Article Structure
The DL-16Lc form serves a crucial role in the management of driving privileges in Pennsylvania. Designed for individuals facing suspension, revocation, disqualification, or cancellation of their driver’s license, this acknowledgment form must be completed accurately to ensure proper processing. It is essential for applicants to use blue or black ink and provide all requested information across various sections, including personal details like name, birthdate, and contact information. Additionally, individuals must surrender any valid licenses, permits, or camera cards they hold to receive credit for the suspension. Changes in residence must be reported, with an option to notify county voter registration offices if the person is a registered voter. The form requires diligent attention to detail, as incomplete submissions may result in delays or denial of credit. For applicants who do not possess the standard documentation due to specific circumstances, such as expiration or loss, an explanation must be included. Consequently, upon submission, the Pennsylvania Department of Transportation will confirm acceptance, affording critical restoration of driving privileges once all conditions are met. Misstatements in this process can have serious legal repercussions, reinforcing the importance of truthful communication throughout this procedure.
Dl 16Lc Example
PLEASE PRINT
ACKNOWLEDGMENT OF SUSPENSION/ REVOCATION/DISQUALIFICATION/CANCELLATION
AS REQUIRED UNDER SECTION 1541 OF THE VEHICLE CODE
PLEASE TYPE OR PRINT IN BLUE OR BLACK INK ALL INFORMATION
Bureau of Driver Licensing • P.O. Box 68693 • Harrisburg, PA
If you have a valid License, Permit(s) and/or Camera Card in your possession, you MUST surrender the valid product to the Department. You may not retain your PA Driver's License for photo identification purposes. This form may ONLY be used under the circumstances listed in Section B. ALL information in Section A, B, & C MUST be completed with a Signature and Date.
A
B
C
D
PA DRIVER'S LICENSE/PERMIT NUMBER |
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LAST NAME |
JR.,ETC. |
FIRST NAME |
MIDDLE NAME |
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DATE OF BIRTH (must be listed) |
TELEPHONE NUMBER |
ADDRESS (if applicable) |
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Month |
Day |
Year |
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CHANGE OR CORRECTION ONLY
ADDRESS CHANGE: A POST OFFICE BOX NUMBER MAY BE USED IN ADDITION TO THE ACTUAL RESIDENCE ADDRESS, BUT CANNOT BE USED AS THE ONLY ADDRESS.
NEW
STREET
ADDRESS
CITY |
STATE |
ZIP CODE |
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This application will also serve as a request to update your voter registration unless you check this box: ❑
If you are not registered to vote, you will receive an application to register. You must be a U.S. citizen to register to vote in Pennsylvania.
You MUST mark the appropriate box(es) and provide the requested information.
1.❑ Never licensed in Pennsylvania.
2.License, Permit(s) and/or Camera Card issued by Pennsylvania is:
❑Expired
❑Lost
❑Stolen
❑Mutilated: When?_______________________________________________________________________________
❑Surrendered to or confiscated by the Police. When: ____________________________________
What Police Department?_________________________________________________________________________
3.❑ Other: You must indicate the reason that you are unable to surrender your valid License, Permit(s) and/or Camera
Card if items 1 or 2 do not apply: (If you have a valid PA Driver's License you may not retain it for photo identification
purposes):________________________________________________________________________________________
_ _______________________________________________________________________________________________
ACKNOWLEDGMENT
I,_ _________________________________ hereby acknowledge that my driving privilege is Suspended/Revoked/Disqualified in Pennsylvania.
AND
I certify that all information given on this acknowledgment is true and correct. I understand that upon restoration, I will be required to apply for the issuance, renewal, or replacement of my Driver's License, Learner's Permit, or Camera Card, whichever is needed, in order to be licensed in Pennsylvania. If using a messenger service, I hereby authorize the Department to furnish them with my driving record for the purpose of pro- cessing this form.
X |
_ ______________________________ |
SIGNATURE IN INK |
DATE |
WARNING: Misstatement of fact is a misdemeanor of the third degree punishable by a fine of up to $2,500.00 and/or imprisonment up to one year (18 PA C.S. Section 4904(b)).
