must be submitted to the appropriate state office.

In Michigan, the Driver Record Request form serves a similar purpose. It allows individuals to obtain their driving records. The structure of the request is similar to that of the Texas DR-1, requiring personal identification and consent when necessary. Both forms also offer various record types, with corresponding fees based on the requested information.

The Ohio BMV Request for Driving Record form is another document that parallels the Texas DR-1. This form requests driving records and requires similar personal information from the requester. It also provides options for different types of records, including certified copies. Both forms involve a fee and must be sent to the respective state agency for processing.

The Virginia DMV Record Request form is also similar to the Texas DR-1 form. This document allows individuals to request their driving records or those of others with proper consent. Both forms require detailed personal information and outline the types of records available. The fee structure is also comparable, reflecting the different types of records requested.

Lastly, the Pennsylvania Driver Record Request form shares similarities with the Texas DR-1. This form is used to request driving records and requires the same type of personal information from the requester. Both forms provide options for certified records and specify the fees associated with each type of request. The submission process and consent requirements are also alike.

Dos and Don'ts

When filling out the Texas DR-1 form, it's essential to follow specific guidelines to ensure a smooth process. Here’s a helpful list of things to do and avoid:

  • Do read the entire form carefully before starting.
  • Do provide accurate and complete information to avoid delays.
  • Do sign the form where required; your signature is crucial for processing.
  • Do include the correct payment method, either by check or money order.
  • Do ensure your contact information is clear and legible.
  • Don't forget to include the driver's date of birth and Texas driver license number.
  • Don't leave any required fields blank; incomplete forms may be rejected.
  • Don't use pencil or non-black ink; it’s best to use blue or black ink for clarity.
  • Don't submit the form without verifying that all information is correct.
  • Don't ignore the instructions regarding consent if you are not the license holder.

By following these guidelines, you can help ensure that your request for a copy of your driver record is processed efficiently and without unnecessary complications.

Misconceptions

Misconceptions about the Texas DR-1 form can lead to confusion and frustration when trying to obtain driver records. Here are eight common misconceptions clarified:

  • Anyone can access any driver record. Many believe that driver records are public and can be accessed freely. In reality, access is restricted, and written consent from the driver is often required.
  • The form can be filled out casually. Some think that the Texas DR-1 form can be completed without careful attention. However, accurate and complete information is crucial for processing your request.
  • All records are the same. There is a misconception that all driver records provide the same information. In fact, different types of records are available, each with varying details and associated fees.
  • Payment methods are flexible. Many assume they can pay with any method they prefer. The Texas Department of Public Safety only accepts checks or money orders made payable to them.
  • Delivery is instantaneous. Some people expect immediate delivery of their records. It’s important to note that processing can take 2-3 weeks, so patience is necessary.
  • Only the driver can request their own record. There is a belief that only the driver can request their record. In certain situations, authorized parties can request records, provided they meet specific legal criteria.
  • All personal information is included. Some think that all personal information will be included in the record they receive. However, without the driver’s written consent, certain personal details may be omitted.
  • There are no legal consequences for misuse. Many underestimate the seriousness of misusing driver record information. Violating privacy laws can lead to criminal charges and significant fines.

Understanding these misconceptions can help individuals navigate the process of obtaining driver records more effectively and legally.

Key takeaways

The Texas DR-1 form is an application for obtaining a copy of a driver record. Understanding how to properly fill out and utilize this form is essential for individuals and organizations seeking driver information. Here are key takeaways regarding the Texas DR-1 form:

  • The form must be mailed to the Driver Records Bureau of the Texas Department of Public Safety at the designated address.
  • Payment can be made via check or money order, made payable to the Texas Department of Public Safety.
  • Different types of records can be requested, each with its own fee structure, ranging from $4.00 to $10.00.
  • Individuals must provide personal information, including their name, date of birth, and Texas driver license number.
  • If requesting on behalf of an entity, additional information about the organization must be included.
  • Written consent from the driver license or ID card holder is required for personal information disclosure unless specific exceptions apply.
  • Requestors must acknowledge compliance with the Driver’s Privacy Protection Act and Texas Transportation Code when submitting the form.
  • Delivery of the requested records typically takes 2-3 weeks from the date of submission.
  • Online requests for driver records can save time and are available through the Texas Department of Public Safety's website.