Texas Form Dr 1 PDF Details

Acquiring a comprehensive understanding of one's driving history is essential for various reasons, ranging from employment prerequisites to personal record-keeping. In Texas, this necessitates individuals to familiarize themselves with the Texas Department of Public Safety's Application for Copy of Driver Record, known as the DR-1 form. This document, revised in May 2008, serves as a critical tool for accessing driving records. Individuals are required to submit this form, accompanied by the appropriate fee, to the Driver Records Bureau in Austin, Texas. The form delineates several options for the type of record required, such as basic identification and license status, a list of accidents and moving violations within a specific timeframe, or a comprehensive listing of all incidents on record. Fees vary depending on the record's detail level, with certified versions available for those needing official documentation. Applicants must provide personal information and, if requesting records on behalf of another person, include the driver's consent or justify their entitlement under specific exceptions that comply with federal and state privacy laws. The process underscores the importance of understanding and adhering to legal frameworks like the Driver's Privacy Protection Act and the Texas Transportation Code, which govern the distribution of personal information. This system is designed to protect individuals' privacy while ensuring that necessary parties have access to vital driving history information for legitimate purposes.

QuestionAnswer
Form NameTexas Form Dr 1
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesseq, Licensee, Requestors, nonowner

Form Preview Example

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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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2.

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

 

 

 

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6.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$ 10.00

 

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

 

 

 

 

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7.00

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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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|

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