ADDITIONAL INFORMATION
Unless this document is being submitted by a Court of Record following sentencing, this form must be mailed to:
PennDOT • Bureau of Driver Licensing • P.O. Box 68693 • Harrisburg, PA
Upon receipt, review and acceptance of this acknowledgment, PennDOT will send you a receipt. If you do not receive this receipt within 3 weeks of your mailing, please contact PennDOT at the telephone numbers listed below:
Visit us at www.dmv.pa.gov or call us
Form Characteristics
| Fact Name | Description |
|---|---|
| Name of Form | DL-16LC, which stands for the Acknowledgment of Suspension/Revocation/Disqualification/Cancellation. |
| Governing Law | This form is governed by Section 1541 of the Pennsylvania Vehicle Code. |
| Submission Method | The form must be mailed to PennDOT’s Bureau of Driver Licensing in Harrisburg, PA. |
| Signature Requirement | A signature and date must be provided to ensure that credit will be given. |
| Usage | It can only be used in specific circumstances outlined in Section B of the form. |
| Information Required | The form requires completed information in Sections A, B, and C, including personal identifiers. |
| Voter Registration Notification | Individuals may opt to notify their county voter registration office of address changes. |
| Misstatement Consequences | Misstatement of fact is classified as a misdemeanor, with potential penalties that include fines and imprisonment. |
| Receipt Confirmation | PennDOT will send a receipt confirming the start date of suspension credit upon acceptance of the form. |
Guidelines on Utilizing Dl 16Lc
Once you have gathered the necessary information, you will be ready to fill out the DL-16LC form. Completing this form accurately is important for ensuring that your driving record is properly updated. Below are detailed steps to assist you through the process of filling it out correctly.
- Print the DL-16LC form. Use blue or black ink when filling it out.
- Begin with Section A:
- Enter your PA Driver's License/Permit number.
- Fill in your last name, first name, and middle name.
- Provide your date of birth (month, day, year).
- Write your telephone number.
- Add your email address (if applicable).
- For address changes, complete the address section:
- Write your new street address.
- Enter your city, state, and zip code.
- If applicable, indicate whether you would like the voter registration office notified of this change by marking “Yes” or “No.”
- Move on to Section B and mark the appropriate box:
- If you have never been licensed in Pennsylvania, mark that option.
- If your PA license, permit, or camera card is expired, lost, stolen, or mutilated, provide details when prompted.
- If any other circumstances apply, write your reason in the provided space.
- In Section C, acknowledge your status:
- Write your name clearly in the acknowledgment statement.
- Provide your signature in ink and the date of signing.
- Make sure to review the form for completeness and accuracy.
- Mail the completed form to the address provided:
- PennDOT, Bureau of Driver Licensing, P.O. Box 68693, Harrisburg, PA 17106-8693.
What You Should Know About This Form
What is the DL-16LC form used for?
The DL-16LC form is used to acknowledge the suspension, revocation, disqualification, or cancellation of a driver's license in Pennsylvania. It serves to officially notify the Bureau of Driver Licensing about your current status and allows you to earn suspension credit.
Who needs to fill out the DL-16LC form?
Anyone with a Pennsylvania driver's license, permit, or camera card that has been suspended, revoked, disqualified, or canceled must fill out this form. It applies only under the specific circumstances outlined in Section B of the form.
What information is required when completing the form?
Section A, B, and C of the form must be completed. This includes your driver's license or permit number, personal details like your name and date of birth, and the reason for your driver's license status. A signature and date are also mandatory.
How do I submit the DL-16LC form?
The completed form must be mailed to PennDOT's Bureau of Driver Licensing at P.O. Box 68693, Harrisburg, PA 17106-8693. If the form is submitted by a Court of Record following sentencing, it may be sent directly from the court.
What happens after I submit the form?
Once PennDOT receives and processes your form, they will send you a receipt confirming the start date of your credit for the suspension. It's important to wait for this receipt, as it verifies your driving privilege status.
What should I do if I don’t receive my receipt?
If you do not receive your receipt within three weeks of mailing the form, contact PennDOT to verify that your credit has begun. Use the designated phone numbers available for inquiries.
Is there a penalty for providing false information on the DL-16LC form?
Yes. Misstatement of fact on this form is considered a misdemeanor of the third degree. It can lead to fines of up to $2,500 and/or imprisonment for up to one year, as specified under Pennsylvania law.
Can I retain my Pennsylvania driver's license for identification purposes during suspension?
No, if you have a valid Pennsylvania driver’s license, permit, or camera card, you must surrender it to earn your suspension credit. You cannot keep it for identification while your driving privileges are suspended.
Common mistakes
Filling out the DL-16LC form can be straightforward, but many people make several common mistakes. Here are eight errors to watch for to ensure your submission is successful.
One frequent mistake is failing to provide complete information in Sections A, B, and C. All required fields must be filled out before the form can be processed. Insufficient information will lead to delays, and your request for suspension credit may not be granted.
Another common error is not signing and dating the form. This acknowledgment is crucial, as it certifies that you understand your driving privileges are suspended or revoked. Without your signature and the correct date, the form may be considered invalid.
