The DL-80 form serves as Pennsylvania's official application for those needing to update, correct, or replace their non-commercial driver's license. It requires various sections to be completed and, depending on the request, may need to be notarized. This critical form, accessible through the Pennsylvania Department of Transportation, encompasses changes ranging from personal information adjustments to the replacement of a lost or damaged license.
Navigating the DL-80 Pennsylvania form can at first seem daunting for anyone looking to correct, replace, or change details on their non-commercial driver's license. The Pennsylvania Bureau of Driver Licensing has painstakingly outlined a variety of scenarios in which one might need to utilize this form, be it for a lost, mutilated, or stolen license, changes in personal details due to marriage or divorce, or corrections to essential information such as date of birth or social security number. Each section of the DL-80 form is designed to ensure clarity and compliance, demanding attention to detail from the applicant, whether it’s completing sections A through F or understanding the necessity of notarization in certain circumstances. Moreover, the form underscores the possibility of contributing to the Organ Donation Awareness Trust Fund, hinting at the broader social responsibilities held by license holders. With options for updating an organ donor status or making an address change – including for those with out-of-state addresses under specific conditions – the form encapsulates a variety of life events, backed by legal requirements and the possibility of penalties for misstatements. It's a gateway not just to ensuring that one’s driving records are up to date but also to participating in a larger ecosystem of civic duties and privileges.
DL-80 (3-11)
NON-COMMERCIAL DRIVER’S LICENSE
APPLICATION FOR CHANGE / CORRECTION / REPLACEMENT PLEASE TYPE OR PRINT IN BLUE OR BLACK INK ALL INFORMATION
Bureau of Driver Licensing • P.O.Box 68272 • Harrisburg, PA 17106-8272
CHECK APPLICABLE BLOCK:
PLEASE READ IMPORTANT INFORMATION ON THE REVERSE SIDE.
REPLACEMENT (DUPLICATE) – Complete Sections A, B, (C & D if applicable),
CHANGE OR CORRECTION of Non-Commercial License.
E and F. All requests marked with an asterisk (*) MUST be notarized.
Complete Section A, C and F. Notarization is not required.
Complete absence statement on reverse side if applicable.
An update card will be issued.
A YOU MUST COMPLETE ALL PARTS OF SECTION A
DRIVER’S LICENSE NUMBER
LAST NAME
JR./ETC
FIRST NAME
MIDDLE NAME
DATE OF BIRTH
TELEPHONE NUMBER (8:00A.M. - 4:30P.M.)
E-MAIL ADDRESS (if applicable)
MONTH
DAY
YEAR
B
APPLICATION FOR REPLACEMENT (CHECK ONE)
REPLACEMENT REQUIRED DUE TO REASON (CHECK ONE)
ORGAN DONOR
*REGULAR CAMERA CARD
PHOTO LICENSE
UPDATE CARD
LOST
MUTILATED
DESIGNATION
STOLEN
CORRECTION
ADD (parental consent in
*“PHOTO-EXEMPT’’ CAMERA CARD
VALID W/O PHOTO LICENSE
*NEVER RECEIVED
OTHER ______________________
Section D required
if under 18)
(STATEMENT ON REVERSE MUST BE COMPLETED AND SIGNED)
(No Fee Required)
_____________________________
REMOVE
CCHANGE OR CORRECTION ONLY (Important information on reverse side)
ADDRESS CHANGE -A Post Ofice Box number may be used in addition to the actual residence address, but cannot be used as the only address. See reverse if using an out-of-state address.
NEW
STREET
ADDRESS
CITY
STATE
PA
ZIP CODE
If you are a registered voter in PA, would you like us to notify your county voter registration office of this change?
YES
NO
If you are not a registered voter, you may contact your county voter registration office.
NAME CHANGE
OTHER (see reverse side)
REASON:
MARRIAGE
DIVORCE
LAST
JR., ETC.
