Form Dl 503 – Fill Out and Use This PDF

The DL-503 form, officially known as the Request for Driver Information, is a document used to obtain various types of driving records from the Pennsylvania Department of Transportation (PennDOT). Available records include basic information, 3-year and 10-year driving records, full history, certified records, and copies of specific documents from the driver's file, each requiring a specific fee. To efficiently access your or another individual's driving history for legal, employment, or personal reasons, completing the DL-503 form is essential. Click the button below to start filling out your form accurately and securely.

Get Form Now Download PDF

Form Dl 503 PDF Details

Navigating the complexities of acquiring driver information in Pennsylvania is streamlined through the DL-503 form, a critical document for anyone seeking access to a driver's record for various reasons. Whether you're an individual looking to review your driving history or a business conducting background checks, the DL-503 form serves as your gateway to obtaining accurate and up-to-date driver information. With options to request basic information, a 3-year driver record, a 10-year driver record (solely for employment purposes), a full history, or even a certified copy of any document from the driver's file, the form caters to diverse needs, charging a nominal fee for each request. It emphasizes the importance of confidentiality and proper use of the obtained information, underscoring the commitment of the Pennsylvania Department of Transportation to maintain privacy while ensuring accessibility. Furthermore, the form clarifies that driver record information cannot be used for unauthorized purposes like direct mail advertising, showcasing the stringent measures in place to protect individuals' data. This prerequisites clarity on the intended use of the requested information, ensuring compliance with both state regulations and the Fair Credit Reporting Act.

Question	Answer
Form Name	Form Dl 503
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	form driver information, pa penndot request form, pa form request driver, pa request driver

Form Preview Example

DL-503 (7-11)

REQUEST FOR DRIVER INFORMATION

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

PLEASE TYPE OR PRINT IN BLUE OR BLACK INK

DO NOT SEND CASH • See reverSe for inStruCtionS

D E PA R T M E N T O F T R A N S P O R TAT I O N

Bureau of Driver Licensing

P.O. Box 68695

Harrisburg, PA 17106-8695

cHEcK (✔) oNE oNLy:

❑bASIc INFoRMATIoN: $5.00 FEE (Driver history is not included)

❑3 yEAR DRIvER REcoRD: $5.00 FEE

❑10 yEAR DRIvER REcoRD: $5.00 FEE (Employment Purposes Only)

❑FuLL HISToRy: $5.00 FEE

❑cERTIFIED DRIvER REcoRD: $10.00 FEE

❑copy oF DocuMENT FRoM FILE (MIcRoFILM): $5.00 FEE

❑cERTIFIED copy oF DocuMENT FRoM FILE: $10.00 FEE

You may obtain a copy of your own 3 year, 10 year and/or Full History Driving Record on PennDOT'S website at www.dmv.state.pa.us

REQUESTER INFORMATION

END USER OF INFORMATION BEINg REQUESTED

NAME/coMpANy

ADDRESS

ADDRESS (P.O. Box not acceptable), need to provide physical location of business/residence

cITy

STATE

ZIp coDE

cITy

STATE

ZIp coDE

DAyTIME TELEpHoNE NuMbER (required)

RELATIoNSHIp To DRIvER (required)

AFFIDAVIT OF INTENDED USE

Intended use of the Information Requested: CHECK ONLY ONE

SIGNATURE

❏ B = Driver Release (Driver must complete Section E.)

NOTARIZATION NOT REQUIRED WHEN REQUESTING YOUR OWN RECORD

❏ C = Credit Business (Legitimate Business need in connection with a business

DRIVER INFORMATION

transaction initiated by the driver.)

❏ C = Credit Potential Investor, Server or Current Insurer (In connection

NAME:

LAST

FIRST

INITIAL

with an assessment of the credit/payment risks associated with an existing

credit obligation.)

ADDRESS

❏ E = Employment (To support the hiring or the continuation of employment.

Driver must complete Section E.)

cITy

❏ R=Insurance Company requesting record of person it intends to insure,

now insures, or has rejected for insurance.

