Form DL-80CD "Commercial Driver's License Application to Duplicate/Correct" - Pennsylvania

What Is Form DL-80CD?

This is a legal form that was released by the Pennsylvania Department of Transportation - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2020;
  • The latest edition provided by the Pennsylvania Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DL-80CD by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Transportation.

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Download Form DL-80CD "Commercial Driver's License Application to Duplicate/Correct" - Pennsylvania

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DL-80CD (7-21)
COMMERCIAL DRIVER’S LICENSE APPLICATION
TO DUPLICATE/CORRECT
Federal Regulation requires CDL holders to provide in person proof of
citizenship or Legal Presence. For more information please see back of form.
Bureau of Driver Licensing • P.O. Box 68272 • Harrisburg, PA 17109-8272
A
PLEASE READ IMPORTANT INFORMATION ON THE BACK. YOU MUST COMPLETE ALL PARTS OF SECTION A.
Driver's License Number
LAST NAME
JR/ETC.
FIRST NAME
MIDDLE NAME
DATE OF BIRTH
TELEPHONE NUMBER (8:00 A.M.-4:30 P.M.)
E-MAIL ADDRESS
Month
Day
Year
B
APPLICATION FOR DUPLICATE (Check One)
DUPLICATE REQUIRED DUE TO:
ORGAN DONOR DESIGNATION
CDL Learner’s Permit and/or Knowledge Test Authorization
Lost
Stolen
Pennsylvania strongly supports organ and
CDL Camera Card (If checked, form MUST BE NOTARIZED)
Mutilated
Change of Address
tissue donation because of its life-saving
Correction
and life-enhancing opportunities.
CDL Photo License
Other _______________________________
REMOVE
ADD
School Bus Driver Endorsement Card
Never Received
(MUST BE NOTARIZED - No Fee
C
CHANGE OR CORRECTION ONLY (Important information on reverse side)
ADDRESS CHANGE -
Proof of Address must be provided, see reverse side. A Post Office Box number may be used in addition to the actual residence
address, but cannot be used as the only address. See reverse if using an out-of-state address.
STREET ADDRESS
ZIP CODE
CITY
STATE
PA
If you are a registered voter in PA, would you like us to notify your county voter registration office of this change?
YES
NO
If you are not a registered voter, you may contact your county voter registration office.
NAME CHANGE
OTHER
REASON:
MARRIAGE
DIVORCE
(Please note all name changes must be done in person with original documents)
(see reverse side)
LAST NAME
JR., ETC.
FIRST NAME
MIDDLE NAME
OTHER CHANGES
EYE COLOR (Please check one):
BLUE
BROWN
GREEN
HAZEL
PINK
BLACK
GRAY
DICHROMATIC
OTHER______________________
ADD LENS RESTRICTION
OR
REMOVE LENS RESTRICTION -
(Please Note: Must include DL-102 Application completed by Health Care Provider)
CORRECTION OF DATE OF BIRTH
HEIGHT
DROP PRIVILEGE:
YEAR
MONTH
DAY
FEET
INCHES
Class M
Hazmat Endorsement
No person may hold more than one valid license at any time. If you have a license from another state, do not use this form. YOU MUST go
D
to a Driver License Examination Center to surrender your out-of-state license and make application for a replacement PA license.
1.
YES
NO - Is your driver's license or driving privilege suspended or revoked in this state or any other state?
2.
YES
NO - Do you have any pending criminal charges or driving violations in this state or any other state which may carry a possible penalty of
suspension or revocation of your driver’s license or driving privilege?
If yes, give state_____________ Date ______________ and Reason ____________________________________________________________________
E
AUTHORIZATION AND CERTIFICATION
THIS SECTION MUST BE NOTARIZED
For Veterans wishing to add the Veterans Designation to their Driver’s License or ID Card:
AFFADAVIT: This section must be notarized when applying for replacement (duplicate)
I certify under penalty of law that I am a qualified applicant and hereby request it be added to myproduct.
Commercial License or Camera Card. You are entitled to a free replacement ONLY
I understand that misrepresentation will result in the cancellation of my driver’s license.
if this application is completed within 90 days of the original date of issuance and
I acknowledge that receiving a Pennsylvania Permit, License or ID card will cancel or invalidate any Permit,
the original was never received due of loss in the mail.
