Form Dl 32 PDF Details

Form Dl 32 is a document that is used to provide certain information to the California Department of Motor Vehicles (DMV). This document is used in order to apply for or renew a driver's license, identification card, or commercial driver's license. The Form Dl 32 can be filled out online or on paper. It must be submitted to the DMV either by mail or in person. In order to complete the form, you will need some personal information and your driving history. Completing the Form Dl 32 correctly is important, as it can help you obtain or renew your driver's license quickly and easily. Make sure you review all of the instructions carefully before filling out the form.

QuestionAnswer
Form NameForm Dl 32
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesODTF, penndot gender change form, LicenseIdentification, Learners

Form Preview Example

WARNING: Misstatement of fact is a misdemeanor of the third degree punishable by a ine of up to $2,500 and/or imprisonment up to 1 year (18 Pa. C.S. Section 4904(b)).
(APPLICANT’S SIGNATURE IN INK)
DATE
XSIGN HERE
Amount
SEE REVERSE FOR FEES
In This
FEE PAID
release to the Department of Transportation information concerning my Social Security Identiication Number for the purpose of identiication. I hereby acknowledge this day that I have received notice of the provisions of Section 3709 of the Vehicle Code.
I wish to contribute $1.00 to the Organ Donation Awareness Trust Fund (see reverse) I wish to contribute $3.00 to the Veterans’ Trust Fund (see reverse)
WARNING: Misstatement of fact is a misdemeanor of the third degree punishable by a ine of up to $2,500 and/or imprisonment up to 1 year (18 Pa. C.S. Section 4904(b)).
D AUTHORIZATION AND CERTIFICATION
Veterans Designation: I certify under penalty of law that I am a qualiied applicant and hereby request it be added to my product. I understand that misrepresentation will result in the cancellation of my driver’s license and/or identiication card.
I certify under penalty of law that all information given on this application is true and correct. I hereby authorize the Social Security Administration to
PROVIDER’S SIGNATURE:
DATE:
My practice includes assisting, counseling or treating persons with gender identity issues, including the applicant named herein, and in my professional
opinion, the applicant’s gender identity is. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Male Female and can reasonably be expected to continue as such for the foreseeable future.
I hereby certify, under penalty of law, that the foregoing information is true and correct.

DL-32 (4-14)

REQUEST FOR GENDER CHANGE ON

DRIVER’S LICENSE/IDENTIFICATION CARD

ALL SECTIONS MUST BE COMPLETED

A

APPLICANT INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S LICENSE/ID NUMBER

 

LAST NAME(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JR/ETC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

 

 

 

 

 

MIDDLE NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

TELEPHONE NUMBER (8:00 a.m. to 4:30 p.m.)

 

E-MAIL ADDRESS (if applicable)

 

 

 

 

 

 

 

 

MONTH

 

DAY

 

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please check the product(s) you currently have:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Non-Commercial Driver’s License

Commercial Driver’s License

 

 

Identiication Card

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

GENDER DESIGNATION STATEMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I,

 

 

 

 

 

 

 

wish the gender designation on my Driver’s License/ ID Card to read

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRINT NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MALE

 

FEMALE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby certify under penalty of law that this request for the selected gender designation to appear on my Driver’s License/ ID Card accurately relects

 

 

my gender identity and is not for any fraudulent or other unlawful purpose.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

TO BE COMPLETED BY MEDICAL OR SOCIAL SERVICE PROVIDER LICENSED IN THE UNITED STATES

 

 

 

 

 

 

 

 

LAST NAME

 

 

 

 

 

 

FIRST NAME

TITLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROVIDER’S ORGANIZATION

 

 

 

 

STATE MEDICAL LICENSE #

 

STATE LICENSED IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROVIDER’S STREET ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

STATE

 

 

 

 

 

 

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am a licensed:

 

 

 

Physician

 

Therapist/Counselor

 

 

Social Worker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DL-32 (4-14)

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

Please visit a PennDOT Driver’s License Center with your completed and signed application with check or money order made payable to “PennDOT”.

 

FEE: $27.50 - Applicant will be issued a camera card to take to a Photo Driver License

NON-COMMERCIAL PHOTO

Center for the purpose of having a photo taken.

DRIVER’S LICENSE

 

 

If license is endorsed with Class M, fee is $32.50.

 

 

 

FEE: $27.50 - Applicant will be issued a camera card to take to a Photo Driver License

COMMERCIAL PHOTO

Center for the purpose of having a photo taken.

DRIVER LICENSE

 

 

If license is endorsed with Class M, fee is $32.50.

 

 

IDENTIFICATION CARD

FEE: $27.50 - Applicant will be issued a camera card to take to a Photo Driver License

Center for the purpose of having a photo taken.

 

 

 

ORGAN DONATION

You have the opportunity to contribute $1.00 to the Fund. The additional $1.00 contribution must

be added to your payment. You must also check the block provided to ensure proper handling

AWARENESS TRUST FUND

of your contribution. The ODTF provides for the development and implementation of donor

(ODTF)

awareness programs and funds shall be appropriated subject to the approval of the Governor.

 

 

 

 

You have the opportunity to make a tax deductible contribution to the VTF. Your contribution

VETERANS’ TRUST FUND

will help support programs and projects for Pennsylvania veterans and their families. Since

this additional $3.00 is not part of the fee, please add the donated amount to your payment.

(VTF)

Also, please check the proper block provided in Section D to ensure proper handling of your

 

 

contribution.

 

 

Veterans Designation: You have the opportunity to add the veterans designation to your driver’s license/identiication card, 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 D.

If your driver’s license/identiication card is due to expire within six (6) months, you are required to complete the applicable

renewal form and attach it to this form.

DL-143CD Commercial Driver’s License Renewal Application

DL-143 Non-Commercial Driver’s License/Application for Renewal

All other changes/corrections:

If you require additional changes/corrections to your record, you must complete one of the following forms and attach to this form.

DL-80CD Application to Replace/Correct Commercial Driver’s License

DL-80 Non-Commercial Driver’s License/Application for Change/Correction/Replacement

PROVISIONS OF SECTION 3709 OF THE VEHICLE CODE

Section 3709 provides for a ine 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 ine 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.

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PhysicianTherapist writing process shown (stage 1)

2. After filling out this section, head on to the next stage and fill out all required particulars in all these fields - PROVIDERS STREET ADDRESS, CITY, STATE, ZIP, I am a licensed, Physician, TherapistCounselor, Social Worker, My practice includes assisting, opinion the applicants gender, Female, and can reasonably be expected to, I hereby certify under penalty of, PROVIDERS SIGNATURE WARNING, and DATE.

Physician, PROVIDERS SIGNATURE WARNING, and I am a licensed inside PhysicianTherapist

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APPLICANTS SIGNATURE IN INK DATE, HERE, and I wish to contribute to the in PhysicianTherapist

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