Mail to: Texas Department of Public Safety, P. O. Box 4087, Austin, Texas 78765
TYPE OF INFORMATION DESIRED
- 1. Date of birth – License status – Latest address
- 2. Date of birth – License status – List of accidents and violations in record within immediate past 3 year period
- 3. Same as #2 (above) – Certified.
- 4. Date of birth – License status – List of all accidents and violations in record. THIS RECORD FURNISHED TO LICENSEE ONLY.
- 5. Same as #4 (above) – Certified. THIS RECORD FURNISHED TO LICENSEE ONLY.
INDIVIDUAL ABOUT WHOM INFORMATION IS REQUESTED
Texas Driver License Number :
Date of Birth (month/year/day):
Name: ( Last First Middle or Maiden)
RECORD REQUESTED BY
Name of person or firm making request :
Mailing Address :
Street/Box Number :
City, State, Zip :