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Content Overview

The Texas DL-77 form is an essential application for individuals seeking a hardship driver license in Texas. This license is designed for those who face unique challenges, such as economic hardship, family illness, or enrollment in a vocational education program. To qualify, applicants must demonstrate that not having a license would create significant difficulties for themselves or their family. The form requires personal details, including identification information, contact information, and medical history. Applicants must also provide specific reasons for their hardship and may need supporting documentation from a physician or educational institution. The application process is straightforward but requires careful attention to detail, as all information must be completed in ink and submitted without any expectation of a refund once payment is made. Understanding the requirements and implications of the DL-77 form is crucial for those navigating this process, ensuring they meet all necessary criteria to obtain their hardship license.

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DL-77 (Rev. 7/2020)
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
FOR DEPARTMENT USE ONLY
Class (select one):____C ____M
ASSIGNED # _______________________
APPLICATION CONTINUED ON BACK
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): ____ Black ____ Red ____ Gray ____ Brown ____ 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: __________________________________________________________________________________________________________________________
City:_______________________________________________________ State: _______ Zip Code:____________ County: _______________________________________
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
YES NO
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: ____________________________________________________________________________________________________________
2. ___ ___ Do you have a mental condition that may affect your ability to safely operate a motor vehicle? If yes, how? Please explain:
________________________________________________________________________________________________________________________________________________________________________
3. ___ ___ Have you ever had an epileptic seizure, convulsion, loss of consciousness, or other seizure?
4. ___ ___ Do you have diabetes requiring treatment by insulin?
5. ___ ___ 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?
6. ___ ___ Within the past two years have you been treated for any other serious medical conditions? Please explain:
________________________________________________________________________________________________________________________________________________________________________
7. ___ ___ Have you EVER been referred to the Texas Medical Advisory Board for Driver Licensing?
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.
- -
DL-77 (Rev. 7/2020)
DO NOT WRITE BELOW THIS LINE – FOR DEPARTMENT USE ONLY
Application (Select one): ___ Approved ___ Rejected _____________________________________________________________ ________________ _________________
Signature Date ACID#
JUSTIFICATION /RESTRICTIONS: ______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
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.
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
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.
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:______________________________________
Employed by:______________________________________ Address: _______________________________________________________________________________________฀
Work Hours:______________________________________ Work Phone:______________________________________
List all other members of the household: (Use extra page if necessary.)
Name:______________________________________________________ License #:________________________________ Relationship: ______________________________
Name:______________________________________________________ License #:________________________________ Relationship: ______________________________
Name:______________________________________________________ License #:________________________________ Relationship: ______________________________
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:_______________________________________________________________ Phone Number: ____________________________________________________
Address of School:____________________________________________________ City: ______________________________________________________________
Time Classes: Start:______________ End:______________ Days: ___ MON ___ TUES ___ WED ___ THUR ___ FRI ___ SAT ___ SUN
VEHICLE REGISTRATION AND INSURANCE INFORMATION
1. ___ ___ Do you own a motor vehicle that is required to be registered? (Texas Transportation Code section 502.040)
2. ___ ___ 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)
Use extra page if necessary.
➤ PDF File

Form Specifications

Fact Name Description
Application Requirement All information on the DL-77 form must be completed in ink.
Application Duration Applications are held for a maximum of 90 days.
Refund Policy The Texas Department of Public Safety (DPS) does not refund payments once the application is submitted.
Hardship License Criteria A Hardship License may be issued if refusal would cause unusual economic hardship, illness in the family, or if the applicant is enrolled in a vocational program.
Driver Education Requirement Completion of an approved driver education course is mandatory for all applicants.
Governing Laws The application is governed by Texas Transportation Code sections 521.223 and 521.224.
Emergency Contacts Applicants can provide up to two emergency contacts in case of injury or death.
Medical History Questions Applicants must answer medical history questions that may affect their ability to drive safely.

Texas From Dl 77: Usage Guidelines

Filling out the Texas Form DL-77 is a necessary step for individuals seeking a hardship driver license in Texas. This application requires careful attention to detail, as all information must be provided in ink and accurately reflects the applicant's circumstances. Once the form is completed, it will be submitted to the Texas Department of Public Safety for review. The application is valid for 90 days, and payment cannot be refunded after submission.

