Instructions
The applicant must use this adavit to support their claim of residency or being domiciled in Texas. This form and any proof
submitted do not guarantee the issuance of a Texas driver license or identication card.
1. The form must be complete, legible, and signed by the applicant and the individual or representative.
2. Provide copies of two (2) acceptable documents to support the applicant’s claim of residence or domicile inTexas.
3. For individuals who are related, provide copies of two (2) acceptable residency documents, document(s) demonstrating family
relationship, and the signed adavit. Acceptable documents demonstrating family relationship may include, but are not limitedto:
Marriage license Military dependent identication card
Birth certicate Adoption records
4. For individuals who are non-family, provide copies of two (2) acceptable residency documents and the signed adavit.
The individual must accompany the applicant and present identication acceptable for DL/ID issuance under 37 TAC 15.24.
5. A representative of a governmental entity, not-for-prot organization, assisted care facility/home, adult assisted living facility/home,
homeless shelter, transitional service provider, or group/half way house must provide a notarized letter or notarized DL-5 certifying
to the address where the applicant resides or receives services and verifying they receive mail for the applicant in lieu of two (2)
acceptable residency documents. This representative is not required to accompany the applicant.
6. An applicant is not required to comply with this section if they are subject to the address condentiality program administered
by the Oce of the Attorney General, currently incarcerated in a Texas Department of Criminal Justice facility, are minors in DFPS
conservatorship, individuals under 21 years of age in DFPS paid foster care, or homeless youth dened by 42 USC Section 11434a.
7. DPS determines if submitted documents are acceptable and has the authority to reject or require additional evidence
to verify residence address.
Acceptable residency documents:
The following are acceptable as long as they include the name of the applicant and their Texas residential address and show the
applicant has lived in Texas for at least 30 days prior to application:
Current deed, mortgage, monthly mortgage statement, mortgage payment booklet, or a residential rental/lease agreement
Valid, unexpired Texas voter registration card
Valid, unexpired Texas motor vehicle registration or title
Valid, unexpired Texas boat registration or title
Texas concealed handgun license or license to carry
A utility or residential service bill dated within 90 days of the date of application. Examples of acceptable statements include, but are
not limited to; electric, water, gas, internet, cable, streaming services, lawn service, cellular telephone, etc.
Selective Service card
Current homeowner’s or renter’s insurance policy or statement or current automobile insurance policy, statement, or card
Texas high school, college, or university report card or transcript for the current school year
A pre-printed W-2, 1099, or 1098 tax form from an employer, government, or nancial institution for the most recent tax year
Mail or printed electronic statements from nancial institutions; including checking, savings, investment account, and credit card
statements dated within 90 days of the date of application
Mail from a federal, state, county, or city government agency dated within 90 days of the date of application
Current automobile payment booklet or statement
Current documents issued by the US military indicating residence address
Document from the Texas Department of Criminal Justice indicating the applicant’s recent release or parole
Medical or health card
Pre-printed paycheck or payment stub dated within 90 days of the date of application
Current Form DS2019 or a document issued by the United States Citizenship and Immigration Services
(non-commercial driver license and identication cards only)
