You state that you do not own any motor vehicle(s) currently registered in the Commonwealth of Pennsylvania.
Valid for: This form is only valid for 60 days from the date the form was signed.
New form: If the form expires prior to an individual's driving privilege being restored, a new DL-17 is required.
Address: A Post Office Box number may be used in addition to the actual residence address, but cannot be used as the only address.
Voter registration: This application will also serve as a request to update your voter registration unless you check this box.
| Question | Answer |
|---|---|
| Form Name | Form DL-17 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 18 |
| Avg. time to fill out | 3 min |
| Edition | 12-21 |
| Issuing agency | PA Department of Transportation |
| Where to send | Bureau of Driver Licensing, PO Box 68693, Harrisburg, PA 17106-8693 |
| Matches the agency's file | Yes, checked October 1, 2026 |
| Other names | DL-17, DL17, DL 17, Form DL-17, PA DL-17, Statement of Non-Ownership of Vehicle(s) |
| Official source | Form DL-17 (Rev 12-21), PA Department of Transportation |
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