How to Fill Out Form DL-174

Form DL-174 at a glance

What it is: On the Surrender Form, you, the holder of a Texas driver license or identification card, surrender the driver license/identification card and ask that it be cancelled for the reason indicated.

Who signs: Sign on the Signature line next to the first SIGN, and write your Address and the Date. A Notary Public in and for the State of Texas/Authorized Officer signs at the second SIGN.

A filled-in Form DL-174 example: a driver surrenders a license

Form DL-174 example filled out, example: a driver surrenders a license — Maria Sample surrenders her Texas driver license on Form DL-174. She no longer wishes to drive, so the other five reasons in Reason for the surrender stay empty. The picture shows the signed form; its names and figures are sample values. A notary named Nora Notary signs the Notary Public in and for the State of Texas/Authorized Officer line.

How to fill out Form DL-174, box by box

Printed Name and card number

After I, write your Printed Name, then the Texas driver license or identification card number.

Reason for the surrender

Check the box for: I no longer wish to be licensed to drive a motor vehicle upon the streets and highways.

Check the box for: I am no longer physically qualified and/or mentally alert to safely operate a motor vehicle upon the streets and highways.

Check the box for: I no longer wish to be licensed to drive a motor vehicle because of motor vehicle liability insurance reasons.

Check the box for: I am required to obtain a driver license and/or an identification card under the provisions of §521.272, TRC, sex offender registration.

Check the box for: I no longer wish to have an identification card.

Check the box for: I am surrendering my driver license and/or commercial driver license under 6 CFR 37.29. I intend to reapply for my driving privileges when my license is eligible. I understand that I will have to retest if my license has been expired over two years.

Signature, Address and Date

By signing, you swear, affirm, or certify that you are the person named herein and that this request is made in the interest of your personal safety and the welfare of others by your own initiative or in compliance with other provisions of Texas law.

Sign on the Signature line next to the first SIGN, and write your Address and the Date.

Notary Public in and for the State of Texas/Authorized Officer

A Notary Public in and for the State of Texas/Authorized Officer signs at the second SIGN.

Sources

[1] Form DL-174 (Rev. 1/19), Surrender Form, Texas Department of Public Safety (the Official source link on this page).

DL 174 Surrender Form PDF Details

The holder swears, affirms, or certifies that they are the person named and that the request is made in the interest of their personal safety and the welfare of others.

Reasons: No longer wishing to drive, no longer physically qualified, insurance reasons, sex offender registration (§521.272, TRC), no ID card, or 6 CFR 37.29

Reapplying: Under 6 CFR 37.29, the holder intends to reapply for driving privileges when the license is eligible.

Retesting: Under 6 CFR 37.29, the holder will have to retest if the license has been expired over two years.

Signatures: Signature, Address and Date, then the Notary Public in and for the State of Texas/Authorized Officer

Question	Answer
Form Name	DL 174 Surrender Form
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	3 min
Edition	Rev. 1/19
Other names	Form DL-174, DL 174, DL-174 Surrender Form
Official source	Form DL-174 (Rev. 1/19), Surrender Form, Texas Department of Public Safety

Form DL-174: Texas Driver License Surrender Form