How to Fill Out Form DL-503

Form DL-503 at a glance

What it is: DL-503 is the REQUEST FOR DRIVER INFORMATION for the Bureau of Driver Licensing.

Notary: Notarization is NOT required when requesting your own record.

What to bring and attach to Form DL-503

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.

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.

A filled-in Form DL-503 example: a driver requests their own record

Form DL-503 example filled out, example: a driver requests their own record
Alex Sample requests their own driver record on Form DL-503. Alex ticks 3 YEAR DRIVER RECORD and completes only Sections A and C. The picture shows page 1, and its names and figures are sample values. Alex is both the requester and the driver, so RELATIONSHIP TO DRIVER is SELF. End user of information being requested stays empty because Alex requests Alex's own record. Affidavit of intended use stays empty because Alex requests Alex's own record. Driver release stays empty because Alex requests Alex's own record. Microfilm stays empty because Alex requests no document from file.

How to fill out Form DL-503, box by box

Check (3) one only

Form DL-503 example filled out, check (3) one only

CHECK (3) ONE ONLY: BASIC INFORMATION: $15.00 FEE (Driver history is not included), 3 YEAR DRIVER RECORD: $15.00 FEE, 10 YEAR DRIVER RECORD: $15.00 FEE (Employment Purposes Only) (checked November 1, 2026).

FULL HISTORY: $15.00 FEE, CERTIFIED DRIVER RECORD: $47.00 FEE, COPY OF DOCUMENT FROM FILE (MICROFILM): $15.00 FEE, CERTIFIED COPY OF DOCUMENT FROM FILE: $47.00 FEE (checked November 1, 2026).

A 10-year record is for employment purposes only.

3 YEAR RECORD: Includes name, address, driver number, date of birth, class, license status, Departmental actions and violations for the past 3 years from the date request is processed.

You may obtain a copy of your own 3 year or 10 year Driving Record on PennDOT'S website at www.pa.gov/dmv.

Requester information

Form DL-503 example filled out, requester information

To request your own record, complete Sections A & C only.

Under requester information, enter name/company, address, city, state, zip code, daytime telephone number (required) and relationship to driver (required).

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

Sign under SIGNATURE.

End user of information being requested

Form DL-503 example filled out, end user of information being requested

If the Requester is obtaining the information on behalf of someone else, Section B must also be completed.

END USER OF INFORMATION BEING REQUESTED: ADDRESS (P.O. Box not acceptable), need to provide physical location of business/residence.

Driver information

Form DL-503 example filled out, driver information

Under driver information, enter name: last first initial, address, city, state zip code, phone number, driver number and date of birth: month day year.

Affidavit of intended use

Form DL-503 example filled out, affidavit of intended use

To request a record other than your own, complete Sections A, C, and D.

Intended Use of the Information Requested: CHECK ONLY ONE.

Section E must contain the driver's signature if block B, E or L is checked in Section D.

The certification reads: PRINTED NAME OF REQUESTER will use the driver record abstract(s) required pursuant to Section 6114 of the Pennsylvania Vehicle Code, for the purpose checked above only and no other reason. This affidavit is filed in compliance with Section 607 of the Fair Credit Reporting Act. Any statement made on or pursuant to this form is subject to the penalties 18 Pa.C.S. Section 4904(b) (relating to unsworn falsifications), which shall include punishment of a fine not exceeding $2,500, or to a term of imprisonment of not more than one year, or both (checked November 1, 2026).

Sign on SIGNATURE OF REQUESTER.

NOTARIZATION: SIGN IN PRESENCE OF NOTARY; SUBSCRIBED AND SWORN TO BEFORE ME: MONTH DAY YEAR; SIGNATURE OF PERSON ADMINISTERING OATH.

Driver release

Form DL-503 example filled out, driver release

E DRIVER RELEASE: I NAME OF DRIVER hereby request the Department of Transportation to furnish a copy of my PA Driver's Record to NAME OF PERSON/COMPANY, with SIGNATURE OF DRIVER and DATE.

Microfilm

Form DL-503 example filled out, microfilm

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.

F MICROFILM: if requesting a microfilm copy of a document, enter type of document and date of violation.

You need to provide the date of the violation/action to clearly identify the citation(s) requested. If there are several citations on the record, the cost is $15.00 per citation (checked November 1, 2026).

More rules for Form DL-503

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.

Common questions about Form DL-503

Where do I file it?

Attach your check or money order and send to: Bureau of Driver Licensing, P.O. Box 68695, Harrisburg, PA 17106-8695.

Sources

[1] Form DL-503 (9-25), Request for Driver Information, Pennsylvania Department of Transportation (the Official source link on this page).

DL-503 PDF Details

Print or type all requested information on the front of the form.

Other record: to request a record other than your own, complete Sections A, C, and D.

On behalf of someone else: if the Requester is obtaining the information on behalf of someone else, Section B must also be completed.

Microfilm copy: 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.

10-year record: a 10-year record is for employment purposes only.

Use: driver record information can only be used for the purpose stated in Section D.

QuestionAnswer
Form NameDL-503
Form Length2 pages
Fillable?Yes
Fillable fields35
Avg. time to fill out6 min
EditionRev 9-25
Matches the agency's fileYes, checked October 2, 2026
Other namesDL-503, DL503, DL 503, DL-503 form, Request for Driver Information
Official sourceDL-503 (Rev 9-25), Pennsylvania Department of Transportation