Dl 40 Form PDF Details

The DL-40 form, issued by the Texas Department of Public Safety, serves a pivotal role in the administrative processes related to the driver's license system in Texas. This form is specifically used for supplemental examination purposes, which covers a range of scenarios such as requesting additional endorsements, retaking exams due to previous failure or for upgrading one’s license class. Applicants are required to fill out personal information including their full name, residence, and mailing address, along with their social security number, date of birth, physical attributes, and driving education details. It also inquires about citizenship, county of residence, and includes options for contributions to health-related programs. Crucially, the form must be signed by the applicant, and if the applicant is a minor, a parent or guardian's authorization is also required. The DL-40 contains sections for department use only, where official endorsements, restrictions, and test results are documented by the Department of Public Safety personnel. This document underscores the state's commitment to maintaining thorough and updated records of its driving population, ensuring that all drivers meet the requisite standards for the various license classes and are properly informed about their physical condition and legal driving status.

QuestionAnswer
Form NameDl 40 Form
Form Length2 pages
Fillable?Yes
Fillable fields23
Avg. time to fill out5 min 10 sec
Other namesget the dl 40 form, dl 40 form texas, dl40 form, texas form dl 40

Form Preview Example

CIRCLE CLASS WANTED

TEXAS DEPARTMENT OF PUBLIC SAFETY

ABC M

CDL

Supplemental Examination DL-40 (Rev. 1/04)

 

 

Driver License #

PRINT OR TYPE

FULLNAME ________________________________________________________________

LASTFIRSTMIDDLE OR MAIDEN

RESIDENCE

ADDRESS _______________________________________________________________

NUMBER AND STREETCITYSTATEZIP CODE

MAILING

ADDRESS _______________________________________________________________

(IF _セZゥjrent NUMBER AND STREET

CITY

STATE

ZIP CODE

RESIDENCE)

 

 

 

FOR DEPARTMENT USE ONLY

RECEIPT NUMBER

D ADDITIONAL TEST

D VISION PASSED

[J ADVANCE IN GRADE

 

DVOLUNTARY RE-EXAMINATION

RESTRICTIONS and/or ENDORSEMENTS ADDED OR

RETAINED ____________

SOCIAL SECURITY #

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

HEIGHT

MONTH I

DAY I YEAR

EYE COLOR

SEX

FT. I INCH

I

I

 

 

I

DRIVER EDUCATION

DCLASSROOM

DLABORATORY

DMOTORCYCLE

USE CODE

REMOVED _______________________

USE CODE

DETAILS __________________________

YES ( ) NO ( ) Are you a citizen of the United States? What is your County of Residence? - - - - - - = - - - - - - - C : - - - - - - - - -

YES ( ) NO ( ) Do you wish to donate $1.00 to the Blindness Education Screening and T"reatment Program? YES ( ) NO ( ) Do you wish to donate $1.00 to the Anatomical Gift Education Program?

I solemnly swear that I am the person named herein, that my license or driving privilege is not now suspended, revoked, cancelled or denied, and there has been no major change in my physical condition, and all statements are true and correct.

Signature: _________________________________________________________________

I solemnly swear that the above named person is my D son D daughter [J ward and is under my custody. I herefore authorize the Department of Public Safety to grant a Class DAD B D C D M license to the above-named minor.

Signature of Parent or Guardian

 

Driver License No.

 

 

 

Sworn to and subscribed before me this __ day of ______________

 

 

 

 

 

 

 

 

Notary Public or Authorized Officer

City Where Notari7ed

 

 

 

 

DEPARTMENT USE ONLY

 

D

Name: From - - - - - - - -

, = ; - : - : - : - -

, - - - - - - - - - - ; = ; - - = - - - C C : : - : - - -

C - - - - - - - - - - - - - - - - - - - - - -

 

D

Address

D Height

D Date of Birth

 

 

1st

Control

2

 

 

 

Observation

 

 

Q

2nd Control

2

 

 

TRAFFIC SIGNALS

 

 

 

1st

Conlrol

2

1

0

 

Observation

3

2

Q

 

 

2

 

Q

 

 

2

 

0

 

 

2

 

0

 

 

 

2

0

 

 

 

 

0

m

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