Fill Out Your Dl 80 Form
The DL-80 form is an important document for individuals seeking to make changes to their non-commercial driver’s license in Pennsylvania. This application is used for various purposes, including requesting a replacement for a lost, stolen, or mutilated license, correcting information such as a name or date of birth, and updating certain designations like organ donor status. The structure of the form is clear and divided into sections, guiding applicants through the necessary steps depending on their specific needs. For instance, when applying for a replacement, applicants must complete multiple sections and ensure the submission is notarized if there are specific conditions marked with an asterisk. Meanwhile, making a change or correction does not require notarization, allowing for a more straightforward process. Notably, this form not only facilitates necessary updates but also incorporates options for contributing to organ donation or veterans’ funds. Moreover, it serves a dual purpose in assisting with the voter registration process for eligible applicants. Understanding the nuances of the DL-80 form is crucial for ensuring that all information is accurately documented and processed efficiently, thereby avoiding potential delays or complications in maintaining one’s driving privileges in Pennsylvania.
Dl 80 Example
APPLICATION FOR CHANGE / CORRECTION / REPLACEMENT
Bureau of Driver Licensing • P.O.Box 68272 • Harrisburg, PA
CHECK APPLICABLE BLOCK:
REPLACEMENT (DUPLICATE) – Complete Sections A, B, (C & D if applicable), E and F. All requests marked with an asterisk (*) MUST be notarized. Complete absence statement on reverse side if applicable.
CHANGE OR CORRECTION of
AYOU MUST COMPLETE ALL PARTS OF SECTION A
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DRIVER’S LICENSE NUMBER |
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LAST NAME |
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JR./ETC |
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FIRST NAME |
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MIDDLE NAME |
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DATE |
OF BIRTH |
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TELEPHONE NUMBER (8:00A.M. - 4:30P.M.) |
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MONTH |
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YEAR |
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B |
APPLICATION FOR REPLACEMENT (CHECK ONE) |
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REPLACEMENT REQUIRED DUE TO REASON (CHECK ONE) |
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*REGULAR CAMERA CARD |
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PHOTO LICENSE |
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UPDATE CARD |
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LOST |
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MUTILATED |
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STOLEN |
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CORRECTION |
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VALID W/O PHOTO LICENSE |
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*NEVER RECEIVED |
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OTHER ______________________ |
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(No Fee Required) |
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_____________________________ |
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Pennsylvania strongly supports organ and tissue donation because of its
ORGAN DONOR DESIGNATION: |
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REMOVE |
ADD (Parental consent in Section D required if under 18) |
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C CHANGE OR CORRECTION ONLY (Important information on reverse side)
ADDRESS CHANGE
NEW STREET ADDRESS
CITY |
STATE PA ZIP CODE |
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.
NAME CHANGE (Please note all name changes must be done in person with original documents) REASON: MARRIAGE DIVORCE OTHER (see reverse side)
LAST |
JR., ETC. FIRST NAME |
MIDDLE NAME |
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OTHER CHANGES |
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BLUE |
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BROWN |
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GREEN |
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HAZEL |
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BLACK |
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GRAY |
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DICHROMATIC |
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OTHER________________ |
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EYE COLOR (Please check one): |
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PINK |
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ADD LENS RESTRICTION |
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OR |
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REMOVE LENS RESTRICTION - (Please Note: Must include |
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CORRECTION OF DATE OF BIRTH |
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HEIGHT |
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SOCIAL SECURITY NUMBER |
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DROP PRIVILEGE |
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YEAR |
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FEET |
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INCHES |
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- |
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DROP CLASS M |
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D |
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CONSENT OF PARENT, GUARDIAN, PERSON IN LOCO PARENTIS OR |
SPOUSE AT LEAST 18 YEARS OF AGE. Complete if |
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Applicant is less than 18 years of age to give consent for Applicant’s request for Organ Donor Designation. |
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I hereby certify that I am |
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Parent, |
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Guardian, |
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Person in Loco Parentis or |
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Spouse |
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SIGN |
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at least 18 years of age, of the applicant named herein, that the statements made herein are true and |
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HERE |
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correct to the best of my knowledge and that this application is made with my full consent. |
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X |
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(SIGNATURE OF PARENT, ETC.) |
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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 |
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to a Driver License Examination Center to surrender your |
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ANSWERED |
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1. |
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YES |
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NO - Is your driver’s license or driving privilege suspended or revoked in this state or any other state? |
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IF |
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2. |
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YES |
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NO - Do you have any pending criminal charges or driving violations in this state or any other state which may carry a possible penalty of |
