Pa Dl 3731 Form PDF Details

The Pennsylvania DL-3731 form is a comprehensive document designed for individuals seeking to apply for an ignition interlock license or the return of a regular driver’s license after serving a required suspension period due to violations that necessitate the use of an ignition interlock device. The form caters to various needs, including updates to applicant information, such as changes in address or eye color, which are crucial for identification and fraud prevention purposes. Furthermore, it accommodates out-of-state employees of federal or state government, armed forces personnel, or their families by allowing them to issue a driver's license to an out-of-state address, provided they submit adequate documentation of their employment status and relationship to the person meeting the exemption criteria. It also gives options for applying for either an ignition interlock license or the reinstatement of a previous license classification, with a section dedicated to clarifying the applicant's history regarding potential ignition interlock violations. Additionally, it offers a unique opportunity for veterans to add a designation to their driver’s license, showcasing their service to the country. Importantly, the form engages with broader community initiatives through optional donations to the Organ Donation Awareness Trust Fund and the Veterans' Trust Fund, reflecting Pennsylvania’s commitment to supporting life-saving opportunities and veterans' welfare. Each section of the form requires careful attention, from personal applicant information to authorization and certification, ensuring all data provided is accurate and truthful, with a clear warning about the legal consequences of misstatements.

QuestionAnswer
Form NamePa Dl 3731 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdl 3731 pa, dl 3731 penndot printable, penndot dl 3731, pennsylvania dl 3731

Form Preview Example

DL-3731 (12-21)

APPLICATION FOR IGNITION INTERLOCK

LICENSE/RETURN OF REGULAR DRIVER LICENSE

PLEASE READ IMPORTANT INFORMATION ON THE REVERSE SIDE.

AAPPLICANT INFORMATION

DRIVER'S LICENSE NUMBER

 

 

 

 

LAST NAME

 

 

 

 

 

 

 

 

 

 

 

JR/ETC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MIDDLE NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

TELEPHONE NUMBER (8:00 A.M.-4:30 P.M.)

 

 

 

 

 

 

E-MAIL ADDRESS (if applicable)

Month

 

Day

Year

 

       

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EYE COLOR (Please check one):

     

BLUE 

BROWN     

GREEN   

HAZEL   

 

PINK   

   

BLACK   

   

GRAY   

   

  DICHROMATIC   

   

OTHER__________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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:

 

 

 

 

 

 

 

 

 

 

 

 

 

 US Armed Forces   

Federal Government 

 Pennsylvania State Government

 

 

 

 

 

 

 

 

 

 

 

Relationship

to person meeting exemption (check one): 

 

 Spouse   

 Dependent Child

 

 

 

 

 

 

 

 

 

 

 

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

This application will also serve as a request to update your voter registration unless you check this box:

If you are not registered to vote, you will receive an application to register. You must be a U.S. citizen to register to vote in Pennsylvania.

Pennsylvania strongly supports organ and tissue donation because of its life-saving and life-enhancing opportunities.

ADD (Parental consent required if under 18)

REMOVE

BAPPLICATION OPTIONS - MUST CHECK ONE

OPTION 1

 

I am applying for an ignition interlock license. OR

 

 

 

OPTION 2

 

As a result of the disqualification of my commercial driving privilege, (in accordance with Section 1617 of the PA Vehicle Code)

 

OPTION 3

 

 

I am applying for a non-commercial class ignition interlock license. OR

 

 

 

 

 

 

My ignition interlock period has been served and I am applying for the return of my previous classification.

 

 

 

 

 

NOTE: If applying for the return of your previous CDL classification, after serving your disqualifications period, you must complete form

 

 

 

 

 

 

DL-100CD.

 

 

 

 

 

 

During your ignition interlock period were you given a ticket or cited for driving without an ignition interlock system and/or tampering

 

 

 

with an ignition interlock device?

YES

NO

 

 

 

 

If yes, give date when violation occurred _____________ and check one of the following:

 

 

 

1. I was found not guilty.

2. I paid the ticket, plead guilty or was found guilty.

3. The case hasn't been decided yet.

CREQUEST FOR EXEMPTION FROM PHOTO - ABSENTEE EXEMPTION

During the next 60 days I will be absent from PA for the following reason:

  Military

  School

  Work

 Travel

Within 45 days of my return I will apply for a driver's license containing my photo.

