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.
Question | Answer |
---|---|
Form Name | Dl 40 Form |
Form Length | 2 pages |
Fillable? | Yes |
Fillable fields | 23 |
Avg. time to fill out | 5 min 10 sec |
Other names | get the dl 40 form, dl 40 form texas, dl40 form, texas form dl 40 |
CIRCLE CLASS WANTED |
TEXAS DEPARTMENT OF PUBLIC SAFETY |
|
ABC M |
CDL |
Supplemental Examination |
|
|
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
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
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
X
:T> ;:
Z
M
::U