Form Dl 59 – Fill Out and Use

COMPLETE ALL of Sections A, C, D, E, and F. Complete Section B only if you are changing information.

OUT-OF-STATE ADDRESS CHANGE. 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.

Attach a letter from your employer on their letterhead to document your status, or attach a copy of your current Photo ID issued by your employer. 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.

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:

THIS FORM MUST BE NOTARIZED IN SECTION F

Veterans Designation: You have the opportunity to add the veterans designation to your driver’s license, 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, make sure you check the box at the top in Section D.

NO FEE: Free Update Card to carry with your Junior Driver’s License.

To obtain an unrestricted license before you are 18 years of age, you MUST:

•Hold your valid Pennsylvania Driver’s License for 1 year from issue date;

•Maintain a crash and conviction free record for the past 1 year; and

•Complete an approved driver’s education course. If necessary, attach a certificate of completion as listed in Section E.

You are automatically a Regular License holder when you turn 18 years of age.

•In order to be eligible for a regular license, you must have held your PA junior license for 1 year. If you are unsure when you passed the driving test, it should show on your junior license as the “Issued” date. (If you have a duplicate license, the “Issued” date does not reflect the day you passed your testing.)

•Since you were required to wait at least six months before you could take your driving test, and you are also required to have held your PA junior license privileges for at least 1 year, you are not eligible for a regular license if you are less than 17 1/2 years of age.

•This form requires 3 signatures:

1.The junior license holder signs as the applicant in Section D.

2.A school oficial certifying completion of an Approved Driver Training Course signs in Section E. A current listing of acceptable. Approved Driver Education Course providers can be found online at the following website: www.pde.state.pa.us, and enter keyword “Approved Driver Education”.

3.The junior license holder’s parent, guardian, person in loco parentis, or spouse at least 18 years of age signs in Section F. The signature must be notarized in Section F.

Return your completed and signed application to:

“PennDOT”, The Bureau of Driver Licensing, P.O. Box 68272, Harrisburg, PA 17106-8272

Organ Donation Awareness Trust Fund (ODTF): 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 of your contribution. The ODTF provides for the development and implementation of donor awareness programs and funds shall be appropriated subject to the approval of the Governor.

Veterans’ Trust Fund (VTF): You have the opportunity to make a tax deductible contribution to the VTF. Your contribution 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. Also, please check the proper block on the form to ensure your contribution is handled properly.

PennDOT is required to obtain the Licensee’s height and eye color under the provisions of Section 1510(a) of the Pennsylvania Vehicle Code. This information will be used as identifying information in an attempt to minimize driver license fraud.

Change your address or renew your driver’s license online at www.dmv.state.pa.us

Section 3709A provides for a fine 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 fine 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.

“LICENSE FRAUD IS A SERIOUS CRIME”

FRAUDULENTLY ALTERING, EXHIBITING OR LOANING YOUR LICENSE IS A SERIOUS CRIME. VIOLATORS ARE SUBJECT TO PROSECUTION AND CANCELLATION OF THEIR DRIVER’S LICENSES.