The Pennsylvania DL-298 form serves as a request for a non-commercial driver's license specifically for Pennsylvania residents who are current service members. This form requires applicants to provide personal information, documentation of military status, and details about their driving qualifications. Proper completion of the DL-298 is essential for individuals seeking to obtain or renew their driver's license while serving in the military.
The Pennsylvania DL-298 form is an essential document for residents seeking a non-commercial driver’s license, particularly for military personnel. This form serves multiple purposes, including requests for original issuance, renewal, or the addition of a motorcycle endorsement to an existing license. Applicants must confirm their Pennsylvania residency and provide personal details such as name, date of birth, and social security number. Additionally, military members are required to attach a copy of their military ID and a memorandum of authorization. The form includes sections for physical examination certification, which must be completed by a medical officer, ensuring that the applicant meets the necessary health standards for safe driving. It is important to note that applicants under 18 need consent from a parent or guardian. Fees vary depending on the type of request, and applicants must submit the completed form along with any required documentation to the Bureau of Driver Licensing. Understanding the components of the DL-298 form is crucial for a smooth application process.
DL-298 (12-10)
service person request for non-commercial pennsylvania driver’s license
PennsylvAniA residents only
Bureau of Driver Licensing
P.O. Box 68272
Harrisburg, PA 17106-8272
Are you A current PennsylvAniA resident?
o yes - continue comPleting form
o no - do not comPlete form. you Are not eligible.
PleAse tyPe or Print in blue or blAcK inK All informAtion.
AAPPlicAnt informAtion (applicant must attach a copy of their military id card, and the memorandum of authorization.)
PA License number (if applicable)
LAst nAme
jr/etc
First nAme
miDDLe nAme
DAte OF birtH
HeigHt
sOciAL security number
PA License exPires
month
day
Year
Feet
inches
E-MAil AddrEss
TElEPhOnE nuMBEr (8:00 A.M. -4:30 P.M.)
eye color (Please check one):
blue
broWn
green
HAZel
PinK
blAcK
grAy
dicHromAtic
otHer ____________________
street ADDress: A Post Ofice Box number may be used in addition to the actual residence address, but cannot be used as the only address.
city
stAte
ZiP cODe
PA
bmAiling Address (complete if different than address in section A)
cdriver QuAlificAtion rePort (Authorized military Personnel must complete)
authorized military personnel must complete section c. also, a memorandum, on military letterhead, from the provost marshall, company commander, department head, or oic must be attached to certify that the examiner is authorized to administer skills testing. (attach test result)
The above applicanT, 16 yeArs of Age or older, has passed examinaTion(s) demonsTraTing qualificaTion for:
oclass c - a non-commercial license to operate a single non-commercial vehicle not over 26,000 lbs. registered gross weight (such as a passenger car, station wagon, or small truck) or any such vehicle towing a trailer not over 10,000 lbs. gross vehicle weight rating.
oclass m - a license to operate a motorcycle equipped with two wheels only.
oclass m with 8 restriction - a restricted motorcycle license, limited to operating a motor-driven cycle (not more than 5 brake horsepower).
oclass m with 9 restriction - a restricted motorcycle license, limited to only operating a 3-Wheeled motorcycle.
i the examiner, certify that the above named applicant has appeared before me and, to the best of my knowledge, has completed this application truthfully and accurately.
signAture OF tHe exAminer
titLe
DAte
exAm LOcAtiOn
SIGNX
HERE
1
dPHysicAl eXAminAtion certificAtion to be comPleted by medicAl officer
tHis is to certify tHe eXAminee HAs:
PHysicAl eXAminAtion of tHe APPlicAnt discloses tHe folloWing:
4 check one: yes no
please check any of the following that would prevent reasonable control of a motor vehicle:
neuropsychiatric disorders
o
neurological disorders
20/40 vision or less in better eye with correction. . . .
cardiac disorder
Report of Eye Exam Attached
circulatory disorder
uncontrolled epilepsy
Qualified
hypertension
cognitive impairment
uncontrolled diabetes
COMPLETE ALL ITEMS
drug abuse
Uncorrected
Corrected
alcohol abuse
20/
Right Eye
conditions causing repeated lapses of consciousness (e.g. epilepsy, narcolepsy,
Left Eye
hysteria, etc.)
Both Eyes
specify: ________________________________________________________
R
L
Fields
if seizure disorder, date of last seizure: ________________________________
impairment or amputation of an appendage
Must wear corrective lenses
YES
NO
if so, list: _______________________________________________________
Other restrictions__________________________________
other:__________________________________________________________
signAture OF tHe exAminee (sign ONLY in presence of Physician)
NOTE: Any recommendations/additional comments must accompany this certificate on physician
X
SIGN
letterhead enclosure.
PHysiciAn inFOrmAtiOn (please print or type) check One:
M.d.
d.O.
C.r.P.n.
P.A.
d.C.
TElEPhOnE nuMBEr:
nAme
stAte License number
street ADDress
PHysiciAn’s
PHysicAL DAte
signAture
econsent of PArent, guArdiAn, Person in loco PArentis or sPouse At leAst 18 yeArs of Age
complete if Applicant is less than 18 years of Age
i hereby cerTify ThaT i am a pennsylvania residenT and The: o parent o guardian o person in loco parentis or o spouse
at least 18 years of age, of the applicant named herein, that the statements made herein are true and correct to the best of my knowledge and that this application is made with my full consent.