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REPLACEMENT |
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suspension or revocation of your driver’s license or driving privilege? |
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IS REQUESTED |
If yes, give state_________ Date ______________ and Reason ___________________________________________________________ |
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FAUTHORIZATION AND CERTIFICATION
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For Veterans wishing to add the Veterans Designation to their Driver’s License or ID Card: I certify under penalty of law that I am |
AFFIDAVIT: This section must be notarized when applying |
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a qualified applicant and hereby request it be added to my product. I understand that misrepresentation will result in the cancellation of |
for replacement of a Camera Card. You are entitled to a free |
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my driver’s license. |
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replacement ONLY if this application is completed within 90 |
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I acknowledge that receiving a Pennsylvania Permit, License or ID card will cancel or invalidate any Permit, License or ID card from another state. I certify |
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days of the original date of issuance and the original was |
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under penalty of law that all information given on this application is true and correct. I hereby authorize the Social Security Administration to |
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never received due to loss in the mail. |
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release to the Department of Transportation information concerning my Social Security Identication Number for the purpose of identication. If |
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using a Messenger Service, I hereby authorize the Department to furnish them with my driving record for the purpose of processing this form. |
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I hereby acknowledge this day that I have received notice of the provisions of Section 3709 of the Vehicle Code. (See reverse for provisions.) |
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SUBSCRIBEDAND SWORN TO BEFORE ME: |
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I wish to contribute $3.00 to the Organ Donation Awareness Trust Fund (see reverse). |
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MO. |
DAY |
YEAR |
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I wish to contribute $3.00 to the Veterans’ Trust Fund. (see reverse) |
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Signature of Person Administering Oath |
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SIGN |
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(APPLICANT’S SIGNATURE IN INK) |
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DATE |
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SIGN IN PRESENCE OF NOTARY |
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WARNING: Misstatement of fact is a misdemeanor of the third degree punishable by a fine of up to $2,500 and/or imprisonment up to 1 year (18 PA C.S. Section 4904(b)). |
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PAID BY: |
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Money |
License Centers do not accept cash.) |
TOTAL $ |
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Order |
Payable to PennDOT (PennDOT Driver |
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The most current version of this form can be found at: www.dmv.pa.gov
•Veterans Designation: You have the opportunity to add the veterans designation to your driver’s license, which clearly indicates you are a veteran of the United States Armed Forces. To qualify, you must have served in the United States Armed Forces, including a reserve component or the National Guard, and have been discharged or released from such service under conditions other than dishonorable. If you are requesting to add the veterans designation to your license/ID card, make sure you check the box at the top in Section F.
•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
•
•If your license is due to expire within six (6) months, DO NOT use this form. Complete form
•If you find 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
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REPLACEMENT OF |
Application for replacement of a camera card or a product never received, the form must be notarized. |
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PHOTO OR VALID W/O |
FEE: $31.50 - The Bureau will issue a camera card, which is a temporary |
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valid for 60 days. During those 60 days, the driver must appear at a photo driver license center for the purpose |
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PHOTO |
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of having a photo taken. If photo image is on file, the Bureau will issue a Photo Driver’s License. If license is |
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DRIVER’S LICENSE |
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endorsed with Class M, fee is $36.50. |
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*REGULAR OR “PHOTO |
FEE: $5.00 if photo was not taken with the original camera card and this form must be notarized. |
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EXEMPT” CAMERA CARD |
If license is endorsed with a Class M, fee is $10.00 and this form must be notarized. |
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UPDATE CARD |
No Fee. (update cards are not issued if requesting a change of Organ Donor designation status) |
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ORGAN DONOR |
When you are adding or removing the Organ Donor designation a replacement fee is required. Refer to fees |
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DESIGNATION |
above. |
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ORGAN DONATION |
You have the opportunity to contribute $3.00 to the Fund. The additional $3.00 contribution must be added to |
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AWARENESS TRUST FUND |
the fees above and included in your payment by check/money order. You must also check the block provided |
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(ODTF) |
in Section F to ensure proper handling of your contribution. |
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VETERANS DESIGNATION |
When you are adding or removing the Veterans designation a replacement fee is required. Refer to fees |
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above. |
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VETERANS’ TRUST |
You have the opportunity to make a tax deductible contribution to the VTF. Your contribution will help support |
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programs and projects for Pennsylvania veterans and their families. Since this additional $3.00 is not part of |
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FUND (VTF) |
the fee, please add the donated amount to your payment. Also, please check the proper block on the form to |
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ensure your contribution is handled properly. |
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CHANGE/CORRECTION
ONLY
NO FEE REQUIRED — The Bureau will issue an update card reflecting the change/correction which must
be carried with the driver’s license. Notarization is not required.
