Dl82 Form PDF Details

Understanding the DL-82 form is essential for individuals who find themselves needing to navigate the intricacies of maintaining Pennsylvania driving requirements while living or working out of state, or for those with specific photo exemption needs. This form, provided by the Bureau of Driver Licensing, serves crucial functions, including allowing Pennsylvania residents to maintain their driver's license when their employment takes them across state lines, or granting exemptions from the state's photo requirements under certain conditions. The DL-82 form requires detailed information about the applicant, including driver's license number, full name, date of birth, and contact details, alongside evidence to support the exemption claim. It's designed for use by members of the U.S. Armed Forces, federal or Pennsylvania state government employees, or their immediate family members seeking a residency exemption. Additionally, it caters to non-commercial drivers who will be out of state for more than 60 days and, therefore, unable to renew their license in person. Completing this form accurately and submitting the necessary documentation, such as employment verification or military orders, along with statements of absence, ensures that eligible applicants can receive their driver's license or secure a photo exemption without complication. It underscores the importance of honesty and accuracy in the application process, highlighting penalties for misstatements, and functions as a bridge for those navigating between their obligations to the state and their commitments elsewhere.

QuestionAnswer
Form NameDl82 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespenndot dl 82, pa license form dl 82, penndot dl 82 form, pa dl82 form

Form Preview Example

DL-82(2-14)

OUT-OF-STATE ADDRESS/

PHOTO EXEMPTION

Bureau of Driver Licensing • P.O. Box 68272 • Harrisburg, PA 17106-8272

Attach a letter from your employer on their letterhead to document your status, or a copy of your current Photo ID issued by your employer, or military personnel must provide a copy of military orders. 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.

A DRIVER INFORMATION

 

Type or Print All Information

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S LICENSE NUMBER

 

 

LAST NAME

 

 

JR/ETC.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

 

 

MIDDLE NAME

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

TELEPHONE NUMBER (8:00 A.M. - 4:30 P.M.)

 

E-MAILADDRESS (If Applicable)

 

MONTH

 

DAY

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residential

 

 

A Post Office Box number may be used in addition to the actual residence address, but cannot be used as the only address.

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BCOMPLETE IF REQUESTING RESIDENCY EXEMPTION

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:

O U.S. Armed Forces O Federal Government O Pennsylvania State Government Relationship to person meeting exemption (check one): O Spouse O Dependent Child

We may not issue driver license products to an out-of-state address, except in the case of an employee of federal or state government, armed forces personnel, or 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.

CCOMPLETE IF REQUESTING EXEMPTION FROM HAVING YOUR PHOTO TAKEN

If you are a non-commercial driver and will be out of state for the entire next 60 days, complete and sign the following statement and submit with a completed DL-143application. You will receive either a Camera Card with further instructions or a photo license (if name has not changed and a photo is on file). You must apply for a driver's license containing your photo within 45 days of your return.

STATEMENT:

I am a non-commercial driver and during the entire next 60 days I will be absent from the state for the following reason:

O Military O Work O Other __________________________ (attach supporting documentation)

NOTE: If you have already renewed your driver’s license and received a photo camera card, you may request a free replacement photo exempt license by attaching the original signed photo camera card you recently received to this application. Otherwise, you have to apply for a duplicate using form DL-80 along with the required fee.

DAUTHORIZATION AND CERTIFICATION

I certify under penalty of law that all information given on this application is true and correct. If using a Messenger Service, I hereby authorize the Department to furnish them with my driving record for the purpose of processing this form. I hereby acknowledge this day that I have received notice of the provisions of Section 3709 of the Vehicle Code.

X

 

SIGN

WARNING: Misstatement of fact is a misdemeanor of the

HERE

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).

 

(APPLICANT’S SIGNATURE IN INK)

Please mail this completed form with any required document(s) to the address at the top right corner of this form.

The most current version of this form can be found at: www.dmv.state.pa.us

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pa dl82 form writing process outlined (stage 1)

2. After filling out the last section, go to the next part and complete the essential details in these fields - I am a noncommercial driver and, o Military o Work o Other attach, NOTE If you have already renewed, AUTHORIZATION AND CERTIFICATION, I certify under penalty of law, XSIGN, HERE, APPLICANTS SIGNATURE IN INK, WARNING Misstatement of fact is a, Please mail this completed form, and The most current version of this.

pa dl82 form writing process clarified (step 2)

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