(Signature of parent, guardian, person in loco parentis or spouse at least 18 years of age.)
fAutHoriZAtion And certificAtion
i certify under penalty of law that the information contained herein is true and correct. if using a messenger service, i hereby authorize the social security administration to release to the Department of Transportation information concerning my Social Security Identiication Number for the purpose of identiication. 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 page 3 for provisions.)
WARNING: Misstatement of fact is a misdemeanor of the third degree punishable by a ine of up to $2,500 and/or imprisonment up to 1 year (18 PA C.S. Section 4904 [b]).
(Applicant’s signature in ink)
(Date)
greQuest for eXemPtion from PHoto
Absentee eXemPtion
during the next 60 days i will be absent from pa for the following reasons: o military o school o Work o Travel Within 45 days of my return, i will apply for a driver’s license containing my photo.
2
AttAcH test results
tHis form is not vAlid for commerciAl driver tests
reQuest for originAl issuAnce of A PennsylvAniA non-commerciAl driver’s license by A PennsylvAniA resident FEE: $29.50 (If Class M - FEE $49.50). Complete Sections A, B, C, D, E if applicable, F and G. To obtain a non-commercial driver’s license, you
must complete the application, and must already have a pa learner’s permit or pa non driver’s photo id already established in pennsylvania. you may be required to provide a copy of your birth certiicate, if you are a dependent of an eligible service person.
reQuest to Add clAss m endorsement to current PA non-commerciAl license
FEE: $10.00. Complete Sections A, B, C, D, E if applicable, F and G. If you hold a valid PA non-commercial driver’s license and desire to have it
endorsed, you must pass an examination demonstrating your ability to operate such vehicle. if you are stationed outside the commonwealth, a special examination may be conducted by a representative of the provost marshall’s ofice, motor pool or safety personnel on your base. The results of such an examination should be recorded on the reverse side of this letter. (an update card will be issued).
reQuest for reneWAl of PA non-commerciAl driver’s license WitH A reQuest to Add clAss m endorsement FEE: $49.50. Complete Sections A, B, D, E if applicable, F and G. If you are a service person who is renewing a PA
non-commercial driver’s license and you desire your renewed license to be endorsed with a class m, the results of the special examination must be recorded by the examiner on the reverse side of this letter.
reQuest for rePlAcement PA PHoto license WitH A reQuest to Add clAss m endorsement FEE: $18.50. Complete Sections A, B, C, D, E if applicable, F and G.
F return your completed and signed application, a copy of your military Photo id card, the memorandum of authorization, and your check or money order payable to “Penndot” to:
bureau of driver licensing, P.o. box 68272, Harrisburg, PA 17106-8272.
examiner guidelines
grounds for immediate failure are:
class non-commercial A, b, or c - unable to start vehicle, striking or jumping curb or markers, unable to turnabout or park successfully in 3 backups, serious trafic offenses (such as a passed through stop sign, passed through red light, failed to yield right of way, driving in opposite lane continuously, improper passing, failed to obey road signs, speeding, failure to wear seat belt, or restriction violation), accident/crash, lack of cooperation, or if examinee commits any other citable trafic violation.
class m - not wearing protective headgear and protective eye device, unable to start engine, a wheelie, striking curbs or markers, serious trafic offenses (such as a passed through stop sign, passed through red light, failed to yield right of way, driving in opposite lane continuously, improper passing, failed to obey road signs, speeding, restriction violation), accident/spill, lack of cooperation, or if examinee commits any other citable trafic violation.
uIn addition to the grounds listed above, the examinee may be failed if, in the opinion of the examiner, any 2 or more of the following faults are found to be present.
All eXAminAtions
Knowledge of vehicle controls (operate headlights, turn signals, horn, etc.), improper turns, crosses center line
momentarily, following too closely, stopping in crosswalk, speed control according to conditions (too fast for conditions, slides or skids), poor judgment in trafic, failed to observe trafic (head check, failure to use mirrors, etc.), improper steering
(one hand driving, jerky motion, etc.), or improper signals or fails to signal.
class m - Foot touches ground while performing maneuvers, dificulty shifting (improper clutch/throttle control).
uIn addition to the grounds listed above, the examinee may be failed if, in the opinion of the examiner, any 4 or more of the following faults are found to be present.
speed too slow (applicant overcautious), starting and smooth driving (does not release parking brake before attempting to move, spins wheels, stalls engine, jerky or unsmooth driving, dificulty shifting, etc.), improper braking (proper foot position on pedal, sudden or hard braking, etc.).
change your address or renew your driver’s license online at www.dmv.state.pa.us
section 3709 of tHe veHicle code
Section 3709 provides for a ine 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 ine 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.
sociAl security informAtion
The department is required to obtain the licensee’s social security number, height, and eye color under the provisions of section 1510(a) and/or 1609(a)(4) of the Pennsylvania Vehicle Code. This information will be used as identifying information in an attempt to minimize driver license fraud. Federal law permits the use of the Social Security Number by state licensing oficials for purposes of identiication.
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