❏ K = Court Order must be attached. (A subpoena issued in compliance

STATE

ZIp coDE

with Pa. R.C.P. 4009.21 will be accepted in lieu of a court order).

❏ L = Attorney representing driver identified

in Section c (Driver must

pHoNE NuMbER

complete Section E.)

I hereby certify that_______________________________________________

DATE oF bIRTH

DRIvER NuMbER

pRINTED NAME oF REQuESTER

MoNTH

DAy

yEAR

will use the driver record abstract(s) required pursuant to Section 6114

of the Pennsylvania Vehicle Code, for the purpose checked above only

DRIVER RELEASE

and no other reason. This affidavit is filed in compliance with Section

607 of the Fair Credit Reporting Act. I/We have read and signed this

I _______________________________________ hereby request

form after its completion, and I/We swear or affirm that the statements

made herein are true and correct, and that any statement made on or

NAME oF DRIvER

pursuant to this form is subject to the penalties of 18 Pa C.S. Section

the Department of Transportation to furnish a copy of my pA Driver's

Record to____________________________________________

4903(a)(2) (relating to false swearing), which shall include punishment

of a fine not exceeding $5,000, or to a term of imprisonment of not more

NAME oF pERSoN/coMpANy

than two years, or both.

SIGNATuRE oF DRIvER

DATE

_______________________________________________________________

SIGNATuRE oF REQuESTER

MICROFILM

Title ___________________________________________________________

TypE oF DocuMENT

DATE oF vIoLATIoN

SubScRIbED AND SWoRN

To bEFoRE ME:

MoNTH

DAy

yEAR

(see list of available documents below)

NOTARIZATION

Documents Available:

SIGNATuRE oF pERSoN ADMINISTERING oATH

• Citations

• Suspension Credit Affidavits

• Court Certifications

• Suspension/Revocation Letters

• Applications

• Restoration Letters

• License Renewals

• Rescind Letters

• Judgments

• Department Hearing or Exam Notice

MESSENgER NO.

DL-503 (7-11)

INSTRUCTIONS

1.To request your own record, complete Sections A & C only. Notarization is NOT required.

2.To request a record other than your own, complete Sections A, C, and D. Section E must contain the driver's signature if block

B, E or L is checked in Section D. If the Requester is obtaining the information on behalf of someone else, Section B must also be completed.

3.PRINT OR TYPE all requested information on the front of the form. Submitting ONLY a name and address does not provide enough information for a proper search of the driver files.

4.A non-refundable fee is required for each request. If the Bureau has no record for the information requested or the data supplied is insufficient, the fee will be applied to the cost of the search.

5.If requesting a microfilm copy of a document, also complete Section F. You must be specific in providing the type and date of the document. If there are several citations on the record, the cost is $5.00 per citation. You need to provide the date of the violation/action to clearly identify the citation(s) requested.

6.Check the type of record requested at the top of the form and make check or money order payable to "PennDOT." DO NOT SEND CASH. Attach your check or money order and send to:

	For overnight and other special mail:
buREAu oF DRIvER LIcENSING	buREAu oF DRIvER LIcENSING
DRIvER REcoRD SERvIcES	DRIvER REcoRD SERvIcES
P.O. BOx 68695	1101 SOuTH FRONT STREET 3RD FLOOR
HARRISBuRg, PA 17106-8695	HARRISBuRg PA 17104-2516

