The Texas Form DL-77 is the application for a hardship driver license, which the Texas Department of Public Safety can issue under specific criteria. It is designed for individuals who demonstrate that not having a license would result in unusual economic hardship for their family, it's necessary due to a family member's illness, or it's required for vocational education program participation. Interested applicants must fill out the form entirely in ink, be aware that payments are non-refundable once submitted, and meet all outlined requirements, including the completion of an approved driver education course. For those looking to complete this critical step towards obtaining a hardship driver license, click the button below to get started.
In the state of Texas, the DL-77 form serves as an essential document for those seeking to apply for a hardship driver license. Designed to accommodate individuals facing unusual economic hardships, illnesses within the family, or enrollment in vocational education programs that necessitate driving, this form is a gateway to gaining conditional driving privileges under specific circumstances. Applicants are required to provide comprehensive personal and contact information, alongside stringent requirements concerning their medical history, vehicle registration, and insurance details. Furthermore, this application underscores the Texas Department of Public Safety's commitment to safety and legality by including questions about citizenship status, health conditions that could impair driving capabilities, and willingness to support various charitable causes. The DL-77 form not only facilitates the identification and background check processes but also ensures applicants meet all the legal and safety standards set forth by the state. By mandating the completion of an approved driver education course, the Texas Department of Public Safety reinforces the importance of well-informed and responsibly trained drivers on the road. Additionally, this form plays a critical role in promoting social responsibilities such as organ donation and support for veterans, sexual assault survivors, and vulnerable youth, linking the act of driving to broader societal contributions. The DL-77 form embodies a careful balance between addressing individual hardships and upholding the collective well-being on Texas roads.
DL-77 - TEXAS HARDSHIP DRIVER LICENSE CARD APPLICATION
NOTICE: All information on this application must be in INK. Applications held for 90 days only.
DPS CANNOT REFUND PAYMENT ONCE APPLICATION IS SUBMITTED.
FOR DEPARTMENT USE ONLY
Class (select one):____C ____M
ASSIGNED # _______________________
The Texas Department of Public Safety may issue a driver license to a person who complies with the requirements for the Hardship License if (1) the failure or refusal to issue the license will result in an unusual economic hardship for the family of the applicant, (2) the license is necessary because of the illness of a member of the applicant’s family, or (3) a license is necessary because the applicant is enrolled in a vocational education program and requires a driver’s license to participate in the program. The completion of an approved course in driver education is required. Texas Transportation Code 521.223 and 521.224
APPLICANT INFORMATION
Last Name:_________________________________________ First Name:_________________________________________ Middle Name: ___________________________
Suffix:__________________________________ Birth Surname
( Maiden):_________________________________________
-
SSN:________________________________
Date of Birth (mm/dd/yyyy):_____________________
Sex (select one): ___ Male
___ Female
Height: ______ Ft.
______ In.
Weight: __________ Lbs.
Eye Color (select one): ____ Blue
____ Brown
____ Gray
____ Hazel
____ Green
____ Black
____ Maroon
____ Pink
Hair Color (select one):
____ Red
____ Blonde
____ Bald
____ White
Race (select one): ____ (AI) Alaskan or American Indian
____ (AP) Asian or Pacific Islander
____ (BK) Black
____ (W) White
Ethnicity (select one):
____ (H) Hispanic Origin
____ (O) Not of Hispanic Origin ____ (U) Unknown
Place of birth: City:_______________________________________
State: _____
County:________________________ Country: ___________________________________________
Father’s Last Name:_________________________________________________________
Mother’s Maiden Name: ____________________________________________
CONTACT INFORMATION
Residence Address:_______________________________________________________________________________________________________________________
City:_______________________________________________________ State: _______ Zip Code:____________ County: _______________________________________
Mailing Address: __________________________________________________________________________________________________________________________
Home Phone:________________________ Other Phone:________________________ Email: _____________________________________________________________
In the event of injury or death would you like to provide up to two (2) emergency contacts? If yes, please list:
a)Name ____________________________________ Phone Number __________________ Address _________________________________________________________
b)Name ____________________________________ Phone Number __________________ Address _________________________________________________________
REQUIRED INFORMATION FROM ALL APPLICANTS
YES NO
1.
___
Are you a citizen of the United States?
2.
Do you have a health condition that may impede communication with a peace officer? (physician must complete form DL-101).
3.
Would you like to register as an organ donor?
4.
Do you want to donate $1.00 to the Blindness Education Screening and Treatment Program?
5.
Do you want to support the Glenda Dawson Donate Life Texas donor registry? If yes, please indicate a donation amount of $1 or more
$_______.00.
6.
Do you want to support Texas Veterans? If yes, please indicate a donation amount of $1 or more $_________.00.
7.
