Sign this form only in the presence of a notary or the driver's license examiner at the driver license Center.
Supervised hours: the applicant will have to complete at least 65 hours of supervised behind-the-wheel skill-building (one box to check).
Night and weather driving: no less than ten hours of nighttime driving and five (5) hours of bad weather driving (the same box).
Supervising adult: the supervising adult must be at least 21 years of age or older (the same box).
Withdrawal (box): if the signer wants to withdraw consent at any time before the minor applicant reaches the age of 18, Penndot will cancel their driver's license.
Organ donor designation: DO or DO NOT give consent for the applicant's request for organ donor designation (check one).
| Question | Answer |
|---|---|
| Form Name | Form DL-180TD |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 13 |
| Avg. time to fill out | 3 min |
| Edition | 2-19 |
| Who signs | A parent, guardian, person in loco parentis or spouse at least 18 years of age |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | DL-180TD, DL180TD, DL 180TD, Form DL-180TD, PA DL-180TD, Parent or Guardian Consent Form |
| Official source | Form DL-180TD (Rev 2-19), Pennsylvania Department of Transportation |
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