Driver Improvement & Compliance
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1STATE OF TEXAS
TEXAS DEPARTMENT OF PUBLIC SAFETY
DRIVER IMPROVEMENT & COMPLIANCE
B0X 15999
AUSTIN, TEXAS 78761-5999
JUDGMENT CREDITOR’S
Current Date __________________________
CONSENT TO ALLOW
Accident Case No. _____________________
LICENSE AND REGISTRATION
Date of Accident _______________________
Location ______________________________
Street
______________________________
City
County
In accordance with Section 601.334(a) of the Texas Motor Vehicle Safety Responsibility
Act, I (We), ___________________________________________________________________
Judgment Creditor(s) in Cause No. _______________, _______________________________
Court, _________________ County, Texas, do hereby consent the Judgment Debtor whose
name, driver license number, date of birth, registration number and address is:
_____________________________________________________________________________
Name – First
Middle
Last
DL Number
Date of Birth
Registration No.
_____________________________________________________________________________
Street or P.O. Box
City
State
Zip Code
be allowed license and registrations for six months from the above date and therefore until
after such consent is revoked in writing by the Judgment Creditor(s).
Signed ________________________________
Judgment Creditor(s)
Address _______________________________
Street of P.O. Box
______________________________________
City
State
Zip Code
______________________________________
Date of Birth
DL Number
NOTE: The Judgment Debtor must file proof of financial responsibility for the future, Form
SR22 certificate of liability insurance.
SR-84 (Rev. 7/07)
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Parent category: Letters