Form Dl-80cd - Commercial Drivers License Application To Replace/correct Page 2
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2DL-80CD (12-10)
The most current version of this form can be found at:
APPLICANT INFORMATION
• 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:
o US Armed Forces
o Federal Government
o Pennsylvania State Government
Relationship to person meeting exemption (check one):
o Spouse
o Dependent Child
• Return your completed and signed application with your check or money order made payable to "PennDOT", to:
Bureau of Driver Licensing, P.O. Box 68272, Harrisburg, PA 17106-8272.
• If your license is due to expire within six (6) months, complete form DL-143CD (Renewal of a Commercial Driver’s License).
• If you find or recover your original license after you have submitted this application for a duplicate, return the original
license with a letter of explanation to: Bureau of Driver Licensing, PO Box 68615, Harrisburg, PA 17106-8615. After the
duplicate is issued, the original license is no longer valid.
REPLACEMENT
Along with appropriate fees application MUST BE NOTARIZED in Section E.
CHANGE/CORRECTION
Address changes require the issuance of a duplicate.
OF COMMERCIAL:
LEARNER’S PERMIT AND/OR
KNOWLEDGE TEST
FEE $5.00 per EACH Class, Endorsement or Restriction.
AUTHORIZATION
CDL
* FEE: $5.00 if photo was not taken with the original camera card.
CAMERA CARD
* If license is endorsed with a Class M, the fee is $10.00.
* FEE: $13.50 - The Bureau will issue one of the following:
• A camera card, which is a temporary Commercial Driver’s License for 60 days, for the
CDL
purpose of having a photo-image taken at a Photo Driver’s License Center
PHOTO LICENSE
• A Commercial Driver’s License, complete with the applicant’s most recent photo-image
* If license is endorsed with Class M, the fee is $18.50.
NO FEE
SCHOOL BUS ENDORSEMENT
When you are adding or removing the Organ Donor designation, the form must be notarized and a
ORGAN DONATION
replacement fee is required. Refer to fees above.
DESIGNATION
You have the opportunity to contribute $1.00 to the Fund. The additional $1.00 contribution must be
ORGAN DONATION
added to the fees above and included in your payment by check/money order. You must also check the
AWARENESS TRUST
block provided in Section E to ensure proper handling of your contribution.
FUND (ODTF)
NAME CHANGE -
If your name changed by permission of court, attach a Certified Copy of the Court Order. If you desire to use a name other than your
(1) birth name, (2) spouse’s surname, or (3) a name given through a Court Order, you must provide a copy of your Social Security Card
(or records), together with copies of documents from 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, or state issued Birth
Certificate.
IF YEAR OF BIRTH on commercial driver’s license is incorrect, attach a copy of your official birth certificate.
IF CDL designation is dropped voluntarily (section 1504), a CDL designation in the future will require completion of all required
written and skills tests.
IF CDL is disqualified (section 1617), a CDL can be issued at the end of Disqualification with payment of all required fees.
IF Social Security Number is incorrect, attach copy of your Social Security Card.
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.
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