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TEXAS DPS APPLICATION FOR COPY OF DRIVER RECORD …

If you are not requesting a copy of your own RECORD or do not have the written consent ofDL/ID holder, you must provide the information requested on the DPSAPPLICATION FOR copy OF DRIVER RECORDMAIL TO: TEXAS department of public safety , Box 149008, Austin, TX 78714-9008 Check Type of RECORD DesiredFEEMail DRIVER RECORD To: (Please Print or Type)Information Requested On:Individual s Written Consent For ONE TIMER elease to Above RequestorState and Federal Law Requires Requestors to Agree to the Following:DO NOT MAIL CASH. Mail check or money orderpayable to: TEXAS department of public SafetyAny questions regarding the information on this form should be directed tothe Contact Center at 512-424-2600. Allow 2-3 weeks for delivery.| | 1. Name DOB License Status Latest Address.$ | | 2. Name DOB License Status 3 Year RECORD only lists Crashes/Moving Violations.

APPLICATION FOR COPY OF DRIVER RECORD MAIL TO: Texas Department of Public Safety, Box 149008, Austin, TX 78714-9008 Check Type of Record Desired FEE ... (Valid for Certified Abstract) For use in conjunction with a civil, criminal, administrative, or arbitral proceeding in any court

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  Department, Applications, Certified, Safety, Public, Copy, Texas, Texas department of public safety, For certified

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