Form Dl-31 - Non-Commercial Learner'S Permit - Application To Add/extend/replace/change/correct - Pennsylvania Department Of Transportation Page 2

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DL-31 (12-16)

The most current version of this form can be found at:

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

• 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 C.

• All applicants must complete Sections A, B (if applicable), and C.

• Notarization (Section D) is required IF (1) applying for a never received Learner's Permit or (2) applicant is under the age of 18.

• Section E MUST be completed if applicant is under the age of 18.

• Return your completed and signed application with check or money order made payable to "PennDOT" to: Bureau of Driver Licensing, P.O. Box

68272, Harrisburg, PA 17106-8272.

FEE INFORMATION

NON-COMMERCIAL

Fee: $5.00 for each permit requested. If you checked the never received block and Section D is notarized,

CLASS A, B, OR C

a fee is not required.

LEARNER'S PERMIT

You have the opportunity to contribute $1.00 to the Fund. The additional $1.00 contribution must be added

ORGAN DONATION

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

AWARENESS TRUST

The ODTF provides for the development and implementation of donor awareness programs and funds

FUND (ODTF)

shall be appropriated subject to the approval of the Governor.

You have the opportunity to make a tax deductible contribution to the VTF. Your contribution will help

VETERANS’ TRUST

support programs and projects for pennsylvania veterans and their families. Since this additional $3.00

FUND (VTF)

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.

CHANGE/CORRECTION

NO FEE REQUIRED — The Bureau will issue an update card reflecting the change/correction which must

be carried with the Pennsylvania Identification Card. Notarization is not required.

ONLY

NAME CHANGE - If you desire to use your birth name, you must present your state issued birth certificate with a raised seal. If your name

changed by permission of court, you must present a Certified Copy of the Court Order. If you desire to use your spouse's surname, you

must present your marriage certificate. If you desire to use another name, you must present your Social Security Card, together with two

other sources issued in the desired name such as: Tax Records, Selective Service Card, Voter Registration Card, Passport, any form of

Photo I.D. issued by a governmental agency, banking records, or baptismal certificate.

To report errors on your driver's license relating to name, date of birth or social security number, please contact PennDOT's

Customer Care Center at 1-800-932-4600.

If you are required to present supporting documentation to correct your record, all documents must be originals and presented

in person at a PennDOT Driver License Center.

• For NAME corrections, you must present your state issued birth certificate with a raised seal, a Certified Copy of the Court

Order or your marriage certificate.

• For DATE OF BIRTH corrections, you must present state issued birth certificate with raised seal.

• For SOCIAL SECURITY NUMBER corrections, you must present your Social Security Card.

*Note: All name changes must be made in person at a Driver License Center. All documents must be original.

CLASS INFORMATION

(Minimum Age 16) Required to operate a single non-commercial* vehicle not over 26,001 lbs. gross vehicle weight rating (such as

CLASS C

passenger car, station wagon, or small truck) or any such vehicle, except those requiring a motorcycle classification, that does not meet

the definition of Class A or Class B. (Class C permit does not include any other class.)

(Minimum Age 18) Required to operate a combination non-commercial* vehicle with a gross vehicle weight rating of 26,001 pounds or

CLASS A

more, provided the gross vehicle rating of the vehicle being towed is in excess of 10,000 pounds. (Class A permit includes Classes B and C.)

(Minimum Age 18) Required to operate a non-commercial* single vehicle of 26,001 pounds or more gross vehicle weight rating or any

CLASS B

such vehicle towing a trailer not over 10,000 pounds gross weight. (Class B permit includes Class C.)

The holder of a Class A, B, or C driver's license will also be authorized to drive a moped.

*The term includes an implement of husbandry, certain motorized construction equipment not intended for on-road use, or any motor home or

trailer operated solely for personal use.

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.