OTHER CHANGES
EYE COLOR (Please check one):
BLUE
BROWN
GREEN
HAZEL
PINK
BLACK
GRAY
DICHROMATIC
OTHER ________________
CORRECTION OF DATE OF BIRTH
HEIGHT
SOCIAL SECURITY NUMBER
DROP PRIVILEGE
FEET
INCHES
DROP CLASS M
CONSENT OF PARENT, GUARDIAN, PERSON IN LOCO PARENTIS OR SPOUSE AT LEAST 18 YEARS OF AGE. Complete if
D Applicant is less than 18 years of age to give consent for Applicant’s request for Organ Donor Designation.
I hereby certify that I am a
SIGN
Parent,
Guardian,
Person in Loco Parentis
Spouse at least 18 years of age and I:
HERE
Do give consent
Do not give consent for applicant’s request for Organ Donor Designation.
X
(SIGNATURE OF PARENT, ETC.)
E
ALL MUST BE
No person may hold more than one valid license at any time. If you have a license from another state, do not use this form. YOU MUST go
to a Driver License Examination Center to surrender your out-of-state license and make application for a replacement PA license.
ANSWERED IF
1.
NO - Is your driver’s license or driving privilege suspended or revoked in this state or any other state?
REPLACEMENT
2.
NO - Have you been arrested or cited in this state or any other state for any violation which carries a possible penalty of suspension or
IS REQUESTED
revocation of your driver’s license or driving privilege?
If yes, give state_________ Date ______________ and Reason ___________________________________________________________
FAUTHORIZATION AND CERTIFICATION
I certify under penalty of law that all information given on this application is true and correct. I hereby
AFFIDAVIT: This section must be notarized when applying for replacement of a
authorize the Social Security Administration to release to the Department of Transportation information
Camera Card. You are entitled to a free replacement ONLY if this application is
concerning my Social Security Identication Number for the purpose of identication. If using a Messenger
completed within 90 days of the original date of issuance and the original was
Service, I hereby authorize the Department to furnish them with my driving record for the purpose of
never received due to loss in the mail.
processing this form. I hereby acknowledge this day that I have received notice of the provisions of Section
SUBSCRIBED AND SWORN
3709 of the Vehicle Code. (See reverse for provisions.)
FEE PAID
TO BEFORE ME:
MO.
I wish to contribute $1.00 to the Organ Donation
SEND CHECK
IN THIS
Signature of Person Administering Oath
Awareness Trust Fund (see reverse).
AMOUNT
SEE REVERSE FOR FEES
S
WARNING: Misstatement of fact is
SIGN IN PRESENCE OF NOTARY
a misdemeanor of the third degree
punishable by a ine of up to $2,500
A
and/or imprisonment up to 1 year
L
(18 PA C.S. Section 4904(b)).
(APPLICANT’S SIGNATURE IN INK)
For More Drivers License Information - http://pa-license.com
APPLICANT INFORMATION
•Photo Exemption: Complete form as indicated. Sign both Section ‘’F’’ and the statement below. PennDOT will send you a camera card and further instructions.
During the next 60 days I will be absent from PA for the following reason:
Military
School
Work
Travel
Within 45 days of my return I will apply for a driver’s license containing my photo.
XSIGN
SIGNATURE HERE
•OUT-OF-STATE ADDRESS CHANGE. We may not issue driver license products to an out-of-state address, except in the case of an employee of the federal or state government, armed forces personnel, and immediate members of their families, whose workplace is located outside of Pennsylvania. If this exception applies to you, please check the appropriate box and include documentation of your status with this application. Attach a letter from your employer on their letterhead to document your status, or attach a copy of your current Photo ID issued by your employer. If you are the immediate family of a person meeting one of the allowable exceptions, attach the documentation of the person employed. Additionally, you must indicate your relationship to that person.