NAME CHANGE - If you desire to use your birth name, you must present your state issued birth certificate with a raised seal. If your name changed by permission of court, you must present a Certified Copy of the Court Order. If you desire to use your spouse’s surname, you must present your marriage certificate. If you desire to use another name, you must present your Social Security Card, together with 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, banking records, or baptismal certificate.
To report errors on your driver’s license relating to name, date of birth or social security number, please contact PennDOT’s Customer Care Center at
If you are required to present supporting documentation to correct your record, all documents must be originals and presented in person at a PennDOT Driver License Center.
·For NAME corrections, you must present your state issued birth certificate with a raised seal, a Certified Copy of the Court Order or your marriage certificate.
·For DATE OF BIRTH corrections, you must present state issued birth certificate with raised seal.
·For SOCIAL SECURITY NUMBER corrections, you must present your Social Security Card.
*Note: All name changes must be made in person at a Driver License Center. All documents must be original.
GENDER CHANGE - If requesting a gender change, a
PROVISIONS OF SECTION 3709 OF THE VEHICLE CODE
Section 3709 provides for a fine 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 fine 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 Characteristics
| Fact | Description |
|---|---|
| Form Purpose | The DL-80 form is used for applications related to changes, corrections, or replacements of a non-commercial driver’s license in Pennsylvania. |
| Notarization Requirement | Requests for replacement must be notarized, while changes or corrections do not require notarization. |
| Governing Law | This form is governed by the Pennsylvania Vehicle Code, specifically §3709. |
| Submitting Payment | When submitting the DL-80 form, a check or money order made out to “PennDOT” should be included for any applicable fees. |
| Organ Donor Designation | The form allows applicants to add or remove their organ donor designation. Parental consent is needed for applicants under 18. |
| Replacement Fee | The fee for a replacement non-commercial driver’s license is $31.50, with additional fees possible for certain requests. |
| Change of Address | Address changes require the completion of the new address information on the DL-80 form and can include a post office box as an additional address. |
Guidelines on Utilizing Dl 80
Completing the DL-80 form requires gathering the necessary information and following specific steps. After filling out the form, submit it to the appropriate bureau with the required payment and any supporting documents if necessary. Below are the steps to effectively fill out the DL-80 form.
- Begin by checking the applicable block for your request: Replacement or Change/Correction.
- Complete Section A with your driver’s license number, last name, first name, middle name, date of birth, telephone number, and email address (if applicable).
- In Section B, mark the reason for requesting a replacement license. Choose from options such as lost, stolen, or mutilated.
- If applicable, complete Section C with your new street address, city, state, and zip code for an address change.
- Indicate whether you are adding or removing an organ donor designation in Section D, if under 18 years of age, ensure that parental consent is provided.
- If changing your name, complete the name change section in Section E. Note all name changes must be done in person with original documents.
- Check the eye color you wish to report in Section E and fill in any additional changes required.
- In Section F, if applicable, indicate whether you wish to add a veterans designation and any contributions to funds.
- After completion, sign and date the application in the designated area.
- If required, have the form notarized, especially for replacement requests.
- Submit the completed form along with a check or money order made payable to "PennDOT" to the provided address.
What You Should Know About This Form
What is the DL-80 form used for?
The DL-80 form is designed for individuals in Pennsylvania who need to change, correct, or replace their non-commercial driver’s license. It serves various purposes such as obtaining a duplicate license due to loss or damage, updating personal information like an address, or making corrections to the name or other details on the driving record.
Who needs to notarize their DL-80 application?
Notarization is required when applying for a replacement due to a lost, stolen, or mutilated license, as well as for requests marked with an asterisk (*) on the form. In these cases, applicants must complete the sections as appropriate and ensure that the affidavit part of the application is notarized before submission.
What should I do if my license has expired?
If your license is due to expire within six months, do not use the DL-80 form. Instead, you must complete form DL-143 for the renewal of a non-commercial driver’s license. This separate process is specifically tailored for renewing expired licenses.
How can I update my voter registration using the DL-80 form?
When filling out the DL-80 application, you can request an update to your voter registration by leaving the checkbox prompt for this request unchecked. If you are not currently registered to vote, you will receive an application to register once your DL-80 form is processed. Be sure to follow the instructions correctly to ensure that your registration information is updated accurately.
