Form Sr 60 – Fill Out and Use This PDF

STATE OF TEXAS

DEPARTMENT OF PUBLIC SAFETY

SAFETY RESPONSIBILITY

PO BOX 15999

AUSTIN, TX 78761-5999

APPLICATION FOR REINSTATEMENT OF DRIVER'S LICENSE AND REGISTRATION UNDER

THE SAFETY RESPONSIBILITY ACT

Case No. _______________________

The undersigned _____________________________________________________________

being duly sworn deposes and says:

That he was involved in a motor vehicle accident on _________________________________,

(Month/ Day/Year)

in or near ___________________________________, Texas, and as a result of said accident and

failure to comply with the provisions of the Safety Responsibility Act, an Order of Suspension was duly issued, effective on ___________________________, suspending his privileges of operating or

(Month/Day/Year)

using on the highways in Texas any motor vehicle and any drivers license and all registration receipts and plates issued to him and the privilege of having any such license issued to him or of having any motor vehicles registered in his name in the future.

That two years have elapsed following such accident:

That there are no unpaid judgments against the owner or operator of the motor vehicle arising from the above described accident;

That to affiant's knowledge and belief, there are no actions begun within two years of the date of the accident pending in any Court of the State of Texas against the owner or operator of the motor vehicle arising from the above described accident;

That the undersigned makes this affidavit as proof to the Texas Department of Public Safety that the undersigned is entitled to reinstatement of his driver's license and registration privileges pursuant to Section 601.162 of the Safety Responsibility Act.

Signed _______________________________________________

Address ______________________________________________

City ___________________________ State ________________

Date _______________Driver License # ____________________

Subscribed and sworn to before me this _________ day of _____________________, ________.

(Year)

SR-60 (Rev. 9/99)