I certify that my workplace is located out of state and I am employed by, or am the immediate family of a person employed by:
US Armed Forces
Federal Government
Pennsylvania State Government
Relationship to person meeting exemption (check one):
Spouse
Dependent Child
•Return your completed and signed application with check or money order made payable to "PennDOT", to: Bureau of Driver Licensing, P.O. Box
68272, Harrisburg, PA 17106-8272.
•If your license is due to expire within six (6) months, DO NOT use this form. Complete form DL-143 (Renewal of a Non-Commercial Driver’s License).
•If you ind or recover your original license after you have submitted this application for a duplicate, return the original license with a letter of explanation to: Bureau of Driver Licensing, P.O. Box 68615, Harrisburg, PA 17106-8615. After duplicate is issued, the original license is no longer valid.
REPLACEMENT OF
APPLICATION FOR REPLACEMENT OF A CAMERA CARD OR A PRODUCT NEVER RECEIVED MUST
NON-COMMERCIAL:
BE NOTARIZED IN SECTION F.
PHOTO OR VALID W/O
FEE: $13.50 - The Bureau will issue a camera card, which is a temporary Non-Commercial Driver’s License
valid for 60 days. During those 60 days, the driver must appear at a photo driver license center for the
PHOTO NON-COMMERCIAL
purpose of having a photo taken. If photo image is on ile, the Bureau will issue a Photo Driver’s License.
DRIVER’S LICENSE
If license is endorsed with Class M, fee is $18.50.
*REGULAR OR “PHOTO
FEE: $5.00 if photo was not taken with the original camera card.
EXEMPT” CAMERA CARD
If license is endorsed with a Class M, fee is $10.00.
No Fee. (update cards are not issued if requesting a change of Organ Donor designation status)
*ORGAN DONOR
When you are adding or removing the Organ Donor designation, the form must be notarized and a
replacement fee is required. Refer to fees above.
ORGAN DONATION
You have the opportunity to contribute $1.00 to the Fund. The additional $1.00 contribution must be added to
the fees above and included in your payment by check/money order. You must also check the block provided
AWARENESS TRUST FUND
in Section F to ensure proper handling of your contribution.
(ODTF)
CHANGE/CORRECTION
ONLY
NO FEE REQUIRED — The Bureau will issue an update card relecting the change/correction which must be carried with the driver’s license. Notarization is not required.
NAME CHANGE - If your name changed by permission of court, attach a Certiied Copy of the Court Order. If you desire to use a name other than your
(1) birth name, (2) spouse’s surname, or (3) a name given through a Court Order, you must provide a copy of your Social Security Card (or records), together with copies of documents from two other sources issued in the desired name such as: Tax Records, Selective Service Card, Voter Registration
Card, Passport, any form of Photo I.D. issued by a governmental agency, or state issued Birth Certiicate.
IF YEAR OF BIRTH on driver’s license is incorrect, attach a copy of your oficial birth certiicate.
IF Social Security Number is incorrect, attach copy of your Social Security Card.
PROVISIONS OF SECTION 3709 OF THE VEHICLE CODE
Section 3709 provides for a ine of up to $300 for dropping, throwing or depositing, upon any highway, or upon any other public or private property without the consent of the owner thereof or into or on the waters of this Commonwealth, from a vehicle, any waste paper, sweepings, ashes, household waste, glass, metal, refuse or rubbish or any dangerous or detrimental substance, or permitting any of the preceding without immediately removing such items or causing their removal.
For any violation of Section 3709, I may be subject to a ine of up to $300 upon conviction, including any violation resulting from the conduct of any other
persons present within any vehicle of which I am the driver.
Filling out the DL-80 form for a change, correction, or replacement of a Non-Commercial Driver's License in Pennsylvania is a critical step towards ensuring your driving records are up to date. Whether it's due to a change in address, name, or if you've experienced the misfortune of losing your license, completing this form accurately is essential. The following instructions are designed to guide you through each part of the form, making the process as smooth as possible. Remember, organizations and legal bodies reference your driver's license for identification purposes, so it's important that all information is current and correct.