SIGNX

HERE

APPLICANT'S SIGNATURE

DAUTHORIZATION AND CERTIFICATION (Sign and Enter Fee)

For Veterans wishing to add the Veterans Designation to their Driver's License or ID Card: I certify under penalty of law that I am a qualified applicant and hereby request it be added to my product. I understand that misrepresentation will result in the cancellation of my driver's license.

I acknowledge that receiving a Pennsylvania Permit, License or ID card will cancel or invalidate any Permit, License or ID card from another state. I certify under penalty of law that all information given on this application 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. I hereby acknowledge this day that I have received notice of the provisions of Section 3709 of the Vehicle Code. (See reverse for provisions.)

I wish to contribute $3.00 to the Organ Donation Awareness Trust Fund. (see reverse)

I wish to contribute $3.00 to the Veterans' Trust Fund. (see reverse)

SIGNX

HERE

APPLICANT'S SIGNATURE IN INK

DATE

WARNING: Misstatement of Fact is a misdemeanor of the third degree punishable by a fine of up to $2,500 and/or imprisonment up to 1 year (18 Pa. C.S. Section 4904[b]).

PAID BY:

Debit/Credit Card

Check

Money Order

Payable to PennDOT (PennDOT Driver License Centers

TOTAL $

 

 

 

 

do not accept cash.)

 

 

 

 

 

MESSENGER NO.

 

DL-3731 (12-21)

The most current version of this form can be found at: www.dmv.pa.gov

SECTION A - APPLICANT INFORMATION

Complete applicant information.

Complete address change if needed.

Include the Driver Number if available. This assists PennDOT in the identification process

The Department 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.

SECTION B - APPLICATION OPTIONS

Check one block only. Indicate the type of license you are requesting.

If you are choosing option 3, you must answer the question regarding Ignition Interlock violations. Failure to answer this question will result in the delay of processing your application.

Return your completed and signed application with check or money order made payable to "PennDOT", to:

FOR OPTION 1 AND OPTION 2

FOR OPTION 3

Department of Transportation

Department of Transportation

Bureau of Driver Licensing

Bureau of Driver Licensing

P.O. Box 68693

P.O. Box 68273

Harrisburg, PA 17106-8693

Harrisburg, PA 17106-8273

SECTION C - REQUEST FOR EXEMPTION FROM PHOTO

• Section C must be signed.

SECTION D - AUTHORIZATION AND CERTIFICATION

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.

Section D must be signed.

Fill in the fee in the box provided. (see fees below)

FEES

Driver's License without Class M

$31.50

Driver's License with Class M

$36.50

or

If your license expires within 6 months, you may choose to renew at this time by attaching a DL-143 / DL-143CD

along with the renewal fees ONLY.

ORGAN DONATION

You have the opportunity to contribute $3.00 to the Fund. The additional $3.00 contribution must be added to your

payment. You must also check the block provided to ensure proper handling of your contribution. The ODTF provides

AWARENESS TRUST

for the development and implementation of donor awareness programs and funds shall be appropriated subject to the

FUND (ODTF)

approval of the Governor.

 

 

 

VETERANS’ TRUST

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

FUND (VTF)

the donated amount to your payment. Also, please check the proper block on the form to ensure your contribution is

 

handled properly.

PROVISIONS OF SECTION 3709 OF THE VEHICLE CODE

Section 3709 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.

Change your address or renew your driver's license online at www.dmv.pa.gov

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Fill in the Pennsylvania strongly supports, APPLICATION OPTIONS MUST CHECK ONE, OPTION, OPTION, OPTION, I am applying for an ignition, As a result of the, My ignition interlock period has, I was found not guilty, I paid the ticket plead guilty or, The case hasnt been decided yet, REQUEST FOR EXEMPTION FROM PHOTO, Military, School, and Work fields with any data that is asked by the application.

dl 3731 Pennsylvania strongly supports, APPLICATION OPTIONS  MUST CHECK ONE, OPTION, OPTION, OPTION, I am applying for an ignition, As a result of the, My ignition interlock period has, I was found not guilty, I paid the ticket plead guilty or, The case hasnt been decided yet, REQUEST FOR EXEMPTION FROM PHOTO, Military, School, and Work fields to insert

Provide the essential data in the WARNING Misstatement of Fact is a, PAID BY DebitCredit Card Check, Payable to PennDOT PennDOT Driver, TOTAL, and MESSENGER NO field.

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