DefensiveDriving.com can obtain your official Driver Record from the Texas Department of Public Safety and send it to you within approximately 7-10 business days for a low fee of $24.95 plus tax. If you order it directly from the Texas Department of Public Safety, it could take anywhere from 2-8 weeks. Follow the steps below to request your Driver Record through DefensiveDriving.com.
STEP
1:
Print the “APPLICATION FOR COPY OF DRIVER RECORD”
STEP
2:
Check box “3A” on the form under “CHECK TYPE OF RECORD
DESIRED”
STEP
3:
Type or print your name and the address where you would like
your Driver Record mailed in the “MAIL DRIVER RECORD TO:” field
STEP
4:
Fill out the box entitled “INFORMATION REQUESTED ON:”
STEP
5:
Fill out the box entitled “INDIVIDUAL’S WRITTEN CONSENT FOR
ONE TIME RELEASE TO ABOVE REQUESTOR”
STEP
6:
Place your signature and the date on the bottom of the
“APPLICATION FOR COPY OF DRIVER RECORD”
STEP
7:
Enter your payment information in the form below. DefensiveDriving.com will process your request through the Texas DPS and you will receive your official state issued Driver Record within 7-10 business days. You must fill out items (1) through (7) in the form below for your request to be processed.
INDIVIDUALS WRITTEN CONSENT FOR PAYMENT OF SERVICE | ||
|
(1)
Daytime Telephone Number: (______)_________________________ (Requestor signing below authorizes DefensiveDriving.com to charge
your credit card a fee of $24.95 plus tax.) (2)
Credit Card Number: _______________ (3) Expiration Date: _______(MM/YY) (4)
Type of credit card: Visa
MasterCard
American Express (5)
Cardholders Name as it appears on credit card:
______________________ (6)
Billing Address: _____________________________________________________________________________________________________ Street
Address City State Zip
Code (7) Signature of Credit Card Holder Date If
your preferred payment type is a Check or Money Order, please mail your
completed “APPLICATION FOR COPY OF DRIVER RECORD” along with your check or
money order to 2 Greenway Plaza, Suite 250, Houston, TX 77046.
Your request cannot be processed until payment is received. Fax
to DefensiveDriving.com at (713) 488-4102 | ||
|
CHECK
TYPE OF RECORD DESIRED |
FEE |
|
|
Name – DOB- License
Status – Latest Address |
$
4.00 |
|
|
Name - DOB -
License Status - List of Accidents/Moving Violations in Record within
Immediate Past 3 Year Period. |
$
6.00 |
|
|
CERTIFIED version
of #2. This Record Is Not Acceptable for DDC Course. |
$10.00 |
|
|
Name - DOB -
License Status - List of ALL Accidents and Violations in Record. Furnished to Licensee ONLY. |
$
7.00 |
|
|
CERTIFIED version
of #3. Furnished to Licensee ONLY and
is Acceptable for DDC Course. |
$10.00 |
|
|
(Original
Application, DWLS, etc.)_________________________________________________(If
Required) |
$
____ |
|
|
MAIL DRIVER RECORD TO: |
Requestor’s Name DL
Number ________________ DL Number ______________ |
|
(PLEASE TYPE OR
PRINT) |
Address _________________________________________________ |
|
|
City, State, Zip
Code _____________________ Telephone # ______________ |
If requesting on behalf of a business, organization, or
other entity, please include the following:
Name of business, organization,
entity, etc. _________Not
Applicable____________________
Your Title or Affiliation with
above _________________Not
Applicable_____________________________________
Type of business, organization,
etc. ________________Not Applicable_____________________________________
(i.e. Insurance provider, towing company, private
investigation firm, etc.)
|
INFORMATION REQUESTED ON: |
|
Texas
Driver License # _______________ Date of Birth (Month/Day/Year)_____________ Last
Name ___________________ First
Name ____________________ Middle/Maiden _____________ |
|
INDIVIDUAL’S
WRITTEN CONSENT FOR ONE TIME RELEASE
TO ABOVE REQUESTOR (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 grant access on this
one occasion to my Driver License/ID Card record, inclusive of the personal
information (name, address, driver identification number, etc.), to
_____ DefensiveDriving.com_____. |
|
|
_______________________________________ |
__________________ |
|
Signature of
License/ID Card Holder or Parent/Legal Guardian |
Date |
State
and federal law requires requestors to agree to the following:
In requesting and
using this information, I acknowledge that this disclosure is subject to the
federal Driver’s Privacy Protection Act (18 U.S.C. Sect. 2721 et seq.) and
Texas Transportation Code Chapter 730. False statements or representations to
obtain personal information pertaining to any individual from the DPS could
result in the denial to release any driver record information to myself and the
entity for which I made the request. Further, I understand that if I receive
personal information as a result of this request, it may only be used for the
stated purpose and I may only resell or re-disclose the information pursuant to
Texas Transportation Code §730.013. Violations of that section may result in a
criminal charge with the possibility of a $25,000 fine.
I certify that I have
read and agree with the above conditions and that the information provided by
me in this request is true and correct. If I am requesting this driver record
on behalf of an entity, I also certify that I am authorized by that entity to
make this request on their behalf. I also acknowledge that 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
ofRequestor |
Date |
If
you are not requesting a copy of your own record or do not have the written
consent of
DL/ID
holder, you must provide the information requested on the reverse.
DR-1
(Rev. 9/01)