After submitting the form, it's a waiting game. You will receive further communication from PennDOT regarding the status of your application or if additional information is needed. Remember, keeping your driver's license information up to date is not just a legal requirement—it's a crucial part of being a responsible driver.
What is the DL-80 form used for in Pennsylvania?
The DL-80 form is utilized for several purposes including applying for a change or correction to a non-commercial driver's license, or obtaining a replacement (duplicate) license in Pennsylvania. This includes updates for details such as name, address, organ donor designation, and corrections of personal information.
How do I complete the DL-80 form?
To properly complete the DL-80 form, you must fill out the required sections in blue or black ink. These sections vary depending on your specific needs, such as replacement, change, or correction of your license. It's important to check the appropriate box for your request at the beginning of the form and include all necessary personal information in Section A.
Is notarization required for the DL-80 form?
Not all parts of the DL-80 form require notarization. Notarization is mandatory only for requests marked with an asterisk (*), particularly when applying for a replacement of a camera card. For simple changes or corrections, notarization is not required.
Can I use a P.O. Box as my address on the DL-80 form?
Yes, a P.O. Box number can be used as an additional address but cannot serve as the only address on the DL-80 form. Your actual residence address must be provided, ensuring that all necessary documents are sent to the correct location.
What should I do if I have an out-of-state address?
Driver license products cannot generally be issued to an out-of-state address. Exceptions exist for employees of the federal or state government, armed forces personnel, and their immediate families. In such cases, appropriate documentation of status and a letter from your employer must be attached to your application.
What happens if I find my original license after applying for a replacement with the DL-80 form?
If you locate or recover your original license after submitting a DL-80 form for a duplicate, you must return the original license with a letter of explanation to the Bureau of Driver Licensing. The original license becomes invalid once the duplicate is issued.
What is the fee for a replacement non-commercial driver's license using the DL-80 form?
The fee for a replacement non-commercial driver’s license is $13.50. If the license includes a Class M (motorcycle) endorsement, the fee increases to $18.50. Additional charges apply for specific circumstances such as photo exemption or organ donor designation updates.
Is there a fee for changing or correcting information without requesting a new license?
There is no fee required for changing or correcting information on your existing driver's license without requesting a new license. An update card reflecting the change will be issued and must be carried alongside your current driver's license.
How do I contribute to the Organ Donation Awareness Trust Fund through the DL-80 form?
You have the option to contribute $1.00 to the Organ Donation Awareness Trust Fund when completing the DL-80 form. This contribution must be included in your payment by check or money order, and you must indicate your desire to contribute by checking the appropriate block in Section F of the form.
When filling out the DL-80 Pennsylvania form, individuals often make common mistakes that can lead to delays in processing or even the rejection of their application. To ensure a smooth and efficient handling of your form, it’s imperative to avoid these pitfalls. Here are seven frequently made errors:
Not using blue or black ink to complete the form. This requirement is clearly stated but commonly overlooked, potentially causing issues with legibility.
Failure to check the appropriate box in the "Application for Replacement" section. Whether you're applying due to a lost, mutilated, stolen license, or other reasons, specifying the reason is crucial.
Omitting the notarization of the form when required, specifically for all requests marked with an asterisk (*) and when applying for a replacement of a Camera Card or a product never received.
Providing an incomplete address, or using a P.O. Box as the only address without including the actual residence address. This can lead to the application being incomplete or not properly processed.
Forgetting to sign the form in all required sections. Every section that requires a signature must be completed, or the form may be considered invalid.
Not accurately answering questions related to license suspension or revocation in other states. Truthful and complete answers are necessary for a valid application.
Incorrectly calculating or omitting the required fee, especially when contributing to the Organ Donation Awareness Trust Fund or applying for specific endorsement changes.
Addressing these errors before submitting your DL-80 form can significantly reduce the chances of delay or rejection. Taking the time to review your application thoroughly ensures that you meet all the requirements set forth by the Bureau of Driver Licensing.
