Form Mv-409 - Application For Certification Of Official Vehicle Safety Inspector Page 2
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1
2INSTRUCTIONS
Section A is to be completed by the applicant.
Section B is to be completed by the school instructor after the class and all testing has been completed.
DRIVER LICENSE INFORMATION
If an applicant has any of the following driver’s license types, please contact PennDOT’s Vehicle
Inspection Division at (717) 787-2895, before the student pays to register for the class.
1. Probationary License (PL)
2. Occupational Limited License (LL)
3. Ignition Interlock License (II)
4. Out-of-State License (if state does not border Pennsylvania)
OUT-OF-STATE DRIVER LICENSE INFORMATION
If a student lives out-of-state, they must provide their out-of-state address and driver’s license
information. (A Pennsylvania address may only be listed by a Pennsylvania resident.) A copy of the
student’s out-of-state driver’s license must be attached to this form.
If they are a Pennsylvania resident, and they still possess an out-of-state driver’s license, they
must surrender their out-of-state driver’s license and obtain a Pennsylvania driver’s license.
Additional information may be found on PennDOT’s Driver and Vehicle Services website, at
, or by contacting PennDOT’s Customer Call Center at 1-800-932-4600, Monday
through Friday, 8 a.m. to 5 p.m.
Work addresses may not be listed on Form MV-409 or Form MV-409S.
Visit us at or call us at:
In state: 1-800-932-4600
TDD: 1-800-228-0676
Out-of-State: 1-717-412-5300
TDD Out-of-State: 1-717-412-5380
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