Do you want to support survivors of sexual assault? If yes, please indicate a donation amount of $1 or more $_________.00 to help fund the testing
of sexual assault evidence collection kits (rape kits).
8.
Do you want to support the issuance of a DL/ID for foster or homeless youth? If yes, please indicate a donation amount of $1 or more
$_________.00 to exempt this population from paying any fees.
REQUIRED INFORMATION FROM DRIVER LICENSE APPLICANTS ONLY (FOR CONFIDENTIAL USE OF THE DEPARTMENT ONLY)
MEDICAL HISTORY QUESTIONS
1. ___ ___ Do you currently have or have you ever been diagnosed with or treated for any medical condition that may affect your ability to safely operate a motor vehicle? Examples, including but not limited to: Diagnosis or treatment for heart trouble, stroke, hemorrhage or clots, high blood pressure, emphysema (within the past two years) • progressive eye disorder or injury (i.e., glaucoma, macular degeneration, etc.) • loss of normal use of hand, arm, foot or leg • blackouts, seizures, loss of consciousness or body control (within the past two years) • difficulty turning head from side to side • loss of muscular control
•stiff joints or neck • inadequate hand/eye coordination • medical condition that affects your judgment • dizziness or balance problems • missing limbs Please explain and identify your medical condition: ____________________________________________________________________________________________________________
Do you have a mental condition that may affect your ability to safely operate a motor vehicle? If yes, how? Please explain:
________________________________________________________________________________________________________________________________________________________________________
Have you ever had an epileptic seizure, convulsion, loss of consciousness, or other seizure?
Do you have diabetes requiring treatment by insulin?
Do you have any alcohol or drug dependencies that may affect your ability to safely operate a motor vehicle or have you had any episodes of
alcohol or drug abuse within the past two years?
Within the past two years have you been treated for any other serious medical conditions? Please explain:
Have you EVER been referred to the Texas Medical Advisory Board for Driver Licensing?
DL-77 (Rev. 7/2020)
APPLICATION CONTINUED ON BACK
VEHICLE REGISTRATION AND INSURANCE INFORMATION
Do you own a motor vehicle that is required to be registered? (Texas Transportation Code section 502.040)
Do you own a motor vehicle that is required to have liability insurance OR other proof of financial responsibility in compliance with the Motor
Vehicle Safety Responsibility Act? (Texas Transportation Code section 601.051)
APPLICANT IS APPLYING FOR A HARDSHIP DRIVER LICENSE UNDER THE FOLLOWING PROVISION(S):
____ 1.
An unusual economic hardship on the family of the minor.
____ 2.
A death-related emergency: Name of Deceased: ______________________________________________________________________________________________
Date of Death:________________
Relationship to Deceased: _________________________________________________________________________________
____ 3.
Sickness or illness or disability of family members (PHYSICIAN’S STATEMENT REQUIRED)
Name of Family Member:_______________________________________________
Relationship:_______________________________________________________
Family Physician:______________________________________________________
Phone Number: ____________________________________________________
____ 4.
Enrollment in a Vocational Education Program (CERTIFICATION FROM SCHOOL REQUIRED)
School:_______________________________________________________________
Address of School:____________________________________________________
City: ______________________________________________________________
Time Classes: Start:______________ End:______________
Days: ___ MON
___ TUES
___ WED ___ THUR ___ FRI ___ SAT ___ SUN
ADDITIONAL INFORMATION
Does the applicant have a Texas Learner License, Provisional license or ID card? ___ YES
___ NO
If YES, # _____________________________________________
Has the applicant ever applied for a Hardship Driver License? ___ YES ___ NO Where? ________________________________________________________________
Has the applicant completed a required driver education course? ___ YES ___ NO (Choose one) ___ Classroom ___ Driving ___ Both
FATHER’S NAME:___________________________________________________________ License Number:______________________________________
Employed by:______________________________________ Address: _______________________________________________________________________________________
Work Hours:______________________________________ Work Phone:______________________________________
MOTHER’S NAME:___________________________________________________________ License Number:______________________________________
List all other members of the household: (Use extra page if necessary.)
Name:______________________________________________________ License #:________________________________ Relationship: ______________________________
Explain all necessary driving of applicant and why others cannot perform this function: NOTE: TRAVEL TO PARTICIPATE IN SCHOOL ACTIVITIES SUCH AS BAND,
SPORTS, ETC., WILL NOT BE CONSIDERED A SUFFICIENT REASON TO ESTABLISH AN UNUSUAL ECONOMIC HARDSHIP. (TAC Title 37 §15.28)
Use extra page if necessary.
