Online Dl 17 Form PDF Details

Understanding the nuances of the DL-17 form is crucial for individuals navigating the process of driver’s license reinstatement in Pennsylvania. This form, titled "Statement of Non-Ownership of Vehicle(s)" and issued by the Pennsylvania Department of Transportation, serves a specific purpose. It is intended for individuals who need to prove they do not own any vehicles registered in the Commonwealth of Pennsylvania, a common requirement for reinstating a suspended driver's license. The timing for submission is critical, as the form must be sent 30 days before the eligibility date provided in the restoration requirements letter. However, the validity of the form is another critical aspect, with a strict 60-day limit from the date of signing. Failure to reinstate driving privileges within these 60 days necessitates the submission of a new DL-17. Every section of the form, including personal details and any changes or corrections to the address, must be meticulously completed. Importantly, this form also provides an option for notifying the county voter registration office of an address change, highlighting its dual function. The declaration of non-ownership is a legal commitment, underscored by the warning that misstatement of fact could lead to misdemeanor charges, emphasizing the importance of accuracy and honesty in completing the DL-17.

QuestionAnswer
Form NameOnline Dl 17 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names17 dl, dl 17 form penndot, pa form dl 17, can i submit a dl 17 form online

Form Preview Example

DL-17 (12-19)

STATEMENT OF NON-OWNERSHIP OF VEHICLE(S)

PA Department of Transportation • Bureau of Driver Licensing P.O. Box 68693 • Harrisburg, PA 17106-8693

THIS FORM SHOULD BE SUBMITTED 30 DAYS PRIOR TO THE ELIGIBILITY DATE THAT IS LISTED IN YOUR RESTORATIONS REQUIREMENT LETTER

NOTE: THIS FORM IS ONLY VALID FOR 60 DAYS FROM THE DATE THE FORM WAS SIGNED. IF THE FORM EXPIRES PRIOR TO AN INDIVIDUAL’S

DRIVING PRIVILEGE BEING RESTORED, A NEW DL-17 IS REQUIRED.

ALL INFORMATION MUST BE COMPLETED

DRIVER’S LICENSE NUMBER

LAST NAME

JR/ETC

FIRST NAME

MIDDLE NAME

DATE OF BIRTH (must be listed)

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

E-MAIL ADDRESS (if applicable)

Month

Day

Year

 

 

 

 

 

 

 

CHANGE OR CORRECTION OF ADDRESS

ADDRESS CHANGE - A Post Office Box number may be used in addition to the actual residence address, but cannot be used as the only address.

NEW

STREET

ADDRESS

CITY

STATE

ZIP CODE

 

 

If you are a registered voter in PA, would you like us to notify your county voter registration office of this change? ❑YES ❑NO

If you are not a registered voter, you may contact your county voter registration office.

I,

 

, hereby state that I

 

PLEASE PRINT NAME

do not own any motor vehicle(s) currently registered in the Commonwealth of Pennsylvania. I certify that all information given on this statement is true and correct. If using a Messenger Service, I hereby authorize the Department to furnish them with my driving record for the purpose of processing this form.

SIGNATURE IN INK

DATE

WARNING: Misstatement of fact is a misdemeanor of the third degree punishable by a fine of up to $2,500.00 and/or imprisonment up to one year (18 PA C.S. Section 4904(b)).

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