When dealing with the process of changing, correcting, or replacing a non-commercial driver's license in Pennsylvania, as outlined in the DL-80 form, individuals may find themselves in need of several other forms and documents to support their application. These documents play a crucial role in ensuring the request is processed smoothly and efficiently.
Each of these documents serves a specific purpose and contributes to the verification process, ensuring that all changes and corrections are legitimate and accurately reflected in Pennsylvania's Department of Transportation records. Applicants are encouraged to thoroughly review their applications and accompanying documents to facilitate a smooth and efficient processing experience.
The DL-80 Pennsylvania form is similar to other forms used across different states for managing driver's license services, such as updates, corrections, and replacements. For instance, its functionality and purpose resemble that of:
While the overall goals of these forms align – keeping driver's information current and accurate – each state incorporates unique elements tailored to its specific legal and procedural framework. This ensures that, despite similarities in purpose, each form aligns with the respective state's DMV processes and regulations.
When filling out the DL-80 form for a Pennsylvania Non-Commercial Driver's License application for change, correction, or replacement, there are several do's and don'ts to keep in mind to ensure the process goes smoothly:
Additionally, if a fee is required for your application type, ensure to include a check or money order with the correct amount. Always double-check your application for accuracy and completeness before sending it to the Bureau of Driver Licensing to avoid any unnecessary delays or issues.
There are several misconceptions about the DL-80 form in Pennsylvania, which is officially used for the change, correction, or replacement of a non-commercial driver's license. Understanding these misconceptions can help applicants navigate the process more effectively.
Misconception 1: The DL-80 form can only be used for replacing a lost license.
Reality: This form is versatile and can also be used for corrections or changes to the information on a non-commercial license, such as a change in address, name, or organ donor status.
Misconception 2: Notarization is required for all sections.
Reality: Not all sections require notarization. Only certain requests, like the replacement of a camera card never received, must be notarized.
Misconception 3: You can only change your address to another Pennsylvania address.
Reality: While generally designed for in-state address changes, exceptions are made for out-of-state addresses in specific circumstances, such as for federal or state government employees working outside Pennsylvania.
Misconception 4: Any mail-in application will be processed regardless of the fee attached.
Reality: The correct fee must accompany the application for it to be processed. The fees vary depending on the type of request being made.
Misconception 5: The DL-80 form is the correct form for renewing a driver’s license.
Reality: This form is not meant for renewals. For renewals, one must use form DL-143 for a non-commercial driver's license.
Misconception 6: You cannot use the DL-80 form if you have a license from another state.
Reality: If you possess an out-of-state license, you must first surrender it at a Driver License Examination Center and cannot use the DL-80 form for obtaining a Pennsylvania license.
Misconception 7: A new photo is not needed when updating information.
Reality: If issuing a replacement license, a new photo may be required unless the applicant is eligible for a 'Photo-Exempt' Camera Card.
Misconception 8: A social security number correction on the DL-80 form does not require any documentation.
Reality: If correcting a social security number, proof such as a social security card must be attached.
Misconception 9: The DL-80 form can be used to apply for a commercial driver’s license (CDL).
Reality: The DL-80 form is only applicable for non-commercial driver's license changes, corrections, or replacements. Different forms and processes apply for commercial licenses.
Understanding these key points can help clarify the function and requirements of the DL-80 form, ensuring that applicants provide accurate information and follow the correct procedures.
Understanding the DL-80 form in Pennsylvania is crucial for anyone looking to apply for a change, correction, or replacement of their non-commercial driver's license. Here are five key takeaways to ensure the process is smooth and successful:
Adherence to these guidelines ensures that applications are processed efficiently, with fewer chances for delay. It's essential for applicants to review all instructions on the DL-80 form carefully, provide accurate and complete information, and double-check their application before submission. Additionally, keeping a copy of the submitted form and any correspondence with the Pennsylvania Department of Transportation can be helpful should any questions or issues arise.
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