Drivers Permit Application

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City of Arlington, Texas
Pedicab/NEV Driver Permit Application
FOR OFFICE USE ONLY:
INSTRUCTIONS
__Application Completed and Notarized
__TX DPS CCH Form Completed
1. Fill out application completely and submit all attachments listed below.
__Driver’s License Check
__Criminal Background Check
2. Provide original signatures and notarizations on the third page of the
__Defensive Driving Course <2 Years Old
application as indicated. Emailed or photocopied signatures cannot be
__ Drug Screen Test <30 Days Old
__ Copy of Driver’s License
accepted.
__ Photographs
3. Complete the DPS Computerized Criminal History Verification form
DISPOSITION:
provided on the fourth page.
Date Processed:______________
4. Attach the following items to the application:
__ Approved; Permit #:______________
__ Denied
Written proof of completion of a defensive driving course within the
last two years.
COMMENTS:
Written proof of completion of a drug screening test within the last
30 days from date of application. Original documentation must be
submitted.
A photocopy of your driver’s license. Drivers must be at least
eighteen (18) years of age.
Two (2) current passport-size photographs without sunglasses or hat.
After city staff reviews the application and conducts background checks, if accepted, applicant will be notified to pick up
and pay for driver permit. Applications/permit fees are submitted to:
In Person: Public Works and Transportation
Via Mail: Public Works and Transportation
nd
City Hall, 2
Floor
Mail Stop 01-0220
101 West Abram Street
P. O. Box 90231
Arlington, TX 76011
Arlington, TX 76004-3231
Please allow a minimum of 3 business days to process complete applications.
Drivers must keep their permits with them at all times and make them available upon request.
DRIVER INFORMATION
Name:
Date of Birth:
Driver’s State and License Number:
Class:
Expires:
Height:
Weight:
Hair Color:
Eye Color:
Race:
Sex
Current address:
Phone:
Email:
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