How to Fill Out Form DL-130

Form DL-130 at a glance

What it is: DL-130 is the Request for Letter of Clearance on a Pennsylvania driver license.

Who signs: Sign on the Signature line.

What to bring and attach to Form DL-130

Return the form with your check or money order made payable to PennDOT.

A filled-in Form DL-130 example: a driver asks for a letter of clearance

Form DL-130 example filled out, example: a driver asks for a letter of clearance
Ann Sample asks PennDOT for a letter of clearance with Form DL-130. She lives in Ohio now, so her mailing address differs from her last Pennsylvania address. The picture shows the form filled in, and every value in it is made up.

How to fill out Form DL-130, box by box

Name, PA Driver No. and Date of Birth

Form DL-130 example filled out, name, PA Driver No. and Date of Birth

Enter your Name.

Enter your PA Driver No.

Enter your Date of Birth.

Last PA Address and Current Mailing Address

Form DL-130 example filled out, last PA Address and Current Mailing Address

Enter your Last PA Address.

Enter your Current Mailing Address.

Customer Telephone No. and Signature

Form DL-130 example filled out, customer Telephone No. and Signature

Enter your Customer Telephone No.

Sign on the Signature line.

More rules for Form DL-130

Visit www.pa.gov/dmv or call 1-717-412-5300.

Common questions about Form DL-130

Where do I file it?

Attach your check or money order and send it to the Department of Transportation, Bureau of Driver Licensing, Driver Record Services, P.O. Box 68695, Harrisburg, PA 17106-8695.

Are there fees?

A $15.00 processing fee is required for the request for a letter of clearance (checked October 20, 2026).

Sources

[1] Form DL-130 (7-25), Request for Letter of Clearance, Pennsylvania Department of Transportation (the Official source link on this page).

DL-130 PDF Details

A fee applies; the amount is printed on the form.

Information: Name, PA Driver No., Date of Birth, Last PA Address, Current Mailing Address, Customer Telephone No. and Signature.

Where to send: attach your check or money order and send to the Department of Transportation Bureau of Driver Licensing, Driver Record Services.

Visit or call: visit us at www.pa.gov/dmv or call us at 1-717-412-5300.

QuestionAnswer
Form NameDL-130
Form Length1 page
Fillable?Yes
Fillable fields7
Avg. time to fill out2 min
Issuing AgencyPennsylvania Department of Transportation (PennDOT)
Processing Fee$5.00 (check or money order)
Processing Time2 to 4 weeks
EditionRev 7-25
Where to sendDepartment of Transportation Bureau of Driver Licensing Driver Record Services P.O. Box 68695 Harrisburg, PA 17106-8695
Matches the agency's fileYes, checked October 7, 2026
Other namesDL-130, DL130, DL 130, Request for Letter of Clearance, Letter of Clearance
Official sourceDL-130 (Rev 7-25),