  1. Obtain the form: Download or print the Texas Form DL-77 from the Texas Department of Public Safety website.
  2. Fill in your personal information: Write your last name, first name, middle name, and suffix in the designated fields. Include your birth surname (maiden name) and Social Security Number (SSN).
  3. Provide your date of birth: Enter your date of birth in the format mm/dd/yyyy.
  4. Select your sex: Mark the box for either Male or Female.
  5. Indicate your height and weight: Fill in your height in feet and inches, and your weight in pounds.
  6. Choose your eye and hair color: Select the appropriate options from the provided list for both eye color and hair color.
  7. Specify your race and ethnicity: Mark the appropriate boxes for race and ethnicity as per the options given.
  8. Provide your place of birth: Fill in the city, state, county, and country of your birth.
  9. List your parents' names: Write your father’s last name and your mother’s maiden name in the designated fields.
  10. Fill in your contact information: Provide your residence address, mailing address (if different), home phone, other phone, and email address.
  11. Add emergency contacts: If desired, list up to two emergency contacts, including their names, phone numbers, and addresses.
  12. Answer the required questions: Respond to the yes/no questions regarding citizenship, health conditions, organ donation, and other support options.
  13. Complete the medical history section: Answer the medical history questions, providing explanations where necessary.
  14. Provide vehicle registration and insurance information: Indicate whether you own a motor vehicle that requires registration and insurance.
  15. Select the hardship provision: Mark the box that applies to your situation, such as economic hardship, family illness, or vocational education enrollment.
  16. Include additional information: If applicable, provide details about other household members and explain why you need to drive.
  17. Acknowledge receipt of educational information: Sign and date the acknowledgment regarding state laws related to driving.
  18. Parental authorization: If you are under 18, have your parent or guardian sign and date the authorization section.
  19. Review the form: Check all entries for accuracy and completeness before submission.
  20. Submit the form: Send the completed application to the Texas Department of Public Safety.

Your Questions, Answered

What is the Texas DL-77 form?

The Texas DL-77 form is an application for a Hardship Driver License. This license can be issued to individuals who face specific hardships that make it necessary for them to drive. These hardships may include unusual economic difficulties, family illness, or enrollment in a vocational education program that requires driving.

Who can apply for a Hardship Driver License?

Anyone who meets the criteria set by the Texas Department of Public Safety can apply. This includes individuals whose family faces economic hardship, those needing to drive due to a family member's illness, or students enrolled in vocational programs. Each applicant must also complete an approved driver education course.

What information is required to complete the DL-77 form?

Applicants must provide personal details such as their name, date of birth, and contact information. Additionally, they need to specify the reason for their hardship and may need to submit supporting documents, like a physician's statement or school certification.

How long is the application valid?

The application is valid for 90 days. If not processed within this timeframe, applicants may need to reapply. It's important to submit all required information and documentation promptly to avoid delays.

Can I get a refund after submitting my application?

No, the Texas Department of Public Safety does not offer refunds once the application has been submitted. Make sure you are ready to proceed before sending in your application.

What if I have a medical condition?

If you have a medical condition that may affect your ability to drive, you must disclose this on the application. Certain conditions may require additional documentation from a physician to ensure that you can safely operate a vehicle.

Is there a fee for applying for the Hardship Driver License?

Yes, there is typically a fee associated with applying for a Hardship Driver License. The exact amount can vary, so it’s best to check with the Texas Department of Public Safety for the current fee structure.

What happens if my application is denied?

If your application is denied, you may receive a notice explaining the reasons for the denial. Depending on the circumstances, you may be able to appeal the decision or reapply after addressing the issues that led to the denial.

How can I check the status of my application?

You can check the status of your application by contacting the Texas Department of Public Safety directly. They can provide updates and any additional information you may need regarding your application.

Common mistakes

  1. Failing to use ink when filling out the form, as required.

  2. Not providing all necessary personal information, such as full names and addresses, which can lead to delays.

  3. Omitting the Social Security Number, which is mandatory for identification purposes.

  4. Not selecting the appropriate class of license (C or M), which is crucial for processing the application.

  5. Failing to check the citizenship status box accurately, which can lead to rejection of the application.

  6. Not providing emergency contact information, which is requested on the form.

  7. Leaving out the required medical history questions or failing to provide adequate explanations where necessary.

  8. Not including the physician's statement when required for illness or disability claims.

  9. Providing incomplete information regarding vehicle registration and insurance status, which is necessary for the application.

  10. Failing to acknowledge receipt of the educational information regarding state laws, which is a requirement for minors.

Documents used along the form

When applying for a Texas Hardship Driver License using the DL-77 form, several other documents may be required or helpful in the process. Here is a list of forms and documents that are often used alongside the DL-77.

  • Form DL-101: This form is used to provide information about any health conditions that may affect communication with law enforcement. A physician must complete this form if applicable.
  • Proof of Enrollment: A certification from the applicant's school or vocational program may be necessary to confirm enrollment. This document should include the school’s contact information and the applicant's class schedule.
  • Medical Advisory Board Referral: If the applicant has been referred to the Texas Medical Advisory Board for any medical conditions affecting driving ability, documentation of this referral may be required.
  • Emergency Contact Information: Providing details for emergency contacts can be beneficial. This includes names and phone numbers of individuals to be contacted in case of an emergency.
  • Proof of Financial Responsibility: Applicants must show proof of insurance or other financial responsibility for any vehicles they own. This document ensures compliance with Texas law.
  • Parental Authorization Form: For minors applying for a hardship license, a signed parental authorization form is required. This form confirms that a parent or guardian takes responsibility for the minor's application.

