Homepage Dl 80 Pennsylvania Form

Common mistakes

Filling out the DL-80 Pennsylvania form can be straightforward, but many people make common mistakes that can delay processing. One frequent error is not completing all required sections. Section A must be filled out completely, including your driver’s license number, name, date of birth, and contact information. Omitting even one piece of information can lead to unnecessary delays.

Another common mistake is failing to check the correct box for the type of application. Whether you are requesting a replacement, change, or correction, it’s crucial to select the appropriate option. Misidentifying the type of request can result in the form being returned or rejected.

Many applicants also overlook the need for notarization. If your application requires notarization, such as when requesting a replacement or making certain changes, ensure that you have the necessary signatures before submitting the form. Notarization is not needed for all applications, but it is essential for those marked with an asterisk.

In addition, people often forget to provide a valid reason for their application. If you are applying for a replacement due to a lost or stolen license, you must specify the reason clearly. Leaving this section blank can lead to confusion and delays.

Another mistake is not updating the address correctly. While a P.O. Box can be included, it cannot be the only address listed. Ensure that your actual residence address is also provided to avoid complications.

Applicants frequently fail to read the instructions on the reverse side of the form. Important information regarding fees, additional documentation, and specific requirements can be found there. Ignoring these details can lead to incomplete applications.

Some individuals do not check their eligibility for organ donor designation. If you wish to add or remove this designation, you must ensure that the form is notarized and that you have included the appropriate fee. Neglecting to do so will result in the request being denied.

Another common oversight is not providing the correct height and eye color information. This data is essential for identification purposes. Ensure that you check the boxes accurately to reflect your current information.

Finally, applicants sometimes forget to include payment for any required fees. Make sure to check the fee schedule and include a check or money order with your application. Missing payment can lead to delays or rejection of your application.

By avoiding these common mistakes, you can ensure that your DL-80 Pennsylvania form is processed smoothly and efficiently. Double-checking your application before submission can save you time and hassle.

Dos and Don'ts

When filling out the DL-80 Pennsylvania form, consider the following dos and don'ts:

  • Do use blue or black ink to complete the form.
  • Do ensure that all sections of the form are fully completed.
  • Do provide accurate personal information, including your full name and date of birth.
  • Don't forget to notarize the application if you are requesting a replacement license.
  • Don't use a post office box as your only address; include your actual residence address.
  • Don't submit the form if your license is due to expire within six months; use the DL-143 form instead.

Similar forms

The DL-80 Pennsylvania form shares similarities with the Form DL-143, which is used for the renewal of a non-commercial driver's license. Both forms are essential for maintaining valid driving privileges in Pennsylvania. The DL-143 allows individuals to update their information and renew their licenses, while the DL-80 is specifically for changes, corrections, or replacements of existing licenses. Each form requires personal information such as the applicant's name, date of birth, and driver's license number, ensuring that the state has accurate records of its drivers. Furthermore, both forms must be submitted to the Bureau of Driver Licensing, emphasizing the importance of centralized processing for license-related requests.

Another related document is the Form DL-180, which is the application for a learner's permit. Like the DL-80, the DL-180 requires applicants to provide personal details, including their name and date of birth. Both forms also require notarization under specific circumstances, ensuring the authenticity of the information provided. The DL-180 serves as a stepping stone for new drivers, whereas the DL-80 caters to those needing modifications to their existing licenses. Each form plays a crucial role in the state's efforts to regulate and track driver qualifications.

The Form DL-54A, which is a change of address form, also bears resemblance to the DL-80. Both documents allow individuals to update their personal information with the Bureau of Driver Licensing. The DL-54A focuses solely on changes in residence, while the DL-80 can address a wider range of issues, including name changes and corrections. Both forms require applicants to provide their current address and may involve additional documentation depending on the nature of the change. This similarity highlights the importance of keeping personal information current to ensure effective communication with the state.

Understanding the legal requirements for various documents is crucial, especially when it comes to transactions involving ownership, such as in the case of the PDF Document Service which offers essential resources for creating a New York Trailer Bill of Sale to ensure smooth ownership transfers and protect both parties’ interests.

Additionally, the Form DL-57 is used for reporting a lost or stolen driver's license. Similar to the DL-80, this form allows individuals to request a replacement of their lost credentials. Both forms require the applicant to verify their identity and provide essential personal details. While the DL-80 encompasses a broader range of requests, including corrections and changes, the DL-57 is specifically tailored for situations involving the loss or theft of a license. This focus on security and identity verification is a shared priority in both forms.