Texas law requires the Texas Department of Public Safety to provide every minor applicant (under age 18) and cosigner, for a driver license in Texas, educational information concerning state laws relating to distracted driving, driving while intoxicated, driving by a minor with alcohol in the minor’s system, and the implied consent law. The minor applicant and cosigner must acknowledge receipt of this information prior to issuance of any driver license or permit.
I hereby acknowledge receipt of this information.
_______________________________________________________________
__________________________
Minor Applicant
Parent/Legal Guardian
Date of Receipt
PARENTAL AUTHORIZATION
TO THE PARENT: In making this application as parent or guardian of _________________________________________________________________ ,
I take full responsibility for the authorization of said minor to be issued a driver license. I understand that the Department may make any investigation necessary to confirm or deny any information contained in this application or information concerning early enrollment authority in a driver education course as provided in Texas Transportation Code section 521.223.
_________________________________________
Usual Written Signature of Parent or Guardian
Driver License Number
Date
NOTICE: The information on this application is required by the Texas Driver License Act, Texas Transportation Code Chapter 521. Failure to provide the information is cause for refusal to issue a driver license or identification card, and in some cases, cancellation or withdrawal of driving privileges. False information could also lead to criminal charges with penalties of a fine up to $4,000.00 and/or jail.
SOCIAL SECURITY NUMBER COLLECTION DISCLOSURE
Disclosure of your social security account number is mandatory for identification card and driver license applicants, but voluntary for election identification certificate applicants. This information is solicited pursuant to 42 U.S.C. section 405(c)(2)(C)(i), 42 U.S.C. section 666(a)(13)(A), 6 C.F.R. section 37.11(e), 49 C.F.R. section 383.153, Texas Family Code section 231.302(c)(1), and Texas Transportation Code sections 521.142 and 522.021. The Department will use social security number information for identification purposes and will only release the number as statutorily authorized by Texas Transportation Code section 521.044.
DO NOT WRITE BELOW THIS LINE – FOR DEPARTMENT USE ONLY
Application (Select one): ___ Approved ___ Rejected _____________________________________________________________
________________
_________________
Signature
ACID#
JUSTIFICATION /RESTRICTIONS:______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
Filling out the Texas Form DL-77, or the Texas Hardship Driver License Card Application, is your pathway to possibly securing a special type of driver's license designed to help in unique situations. This license might be what you need if you're facing significant economic challenges, have to drive due to a family member's illness, or require transportation to and from vocational education programs. Let's go through the process step-by-step to ensure you complete the form correctly and provide all the necessary information.
Once all these steps are completed, review your application to ensure accuracy, as incomplete or incorrect information may delay the process. Remember, the information you provide is crucial not just for obtaining the license but also for maintaining the safety and responsibility expected from all drivers on the road. Good luck!
The DL-77 form is an application used in Texas for individuals seeking a Hardship Driver License. This special license is issued under certain conditions, such as economic hardship, illness in the family, or enrollment in a vocational program requiring a license for participation.
Applicants who can demonstrate that not having a driver's license would result in economic hardship for their family, those who need a license due to a family member's illness, or individuals enrolled in a vocational education program that requires driving as part of the curriculum, are eligible to apply.
To obtain a Hardship License, applicants must:
Yes, the information collected on the DL-77 form is for the confidential use of the Department of Public Safety and will only be shared as authorized by Texas Transportation Code section 521.044.
Upon review, the Department of Public Safety will either approve or reject the application based on the information and documentation provided. Applicants will be notified of the decision, and specific restrictions or justifications will be documented on the form itself.
While the form does not detail fees, applicants should be prepared to pay any applicable fees as part of the application process. It should be noted that payments are non-refundable once the application is submitted.
Yes, the application provides options to donate to various causes, such as the Blindness Education, Screening and Treatment Program, Texas veterans, victims of sexual assault, and to support the issuance of licenses for foster or homeless youth.
Applications are held for a review period of 90 days. During this time, the Department of Public Safety will process the application and make a determination.
Applicants with a health condition that might impede safe driving must have a physician complete form DL-101 and submit it alongside the DL-77 application for a Hardship License.
The application requires individuals to disclose their citizenship status. However, not being a U.S. citizen does not automatically disqualify someone from applying for a Hardship License. Additional documentation verifying legal presence may be required.
When people fill out the Texas DL-77 form for a Hardship Driver License, they often make several critical mistakes. It is essential to follow each instruction carefully to ensure the application process is smooth and successful. Below are nine common mistakes to watch out for:
Avoiding these mistakes not only ensures that the application is processed without delay but also reflects the applicant's attention to detail and their seriousness about obtaining the Hardship Driver License. It's beneficial to double-check each section before submission to make sure all requirements are met.
When applying for a Texas Hardship Driver License, the Form DL-77 is just the starting point, with several other documents typically needed to complete the application process. Each supporting document has its own role in ensuring the Texas Department of Public Safety (DPS) has a comprehensive understanding of the applicant's situation. Here’s a look at some of the common forms and documents that are often required alongside the DL-77 form.