Improper use of ink is also a problem. The instructions state that the form must be completed in blue or black ink only. Using other colors or writing in pencil can result in rejection of your application.
Some individuals mistakenly think that a post office box can stand alone as an address. While a P.O. box can supplement your physical address, it cannot be the only address listed on the form. Ensure that your actual residence address is included.
Another mistake involves checking the wrong box when indicating your licensing status. It's important to mark the appropriate box that describes your situation accurately. A mix-up may lead to confusion and further delays in processing.
People often forget to surrender their valid driver's license or permit before submitting the form. If you have a valid product, it must be returned to receive proper credit. Keeping a valid license for identification purposes is not allowed.
Additionally, providing outdated or incorrect personal information is a common oversight. Make sure your name, address, and contact details are accurate and reflect your current status to avoid any issues.
Finally, submission timelines can be problematic. Those who send their forms without making a copy for their records may find it hard to track submissions. Always keep a copy of the completed form for your reference to ensure peace of mind.
Documents used along the form
The DL-16LC form is an essential document used during the process of acknowledging the suspension, revocation, or cancellation of a Pennsylvania driver's license. However, several additional forms and documents may be required alongside the DL-16LC to ensure compliance with legal and administrative requirements. Below is a list of common documents often used in conjunction with the DL-16LC form.
- DL-15 Form: This form is used to apply for a driver's license restoration after a suspension. It requires details about the suspension and evidence of any required education or therapy programs completed.
- DL-39 Form: The application for Pennsylvania Learner's Permit is available through this form. It is necessary for individuals who want to obtain a permit to practice driving before officially acquiring a driver's license.
- Form MV-550: This is a request for a transcript of driving history. Individuals may need this document to verify their past driving record and ensure all suspensions and revocations are correctly accounted for.
- Form MV-908: Used for reporting an accident to the Pennsylvania Department of Transportation. This form is critical if the driving privileges were impacted due to an accident.
- Form MV-225: This form is needed for reinstatement after a suspension for driving under the influence (DUI). It includes requirements for completing alcohol education or assessment programs.
Understanding the required accompanying documents is key to navigating the complexities of driving license issues in Pennsylvania. Ensuring that all necessary documentation is completed and submitted accurately will facilitate a smoother process for restoring driving privileges.
Similar forms
- DL-15C Form: This form is used when a driver applies for a change of address or personal information in Pennsylvania. Similar to the DL-16LC, it requires the driver's identification information, including their last name, first name, and date of birth. Both forms must be completed accurately to process the requested changes.
- DL-21 Form: The DL-21 is used for requesting a driver's license restoration after a suspension. Like the DL-16LC, it includes sections for personal information and requires a signature. Both forms serve to address issues related to driver privileges.
- DL-31 Form: The DL-31 form is submitted when a driver wishes to replace a lost or stolen license. Similar to the DL-16LC, the DL-31 requires the applicant to provide personal details and confirm that the provided information is accurate.
- DL-32 Form: This form is used for applying for a new Pennsylvania driver's license after an individual's driving privileges have been reinstated. Both the DL-32 and the DL-16LC require the driver to acknowledge their driving history and provide identifying information to ensure accurate processing.
Dos and Don'ts
- Do complete all sections of the form fully. Missing information may delay processing.
- Do write in blue or black ink to ensure legibility.
- Do sign and date the acknowledgment section to validate your submission.
- Do surrender any valid driver’s license or permit to earn suspension credit.
- Don't use a post office box as your only address; an actual residence is required.
- Don't forget to check the appropriate boxes, particularly if you are not a registered voter.
- Don't provide false information; it could lead to criminal penalties.
Misconceptions
- Misconception 1: The DL-16Lc form can be submitted online.
- Misconception 2: You can use a PO Box as your only address.
- Misconception 3: You don’t need to provide a signature or date.
- Misconception 4: You can retain your valid license for identification after suspension.
- Misconception 5: The form can be filled out in any ink color.
- Misconception 6: Credits from the form are automatic without confirmation.
- Misconception 7: No additional information is needed beyond the form itself.
- Misconception 8: There are no penalties for incorrectly filling out the form.
This form must be mailed to PennDOT; it cannot be submitted electronically.
A PO Box may be used alongside your actual residence address, but cannot serve as your only address on the form.
All sections of the form must be completed, including a signature and date, or credit will not be issued.
If you have a valid PA driver’s license, you must surrender it to earn suspension credit.
The instructions specify that the form must be completed in blue or black ink only.
Additional information may be required if you indicate certain issues, such as an expired or stolen license.
Providing false information can result in serious penalties, including fines or imprisonment.
Key takeaways
Here are key takeaways for completing and using the DL-16LC form:
- Always print the form using blue
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