The Form DL-84 is another document that aligns with the DL-80, as it is used for applying for a non-commercial driver's license after a suspension. Both forms require personal information and may involve notarization in certain circumstances. The DL-84 specifically addresses individuals looking to regain their driving privileges, while the DL-80 is more versatile, accommodating various requests such as replacements and updates. This connection underscores the need for clear documentation in maintaining driving rights and ensuring compliance with state regulations.

Lastly, the Form DL-21 is relevant, as it is used for a driver's license application for individuals who have never held a license before. Similar to the DL-80, the DL-21 requires comprehensive personal information and may involve a notarization process. While the DL-80 focuses on changes or replacements for existing licenses, the DL-21 is aimed at new applicants seeking their first license. Both forms serve to establish a secure and organized system for managing driver licensing in Pennsylvania, reinforcing the importance of accurate record-keeping for public safety.

Guidelines on How to Fill Out Dl 80 Pennsylvania

Filling out the DL-80 form in Pennsylvania requires attention to detail and a clear understanding of your specific situation. Whether you're replacing a lost license, making a correction, or updating your information, following these steps carefully will help ensure your application is processed smoothly.

  1. Obtain the Form: Download the DL-80 form from the Pennsylvania Department of Transportation (PennDOT) website or request a physical copy.
  2. Complete Section A: Fill in your driver’s license number, last name, first name, middle name, date of birth, telephone number, and email address (if applicable). Use blue or black ink only.
  3. Choose Your Application Type: In Section B, check the box that corresponds to your reason for applying—whether it’s a replacement, change, or correction.
  4. Fill Out Address Change: If applicable, complete the new street address, city, state, and zip code in Section C. Indicate if you want to notify the county voter registration office.
  5. Provide Additional Information: If you are changing your name or correcting other details, fill in the necessary fields in Section E, including eye color, height, and social security number.
  6. Parental Consent: If you are under 18, have a parent or guardian complete Section D to give consent for your application.
  7. Certification: In Section F, read the certification statement carefully and sign in the presence of a notary if required. If you are applying for a replacement, this section must be notarized.
  8. Payment: Prepare a check or money order made payable to "PennDOT" for the applicable fee. Refer to the fee schedule included with the form.
  9. Submit Your Application: Mail your completed and signed application, along with payment, to the Bureau of Driver Licensing at the address provided on the form.

Once your application is submitted, PennDOT will process it and send you a new license or update card as needed. Keep an eye on your mail for any additional instructions or notifications. It's essential to ensure all information is accurate to avoid delays in receiving your new license.

Form Preview Example

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.

FIRST NAME

 

 

 

 

 

 

 

 

MIDDLE NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

MONTH

 

 

 

DAY

 

 

 

 

 

 

 

 

YEAR

 

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.

 

 

 

YES

 

 

 

NO - Is your driver’s license or driving privilege suspended or revoked in this state or any other state?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REPLACEMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

YES

 

 

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.

DAY

YEAR

 

 

 

 

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

 

 

 

E

 

SIGN IN PRESENCE OF NOTARY

 

 

 

 

a misdemeanor of the third degree

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HERE

 

punishable by a ine of up to $2,500

 

 

A

 

 

 

 

 

 

X

 

and/or imprisonment up to 1 year

 

 

L

 

 

 

 

 

 

 

 

 

 

(18 PA C.S. Section 4904(b)).

 

 

 

 

 

 

 

 

 

 

(APPLICANT’S SIGNATURE IN INK)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DL-80 (3-11)

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

HERE

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.

 

 

UPDATE CARD

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

DESIGNATION

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.

Form Information

Fact Name Details
Form Purpose The DL-80 form is used for applying for a change, correction, or replacement of a non-commercial driver’s license in Pennsylvania.
Notarization Requirement Requests marked with an asterisk (*) must be notarized, except for changes or corrections that do not require notarization.
Eligibility Anyone with a valid Pennsylvania driver’s license can use the DL-80 form to request changes or replacements.
Address Change Policy A post office box can be used alongside the actual residence address but cannot be the only address provided.
Governing Law This form is governed by the Pennsylvania Vehicle Code, specifically Section 3709.
Fees There is no fee for a change or correction. However, a fee applies for replacement requests, typically $13.50.
Organ Donor Designation If changing or adding an organ donor designation, notarization is required, and a fee may apply.
Submission Instructions Completed forms should be mailed to the Bureau of Driver Licensing in Harrisburg, PA, along with payment if applicable.