Form Dl 201 PDF Details

Navigating the legal aftermath of a motor vehicle accident involves a multitude of steps, one of which may include the completion and submission of the DL-201 form. This particular document plays a crucial role in the legal process following an accident by certifying a judgment related to a motor vehicle incident. Specifically designed for use in the state of Pennsylvania, the DL-201 form serves as an official communication to the Secretary of Transportation, reporting a monetary judgment that has been entered against an individual. It details the judgment amount, costs associated with the verdict, and comprehensive information about the judgment debtor including their name, address, date of birth, and other personal details. Additionally, the form captures information about the judgment creditor and, if applicable, their representative. A unique facet of this form is its requirement for detailed court information, including the specific county and court where the judgment was entered, reinforcing its role in bridging legal proceedings with state transportation records. The form stipulates that it should only be used after sixty days have elapsed since the judgment without it being satisfied or appealed, underscoring its function as a tool for accountability in unresolved cases. The completion and return of this form to the Bureau of Driver Licensing in Harrisburg, Pennsylvania, are essential steps in ensuring that the consequences of motor vehicle judgments are properly administered.

QuestionAnswer
Form NameForm Dl 201
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdl 201 certification of motor vehicle judgment pa form

Form Preview Example

DL-201 (4-08)

 

CERTIFICATION OF

 

Bureau of Driver Licensing

 

P.O. Box 60037

 

MOTOR VEHICLE JUDGMENT

Harrisburg, PA 17106-0037

 

 

TO THE SECRETARY OF TRANSPORTATION

This is to certify that on_________________________________________ a judgment

COURT INFORMATION

COURT

COUNTY

NUMBER

YEAR

for $____________________ plus $_________________ was entered against the following:

 

 

 

 

 

 

 

 

(AMOUNT)

 

 

(COST)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Please use a separate form for each)

 

 

 

 

 

 

 

 

 

 

 

JUDGMENT DEBTOR

 

 

 

 

 

 

 

 

 

 

 

(Please Print or Type)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

SEX

 

DATE OF BIRTH

FIRST

 

MIDDLE

 

LAST

 

 

 

 

 

 

 

 

MONTH

 

DAY

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS: P.O. Box number may be used in addition to the actual address, but cannot be used as the only address.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

STATE

 

 

ZIP CODE

 

SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

-

 

 

 

DRIVER NUMBER

 

 

 

 

STATE

 

 

DATE OF ACCIDENT

 

 

 

 

CLAIM NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

❏ Check this block if defendant is a resident of another state

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REPRESENTATIVE FOR THE JUDGMENT

 

JUDGMENT CREDITOR

 

 

CREDITOR (If applicable)

 

 

__________________________________________________

_ __________________________________________________

 

(NAME)

 

 

 

 

 

 

(NAME)

 

 

 

 

__________________________________________________

_ __________________________________________________

 

(STREET ADDRESS)

 

 

 

 

 

 

(STREET ADDRESS)

 

 

 

 

__________________________________________________

_ __________________________________________________

(CITY & STATE)                                  (ZIP)

 

 

(CITY & STATE)         

               

       

(ZIP)

 

__________________________________________________

_ __________________________________________________

 

(TELEPHONE NUMBER)

 

 

 

 

 

 

(TELEPHONE NUMBER)

 

 

 

 

THE ABOVE MENTIONED JUDGMENT AROSE FROM A MOTOR VEHICLE ACCIDENT. SIXTY DAYS HAVE ELAPSED SINCE THE ENTRY OF SAID JUDGMENT, AND THE SAME HAS NOT BEEN SATISFIED OF RECORD AND NO APPEAL HAS BEEN TAKEN THEREFROM.

IN WITNESS WHEREOF, I have hereunto affixed my hand and seal

 

of the court this Day of_ ______________________________ 19_____

_________________________________________________________

 

(SIGNATURE OF CLERK OR PROTHONOTARY

 

OF THE COUNTY COURT)

SEAL

_________________________________________________________

 

(TYPE OR PRINT NAME)

RETURN COMPLETED

Bureau of Driver Licensing, P.O. Box 60037,

FORM TO:

Harrisburg, Pennsylvania 17106-0037

 

 

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Step 1: The first step would be to press the orange "Get Form Now" button.

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You'll need to type in the next information if you want to fill out the document:

stage 1 to filling out Form Dl 201

Please insert your particulars within the area DRIVER NUMBER, STATE, DATE OF ACCIDENT, CLAIM NUMBER, Check this block if defendant is, JUDGMENT CREDITOR, REPRESENTATIVE FOR THE JUDGMENT, NAME, NAME, STREET ADDRESS, STREET ADDRESS, CITY STATE, ZIP, CITY STATE, and ZIP.

Filling out Form Dl 201 part 2

Within the area talking about SIGNATURE OF CLERK OR, SEAL, TYPE OR PRINT NAME, RETURN COMPLETED Bureau of Driver, and Harrisburg Pennsylvania, one should note some essential particulars.

Filling out Form Dl 201 stage 3

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