What documents are needed for a name change?
To process a name change through the DL-80 form, you must provide original documents that support your request. This can include a marriage certificate, a certified copy of a court order (if applicable), or a birth certificate with a raised seal. You may also need to present additional identification like your Social Security card or other government-issued ID that reflects your new name.
Are there fees associated with submitting the DL-80 form?
Yes, there are specific fees associated with using the DL-80 form based on the type of request. For instance, a replacement photo driver’s license has a fee of $31.50, while an update card has no fee. Additionally, if you opt to add or remove an organ donor designation, or request a veterans designation, fees will apply accordingly. Make sure to include payment with your application.
How can I correct information on my driver’s license?
To correct information such as your name, date of birth, or social security number, you must complete sections of the DL-80 form specific to those changes. It is important to provide the necessary original documents in person at a PennDOT Driver License Center when submitting your request. For instance, correcting a name requires showing a marriage certificate or similar document, while date of birth corrections require the state-issued birth certificate.
What if I find my original license after applying for a duplicate?
If you locate your original driver’s license after submitting an application for a duplicate, it is important to return the original license along with a letter of explanation. Send it to the Bureau of Driver Licensing at the address provided on the DL-80 form. The original license will no longer be valid once a duplicate has been issued.
Where do I send my completed DL-80 form?
Once you have completed and signed the DL-80 form along with the necessary documentation and payment, send it to the Bureau of Driver Licensing at P.O. Box 68272, Harrisburg, PA 17106-8272. Ensure that all required sections are filled out accurately to avoid processing delays.
Common mistakes
Filling out the DL-80 form can be straightforward, but many people make common mistakes that can cause delays in processing their application. One significant error is failing to complete all required sections. Even if someone thinks they have filled out enough information, missing just one field can result in the entire application being returned.
Another frequent mistake involves not notarizing the application when required. Sections of the form explicitly state that certain requests must be notarized. If a person neglects this step, it can lead to unnecessary complications and further delays in obtaining a duplicate or corrected license.
Some applicants often overlook the specific requirements for name changes. If an individual's name has changed due to marriage or divorce, it is crucial to include original documents, such as a marriage certificate or court order. Failing to provide these documents will invalidate the name change request.
Using a Post Office Box for the address is another misstep. While a P.O. Box can accompany an actual residence address, it cannot serve as the only address. If applicants use only a P.O. Box and neglect to include their physical address, their submission may be sent back for correction.
A lack of attention to detail regarding the driver's license number is also a common issue. Applicants sometimes provide incorrect or outdated license numbers. It is essential to ensure that the most recent and accurate number is entered to avoid confusion or potential rejection of the application.
Accidentally selecting the wrong application type is another mistake that can happen. Whether requesting a replacement, change, or correction, applicants must double-check the specific box they are marking. Incorrect selections can lead to additional paperwork hassles or processing times.
Finally, not including payment or checking the payment information can derail an otherwise complete application. If an applicant forgets to add their payment or does not ensure that everything is filled out correctly, the application may not be processed, leading to further frustration. Reviewing the form carefully before submission can help avoid this common pitfall.
Documents used along the form
When applying for a change, correction, or replacement of a non-commercial driver's license using the DL-80 form, several other documents may be required or helpful. These forms ensure all necessary information is accurately communicated and documented. Each plays a crucial role in the process.
- DL-82 - Out-of-State Address/Photo Exemption Form: This form is necessary if you are requesting an out-of-state address or seeking a photo exemption. It must be completed and submitted along with the DL-80 form to process your request efficiently.
- DL-143 - Non-Commercial Driver’s License Renewal Form: If your driver’s license is set to expire within six months, you can't use the DL-80 form. Instead, completion of the DL-143 form is required to renew your non-commercial driver's license.
- DL-102 - Application for Lens Restriction: If your driver’s license requires a lens restriction due to health reasons, the DL-102 form must be completed by a healthcare provider. This form accompanies the DL-80 form if you seek to update your license regarding lens restrictions.
- DL-32 - Request for Gender Designation Change: Individuals requesting a gender change on their driver's license must utilize the DL-32 form. This application must be submitted in person at a Driver License Center along with the DL-80 form to effectuate the change clearly and accurately.
Each of these documents serves to clarify and support your application for a driver's license change or replacement. Having them prepared in advance can streamline the process and help avoid delays.