Gathering these documents can help streamline the application process for a Hardship Driver License in Texas. Ensuring all necessary paperwork is complete and accurate will aid in a smoother experience with the Department of Public Safety.

Similar forms

The Texas Form DL-77 is used to apply for a Hardship Driver License. Several other documents serve similar purposes in various contexts. Here’s a comparison:

  • Texas Driver License Application (DL-14): This form is the standard application for obtaining a regular driver license in Texas. Like the DL-77, it requires personal information, proof of identity, and may necessitate a parental signature for minors.
  • Texas Identification Card Application (DL-100): This document is used to apply for a state-issued ID card. Similar to the DL-77, it collects demographic information and requires proof of residency and identity.
  • Texas Learner License Application (DL-20): Intended for new drivers, this form allows applicants to obtain a learner's permit. It shares the need for personal details and parental consent if the applicant is under 18, just like the DL-77.
  • Application for a Duplicate Driver License (DL-43): This form is used when a driver needs a replacement for a lost or stolen license. It also requires personal information and proof of identity, mirroring the information required on the DL-77.
  • Texas Hardship License Application (DL-77D): This is a specific form for those seeking a hardship license due to different circumstances. It closely resembles the DL-77 in terms of purpose and required documentation.
  • Medical Evaluation Form (DL-101): This document assesses whether a medical condition affects driving ability. Like the DL-77, it may be required for applicants with health concerns that could impact their driving safety.

Dos and Don'ts

When filling out the Texas DL 77 form, it's important to follow certain guidelines to ensure your application is processed smoothly. Here’s a list of what to do and what to avoid.

  • Do: Use blue or black ink when completing the form.
  • Do: Provide accurate and complete information for all required fields.
  • Do: Double-check your application before submitting it to avoid mistakes.
  • Do: Include any necessary supporting documents, such as a physician’s statement if required.
  • Do: Make sure to sign and date the application.
  • Do: Keep a copy of your completed application for your records.
  • Don't: Leave any required fields blank; incomplete applications may be rejected.
  • Don't: Use pencil or any ink color other than blue or black.
  • Don't: Submit the application without verifying that all information is correct.
  • Don't: Forget to include your Social Security Number as it is mandatory.
  • Don't: Provide false information, as this could lead to serious consequences.
  • Don't: Wait until the last minute to submit your application; allow time for processing.

Misconceptions

Misconceptions about the Texas DL 77 form can lead to confusion. Here are ten common misunderstandings, along with clarifications.

  • Misconception 1: The DL 77 form can be submitted online.

    • This form must be completed and submitted in person. Online submissions are not accepted.

  • Misconception 2: Once submitted, the application fee is refundable.

    • Unfortunately, the Texas Department of Public Safety does not refund application fees after submission.

  • Misconception 3: All applicants will automatically receive a hardship license.

    • A hardship license is only granted if specific criteria are met. Not all applications will be approved.

  • Misconception 4: You do not need a driver education course to apply.

    • Completing an approved driver education course is a requirement for all applicants seeking a hardship license.

  • Misconception 5: The application process is quick and easy.

    • The application can take time, and you may need to provide additional documentation. Patience is essential.

  • Misconception 6: You can apply for a hardship license if you simply want to drive for leisure.

    • Hardship licenses are intended for specific situations, such as economic hardship or family illness, not for general driving purposes.

  • Misconception 7: There is no need to provide emergency contact information.

    • Providing emergency contacts is encouraged and can be crucial in case of an accident or emergency.

  • Misconception 8: Medical history questions are optional.

    • All medical history questions must be answered. Failing to do so can result in application denial.

  • Misconception 9: You can skip providing your Social Security number.

    • Providing your Social Security number is mandatory for identification purposes when applying for a driver license.

  • Misconception 10: The DL 77 form is only for minors.

    • While many applicants are minors, adults can also apply for a hardship license using this form.

Key takeaways

  • Complete the Texas DL-77 form using ink. Any errors or incomplete sections may delay the application process.

  • Understand that the application will be held for 90 days. If not processed within this time, you may need to reapply.

  • Once submitted, the Texas Department of Public Safety (DPS) will not issue a refund for any payments made with the application.

  • Eligibility for a Hardship License requires demonstrating an unusual economic hardship, medical necessity, or enrollment in a vocational program.

  • Gather all necessary supporting documents, such as a physician’s statement or school certification, to strengthen your application.

  • Be aware that providing false information can lead to serious consequences, including fines and potential jail time.