The Texas License Replacement Form is a state-level form used for requesting a replacement for a license when the current one is lost, stolen, mutilated, or was never received.
Form DL-14A, Texas Driver License or Identification Card Application, or also known as the Texas Driver’s License Replacement form, is a state-level form by the Texas Department of Public Safety (DPS).
If you are a holder of a Texas driver’s license, you may only replace it if any of the following conditions apply to you:
Aside from its use as a renewal form, the Texas Driver’s License Replacement form is also used to apply for a new or to renew a driver’s license or identification card.
You may get a copy of the Texas Driver’s License Replacement form from the official website of the Texas DPS. For your convenience, you may fill it out electronically on PDFRun.
Provide all the required information accurately and correctly to avoid any problems with your application.
Take note that you must only sign the Texas Driver’s Replacement form in the presence of a notary public or a DPS official.
Application for
Mark the appropriate box to determine what you are applying for. You may select:
Class
Mark the box to determine the class of driver’s license you are applying for. You may select:
Select one
Mark the appropriate box to determine the purpose of your application. You may select:
Applicant Information
Full Name
Enter your Last Name, First Name, and Middle Name.
Suffix
Enter your suffix if you have any.
Birth Surname (Maiden)
Enter your birth surname.
SSN
Enter your nine-digit Social Security Number (SSN).
Date of Birth
Enter your date of birth in the following format: MM/DD/YYYY.
Sex
Mark the appropriate box to determine your sex. You may select:
Height
Enter your height in Feet and Inches.
Weight
Enter your weight in pounds.
Eye Color
Mark the appropriate box to determine your natural eye color. You may select:
Hair Color
Mark the appropriate box to determine your natural hair color. You may select:
Race
Mark the appropriate box to determine your race. You may select:
Ethnicity
Mark the appropriate box to determine your ethnicity. You may select:
Place of birth
Enter the City, State, County, and Country of your place of birth.
Father’s Last Name
Enter your father’s last name.
Mother’s Maiden Name
Enter your mother’s maiden name.
Contact Information
Residence Address
Enter your residence address including City, State, Zip code, and County.
Mailing Address
Enter your mailing address including City, State, Zip code, and County.
Home Phone
Enter your home phone number.
Other Phone
Enter your other phone number if any.
Enter your email address.
Emergency Contacts
Enter the Name, Phone Number, and Address of the emergency contact you would like to be contacted in case of an emergency. You may enter up to two emergency contacts.
Alternate Address
Enter your alternate address, including City, State, Zip Code, County. Only answer this item if you are a Peace Officer or State or Federal Judge.
Required Information From All Applicants
The following items require a Yes or No answer. Some items require additional information.
Item 1
Mark YES if you are a citizen of the United States; otherwise, mark NO.
Item 2
Mark YES if you are a U.S. citizen and would like to register to vote; otherwise mark NO. If you are registered, marking Yes would mean you would like to update your voter information.
Item 3
Mark YES if you are a veteran; otherwise, mark NO.
Item 4
Mark YES if you have a health condition that may impede communication with a peace officer; otherwise, mark NO. If YES, your physician must complete Form DL-101.
Item 5
Mark YES if you would like to register as an organ donor; otherwise, mark NO.
Item 6
Mark YES if you would like to donate $1 to the Blindness Education Screening and Treatment Program; otherwise mark NO.
Item 7
Mark YES if you would like to support the Glenda Dawson Donate Life Texas donor registry; otherwise mark NO. If YES, enter a donation amount of $1 or more.
Item 8
Mark YES if you want to support Texas Veterans; otherwise, mark NO. If YES, enter a donation amount of $1 or more.
Item 9
Mark YES if you want to support survivors of sexual assault; otherwise mark NO. If YES, enter a donation amount of $1 or more to help fund the testing of sexual assault evidence collection kits (rape kits).
Item 10
Mark YES if you want to support the issuance of a driver’s license or identification card for foster or homeless youth; otherwise, mark NO. If YES, enter a donation amount of $1 or more to exempt this population from paying any fees.
Required Information from Driver License Applicants Only
Required Information from First Time Driver License Applicants Only
Vehicle Registration and Insurance Information
Certification
Mark the appropriate option of the kind of address your current residential address is. After ensuring that you have accomplished this form completely and accurately, sign and date this form.
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