Together, these documents support the hardship license application by providing comprehensive proof of the applicant’s eligibility and need for a license. From medical conditions to educational requirements, each document plays a crucial role in building a strong case for the Texas Department of Public Safety to issue a hardship driver license. Through diligent preparation and submission of all required documentation, applicants can streamline the process, moving one step closer to obtaining their license.
Similar to the Texas Form DL-77, the California DL 44 Form serves as an application for driver licenses and identification cards. Both documents require personal information about the applicant, such as full name, Social Security number, birth date, and contact information. Additionally, they entail questions regarding an applicant’s medical history, citizenship status, and eligibility for organ donation. Like the Texas form, the California application also emphasizes the importance of truthful responses with warnings that false information may result in penalties.
The Florida DHSMV Form 73030, Application for Hardship or Administrative Hearing, also bears resemblance to the Texas Form DL-77 in its purpose to assist individuals facing certain challenges in acquiring a license. While Texas’s DL-77 form is specifically for hardship licenses, Florida’s form enables applicants to request hearings for license suspension or revocation issues, highlighting the shared emphasis on providing solutions for drivers under specific circumstances. Both forms require detailed personal and contact information, as well as specifics about the nature of the request.
The Pennsylvania DL-180TD form, another parallel document, is used for teen drivers under 18 to apply for a learner's permit. Similar to the Texas Hardship License application, this form includes sections for parental consent, highlighting the requirement for approval by a guardian or parent for underage applicants. Likewise, both forms necessitate information on the applicant’s health, education, and acknowledgment of understanding driving laws and consequences of infractions.
Lastly, the Michigan SOS-257/258 Form for Graduated Driver Licensing shares similarities with Texas's hardship application due to its focus on young drivers and specific conditions under which a license or permit can be granted. Both demand detailed information on the applicant’s schooling and necessitate a guardian or parental authorization, emphasizing the states’ roles in ensuring responsible, supervised driving experiences for minors. Each document serves to facilitate conditional driving privileges, with the primary intent of ensuring public safety while accommodating individual needs.
When filling out the Texas Form DL-77 for a Hardship Driver License, it's important to do it correctly to avoid any delays or issues in the application process. Here are some key dos and don'ts to keep in mind.
Dos:
Don'ts:
Following these guidelines can help ensure the process of applying for a Texas Hardship Driver License goes as smoothly as possible.
When discussing the Texas Form DL-77, specifically the application for a hardship driver license, several misconceptions can arise due to its complexity and specific requirements. Clarifying these misunderstandings can help applicants better navigate the process.
One common misconception is that any Texan under 18 can apply for a hardship license for convenience, such as needing a ride to school or work. However, eligibility is strictly based on certain conditions like unusual economic hardship, illness in the family requiring transportation, or the necessity of a license for vocational education participation.
Many believe that the application process is quick and results in an immediate issuance of the license. In reality, the process requires thorough documentation, including possibly a physician’s statement or school certification, and can take time for the Texas Department of Public Safety to review.
Another misconception is that successful completion of driver's education is not mandatory. Contrarily, completion of an approved driver education course is a prerequisite for all applicants.
Some applicants think that if denied, the fee is refundable. The instructions clearly state that once the application is submitted, the payment cannot be refunded, regardless of the application’s outcome.
There's a belief that a hardship license grants the same privileges as a regular license. While it does allow the minor to drive, it may come with restrictions not applicable to standard license holders.
Applicants often assume that any health condition needs to be reported. While transparency about health is important, the form specifies that only conditions that may impede communication with a peace officer or affect the ability to operate a vehicle safely need to be disclosed.
A misconception is that filing for a hardship license can be done entirely online. This assumption is incorrect, as the form and accompanying documentation require careful preparation and are typically submitted through specified channels, which may not include an online submission option.
Lastly, many believe that the hardship license automatically converts into a regular license upon reaching 18. Instead, the holder must apply for a regular license and meet all the standard requirements, such as passing the driving test.
Understanding these misconceptions and the realities behind them can significantly enhance the experience of applying for a Texas hardship driver license, ensuring that applicants are better prepared and informed about the process.?p>
The Texas Form DL-77 is designed for applicants seeking a Hardship Driver License, a special designation provided under specific circumstances. Understanding the nuances of this form can streamline the process and ensure compliance with the Texas Department of Public Safety (DPS) requirements. Here are nine key takeaways for effectively filling out and using this form:
Overall, thorough comprehension and careful completion of the Texas Form DL-77 are essential steps towards obtaining a Hardship Driver License, which can significantly impact the applicant’s ability to meet personal and family obligations.
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