Similar forms
- DL-143 (Renewal of a Non-Commercial Driver’s License): This form is used for renewing your non-commercial driver's license rather than requesting a replacement, which is what the DL-80 focuses on.
- DL-82 (Out-of-State Address / Photo Exemption Form): Similar in its need to be submitted alongside another application, this form specifically pertains to claims for an out-of-state address or photo exemption.
- DL-102 (Application for Lens Restriction): Required for adding or removing lens restrictions, this form also must be completed by a healthcare provider, which is not something the DL-80 requires.
- DL-32 (Request for Gender Designation Change): This form is used when requesting a gender change on your driver's license and must be submitted with the DL-80 when applicable.
- Driver's License Application (Maryland Form): Like the DL-80, this form provides a means for alterations to one's driver's license but is specifically for Maryland residents, covering similar circumstances such as changes or replacements.
- Application for a Non-Commercial Photo Driver’s License: This document is necessary for individuals applying for a photo license. It serves as a parallel to the DL-80 when updating personal details.
- Social Security Administration Verification Form: This form is required for individuals needing to verify their Social Security number, similar to how the DL-80 requires certain personal information to help update your driver's license correctly.
Dos and Don'ts
When filling out the DL-80 form, there are several important considerations to ensure a smooth process. Here is a list of things you should and shouldn't do:
- Do fill out all parts of Section A completely.
- Don’t leave any required fields blank, as this may delay processing.
- Do check the applicable block for your application type (replacement, change, or correction).
- Don’t forget to have your application notarized if required for replacement applications.
- Do provide accurate and current contact information, including your phone number and email address.
- Don’t submit the application if your license is set to expire within six months; use the DL-143 form instead.
- Do include all necessary fees and specify any additional contributions you wish to make.
- Don’t fail to return your original license if you find it after applying for a duplicate.
- Do read all instructions carefully to ensure compliance and avoid mistakes.
By adhering to these guidelines, applicants can enhance their experience when submitting the DL-80 form and avoid unnecessary complications.
Misconceptions
Here are some common misconceptions about the DL-80 form:
- Notarization is always required. Many people think every application needs to be notarized. However, notarization is only required for replacement requests marked with an asterisk.
- Changes can only be submitted at a Driver License Center. This is not true for all situations. If you are simply making a correction, you can mail the form.
- You need to pay a fee for any change you submit. In fact, there is no fee for making a change or correction to your license. An update card will be issued at no charge.
- All name changes can be processed by mail. That's incorrect. All name changes must be completed in person with appropriate original documents.
- If you lost your license, you can immediately apply for a replacement. Not always. You need to ensure that your request falls within the specific guidelines regarding lost licenses.
- Photo exemptions can be easily requested. This isn’t the case. To request a photo exemption, additional forms must be completed, and you must meet certain requirements.
- Only Pennsylvania residents can apply using the DL-80 form. This is a misconception. Individuals with out-of-state addresses can also submit the form under specific conditions.
- You cannot address multiple issues on one form. This is inaccurate. The DL-80 form allows you to address several changes, like correcting your address and changing your eye color simultaneously.
- The DL-80 form is not needed if your license is about to expire. Actually, if your license is expiring soon, you should use the renewal form DL-143 instead.
- You cannot add a veteran designation if you have a recently issued license. This is misleading. You can request this designation as long as you meet the eligibility requirements, regardless of when your license was issued.
Key takeaways
When filling out and using the DL-80 form, adherent to these key takeaways can simplify the process:
- Complete all sections that apply to your reason for submitting the form, whether it be for a replacement, change, or correction.
- If requesting a replacement, certain sections must be notarized. Be mindful that all requests marked with an asterisk (*) require notarization.
- An update card will be issued for changes or corrections that do not require notarization. Keep this card with your driver’s license.
- If you are younger than 18 years, ensure consent from a parent or guardian is provided, especially for organ donor designation.
- For address changes, a P.O. Box can supplement your actual residence address, but cannot serve as your only address.
- For name changes, you must present original documents such as your marriage certificate or court order in person to support your request.
- Organ donor designation changes require payment, which should be included with the application fees.
- To avoid issues, do not use this form if your license is due to expire within six months; instead, complete the renewal form (DL-143).
- If you find your original license after submitting for a duplicate, return the original along with an explanation letter.
- For veterans wanting designation on their driver’s license, it is essential to check the appropriate box and meet the eligibility criteria.
Adhering to these guidelines will help ensure a smoother process when utilizing the DL-80 form for your driver's license needs.
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