Fillable Form DL-80 PA Driver License Change of Address

What is the Pennsylvania Change of Address Form?

Form DL-80, Non-Commercial Driver’s License Application for Change / Correction / Replacement, or the PA Driver License Change of Address, is a form that updates the information on a Pennsylvania (PA) driver’s license. The form asks for identifying information such as address, name, and social security number.

The PA Driver License Change of Address is used to ensure that the information on a person’s driver’s license is correct and updated. This is important not only for record-keeping purposes, but also for legal and even transactional purposes, as various government, public, and private services often require a valid ID to be availed of.

The PA Change of Address Form can be used to update information other than one’s address, such as one’s name, biometric details, and even social security number. It can also be used to apply for a replacement license should the previous one be lost, damaged, or otherwise unusable.

Who needs to use the Pennsylvania Change of Address Form?

If for any reason the information on your driver’s license becomes outdated, you must fill out the DL-80 form to keep your driver’s license updated.

• Information change. If any of the information on your driver’s license changes, you must fill out form DL-80 to ensure that all of your information is current and updated. Information that tends to change includes address, name, and some biometric details.

• Correcting Information. If any of the information on your driver’s license is incorrect, you must fill out the PA Change of Address form at the soonest possible convenience.

How to fill out the Pennsylvania Change of Address Form?

Form DL-80 is a very short and simple form to fill out. Ensure that all information you enter is correct and updated to avoid any issues. Some additional documents may be required or highly recommended to be submitted alongside the form in order to provide evidence that a particular change in information is both true and legal.

Purpose of Form

Mark the appropriate box to indicate what you are accomplishing this form for. You may select:

• Replacement (Duplicate). If you select this, fill out sections A, B, (C & D if applicable, otherwise you may skip these) E and F. Any fields on the form marked with an asterisk (*) that you fill out must be notarized.

• Change or Correction. If you select this, fill out sections A, C, and F. You need not have your form notarized.

Section A

Driver’s License number

Enter your driver’s license number.

Name

Enter your full, legal name.

Date of Birth

Enter your date of birth.

Telephone Number

Enter your telephone number.

Email Address

If you have an email address, enter it.

Section B

Application for Replacement

Mark the appropriate box for your application for replacement. Mark only one box. You may select:

• *Regular Camera Card
• Photo License
• Update Card
• *”Photo-exempt” Camera Card
• Valid w/o Photo License

*This request must be notarized.

Reason for Replacement

Mark the appropriate box that indicates your reason for seeking a replacement driver’s license. Mark only one box. You may select:

• • Lost
  • Stolen
  • Mutilated
  • Correction
  • *Never Received

• Other: (Enter the reason in the space provided).

*This request must be notarized.

Organ Donor Designation

If you wish to be designated as an organ and tissue donor, check “yes”. Otherwise, check “no.”

Section C

Address Change

Enter your new street address, city, and zip code.

Voter Address Change Notice

If you are a registered voter, mark “yes” if you would like your county voter registration office to be notified of your change in address. Otherwise, mark “no”.

If you are not a registered voter, contact your county voter registration notice.

Reason for Name Change

If you are changing the name that will be put on your driver’s license, mark the appropriate box that indicates the reason for the change. You may select:

• Marriage
• Divorce
• Other

New Name

Enter the new name that will be put on your driver’s license.

Note: This must be done in person and with the appropriate legal documents that indicate the change of name.

Other Changes

Eye Color

Mark the appropriate box that indicates your eye color. You may select:

• Blue
• Brown
• Green
• Hazel
• Pink
• Black
• Gray
• Other. (Enter the color in the space provided).

Correction of Date of Birth

Enter your correct date of birth.

Height

Enter your correct height in feet and inches.

Social Security Number

Enter your Social Security Number.

Drop Privilege

Check this mark if you wish to drop your class M privilege.

Section D

Parent, Spouse or Guardian’s consent

If you are under 18 years old and wish to be marked as a designated organ donor, a Parent, Guardian, Person in Loco Parentis (person acting in place of a parent), or Spouse (at least 18 years of age) must give their consent.

If you are over 18 years of age, skip this section.

Relationship

Mark the box that indicates the relation of the applicant (person filling out this form) to the person giving their consent. You may choose:

• Parent
• Guardian
• Person in Loco Parentis
• Spouse

Signature

Have your parent, spouse, or guardian sign the form in the space provided.

Section E

Status of Driving Privilege or Driver’s License

If you are requesting a replacement license, you must answer all of these questions.

1. If your driver’s license has been suspended or revoked in PA or any other state, check “yes”. Otherwise, check “no”.
2. If you have any pending criminal charges or driving violations in PA or any other state that may carry a penalty of suspension or revocation of your driver’s license, check “yes”. Otherwise, check “no”.

Reason

If you checked “yes” for any of the above, enter the State in which the violation or criminal charge happened, the date it was given, and the reason for the violation or criminal charge.

Section F

Veterans Designation

If you are a veteran and wish to add the Veteran’s Designation to your driver’s license or ID card, check this box. Otherwise, leave it blank.

Contribution to Trust Funds

If you wish to contribute to the Organ Donation Awareness Trust Fund, check the box provided.

If you wish to contribute to the Veterans’ Trust Fund, check the box provided.

Payment

Mark the appropriate box that indicates how you will pay for the application. You may select:

• Check
• Money Order

Signature

Enter your signature in the space provided, then enter the date when you signed this form.

Total of payment

Enter the total payment.

Notarization

Have a notary sign and stamp the form here if needed.

Return your signed and completed form with check or money order made payable to “PennDOT” to:

Bureau of Driver Licensing

P.O. Box 68272

Harrisburg, PA 17106-8272

Tips when filling out the Pennsylvania Change of Address Form

While the PA Change of Address Form is very short and simple, it does ask for sensitive information such as your address and social security number (if applicable). Make sure to keep the form in a safe place to ensure your personal information’s security.

Prepare any necessary additional documents. For some changes, such as changes to name or Social Security Number, and some options or reasons for replacement, such as the license “never having been issued” or applying for a photo-exempt camera card, extra documents are needed in order to confirm the validity of such changes. Make sure to have these documents ready to submit alongside the form.

Ensure that all information entered is correct and updated. Make sure all of the information you entered is correct and updated in order to avoid any legal issues.

Practice good contract management. Create a copy of this form (filled out) and keep it in a safe and organized place for record or possible future legal purposes.