		DESCRIPTION OF INFORMATION AVAILABLE
	bASIc INFoRMATIoN	Includes name, address, driver number, date of birth and class of license.
	($5.00 fee)
	3 yEAR REcoRD*	Includes name, address, driver number, date of birth, class, license status, Departmental actions and violations for the
	($5.00 fee)	past 3 years from the date request is processed. You can obtain a copy of your own record on PennDOT's website at
	($5.00 fee)	www.dmv.state.pa.us
		www.dmv.state.pa.us
	10 yEAR REcoRD*	Includes name, address, driver number, date of birth, class, license status, Departmental actions and violations for the
	($5.00 fee)	past 10 years from the date request is processed. A 10-year record is for employment purposes only. You can obtain a
		copy of your own record on PennDOT's website at www.dmv.state.pa.us
	FULL HISTORY ��	Includes name, address, driver number, date of birth, class, license status, Departmental actions and violations for the
	($5.00 fee)	complete history of the driver on file in Pennsylvania�
	($5.00 fee)
	cERTIFIED REcoRD	Includes name, address, driver number, date of birth, class, license status, Departmental actions and violations for the
	($10.00 fee)	complete history of the driver on file in Pennsylvania certified by the Department.
	MIcRoFILM
	DocuMENT	Copies of documents retained by the Department are available for purchase from the microfilm file. You must be specific
	($5.00 fee)	as to the type of document and the date of the violation/action.
	cERTIFIED copy
	oF DocuMENT	Copies of documents from the microfilm file that have been certified by the Department.
	($10.00 fee)

IMPORTANT INFORMATION CONCERNINg THE USE OF DRIVER INFORMATION

•Driver record information is confidential and restricted information and the Requestor/End user is responsible for establishing procedures to protect the confidentiality of these records.

•Driver record information can only be used for the purpose stated in Section D.

•Driver record information cannot be sold, assigned, or otherwise transferred to any party, other than the End user.

•PennDOT retains exclusive ownership of all driver record information and the Requestor/End user shall not combine and/or link in with any other data on any database except as may be required by law.

•The driver record information cannot be used for direct mail advertising or any other type or types of mail or mailings.

•The driver record information cannot be disseminated or published on the Internet without the express written permission of pennDoT.

•PennDOT reserves the right to audit each request for driver record information. If the Requestor/End user is found to have requested driver record information for an unauthorized purpose, access to Pennsylvania driver record information will be terminated.

*Businesses who obtain driver records for the purpose of employment or insurance are now able to obtain and print these records, in real time, through our enhanced Online Services.

If you are an employer or insurance company/agent and are interested in becoming an authorized Online business user, please visit our website at www.dmv.state.pa.us and click on "Online Business Services" for more information.

How to Edit Form Dl 503 Online for Free

In case you intend to fill out pa request driver information, you don't need to download and install any programs - simply make use of our PDF editor. The editor is consistently upgraded by us, receiving handy features and growing to be greater. Should you be seeking to get started, here is what it requires:

Step 1: Simply hit the "Get Form Button" in the top section of this webpage to launch our pdf file editing tool. Here you will find all that is required to fill out your file.

Step 2: With this advanced PDF tool, you can actually accomplish more than merely fill out blank fields. Try all of the features and make your forms appear faultless with custom textual content put in, or modify the file's original input to excellence - all that accompanied by the capability to insert almost any pictures and sign the file off.

It will be an easy task to fill out the pdf with our helpful guide! Here is what you should do:

1. Complete your pa request driver information with a selection of essential blank fields. Get all of the required information and be sure absolutely nothing is omitted!

2. Soon after this section is filled out, go to type in the applicable information in all these: ADDRESS, CITY, STATE, PHONE NUMBER, C Credit Potential Investor, E Employment To support the, ZIP CODE, must complete Section E, R Insurance Company requesting, insure now insures or has rejected, K Court Order must be attached A, Pa RCP will be accepted in lieu, L Attorney representing driver, complete Section E, and DATE OF BIRTH.

pa dl 503 completion process detailed (stage 2)

Always be really careful when completing K Court Order must be attached A and must complete Section E, since this is the section where a lot of people make a few mistakes.

Step 3: Before moving on, check that all blanks have been filled out right. Once you’re satisfied with it, click “Done." Create a 7-day free trial option at FormsPal and gain immediate access to pa request driver information - with all changes saved and available in your personal cabinet. FormsPal is committed to the privacy of all our users; we make sure all personal information going through our editor remains confidential.

Form Dl 503 – Fill Out and Use This PDF

Form Dl 503 PDF Details

Form Preview Example

How to Edit Form Dl 503 Online for Free

Form Dl 503 isn’t the one you’re looking for?

Related Documents