License or ID card from another state. I certify under penalty of law that all information given on this application is
true and correct. I hereby authorize the Social Security Administration to release to the Department of Transportation
SUBSCRIBED AND SWORN
information concerning my Social Security Identification Number for the purpose of identification. If using a Messenger
MO
DAY
YEAR
TO BEFORE ME:
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 reverse for provisions.)
Signature of Person Administering Oath
I certify that I do not have a VALID driver’s license from more than one State or jurisdiction.
I certify I do not have any VALID commercial products from any other State or jurisdiction.
I wish to contribute $3.00 to the Organ Donation Awareness Trust Fund. (see reverse)
S
WARNING: Misstatement of
I wish to contribute $3.00 to the Veterans’ Trust Fund. (see reverse)
fact is a misdemeanor of
X
E
the third degree punishable
SIGN
SIGN IN PRESENCE OF NOTARY
of up to $2,500and/or
HERE
A
imprisonment up to 1 Year
APPLICANT’S SIGNATURE IN INK
(DATE)
(18 Pa C.S. Section 4904(b)).
L
PAID BY:
Check
Money Order
Debit/Credit Card
TOTAL $
Payable to PennDOT (PennDOT Driver License Centers do not accept cash.)
DL-80CD (7-21)
COMMERCIAL DRIVER’S LICENSE APPLICATION
TO DUPLICATE/CORRECT
Federal Regulation requires CDL holders to provide in person proof of
citizenship or Legal Presence. For more information please see back of form.
Bureau of Driver Licensing • P.O. Box 68272 • Harrisburg, PA 17109-8272
A
PLEASE READ IMPORTANT INFORMATION ON THE BACK. YOU MUST COMPLETE ALL PARTS OF SECTION A.
Driver's License Number
LAST NAME
JR/ETC.
FIRST NAME
MIDDLE NAME
DATE OF BIRTH
TELEPHONE NUMBER (8:00 A.M.-4:30 P.M.)
E-MAIL ADDRESS
Month
Day
Year
B
APPLICATION FOR DUPLICATE (Check One)
DUPLICATE REQUIRED DUE TO:
ORGAN DONOR DESIGNATION
CDL Learner’s Permit and/or Knowledge Test Authorization
Lost
Stolen
Pennsylvania strongly supports organ and
CDL Camera Card (If checked, form MUST BE NOTARIZED)
Mutilated
Change of Address
tissue donation because of its life-saving
Correction
and life-enhancing opportunities.
CDL Photo License
Other _______________________________
REMOVE
ADD
School Bus Driver Endorsement Card
Never Received
(MUST BE NOTARIZED - No Fee
C
CHANGE OR CORRECTION ONLY (Important information on reverse side)
ADDRESS CHANGE -
Proof of Address must be provided, see reverse side. A Post Office Box number may be used in addition to the actual residence
address, but cannot be used as the only address. See reverse if using an out-of-state address.
STREET ADDRESS
ZIP CODE
CITY
STATE
PA
If you are a registered voter in PA, would you like us to notify your county voter registration office of this change?
YES
NO
If you are not a registered voter, you may contact your county voter registration office.
NAME CHANGE
OTHER
REASON:
MARRIAGE
DIVORCE
(Please note all name changes must be done in person with original documents)
(see reverse side)
LAST NAME
JR., ETC.
FIRST NAME
MIDDLE NAME
OTHER CHANGES
EYE COLOR (Please check one):
BLUE
BROWN
GREEN
HAZEL
PINK
BLACK
GRAY
DICHROMATIC
OTHER______________________
ADD LENS RESTRICTION
OR
REMOVE LENS RESTRICTION -
(Please Note: Must include DL-102 Application completed by Health Care Provider)
CORRECTION OF DATE OF BIRTH
HEIGHT
DROP PRIVILEGE:
YEAR
MONTH
DAY
FEET
INCHES
Class M
Hazmat Endorsement
No person may hold more than one valid license at any time. If you have a license from another state, do not use this form. YOU MUST go
D
to a Driver License Examination Center to surrender your out-of-state license and make application for a replacement PA license.
1.
YES
NO - Is your driver's license or driving privilege suspended or revoked in this state or any other state?
2.
YES
NO - Do you have any pending criminal charges or driving violations in this state or any other state which may carry a possible penalty of
suspension or revocation of your driver’s license or driving privilege?
If yes, give state_____________ Date ______________ and Reason ____________________________________________________________________
E
AUTHORIZATION AND CERTIFICATION
THIS SECTION MUST BE NOTARIZED
For Veterans wishing to add the Veterans Designation to their Driver’s License or ID Card:
AFFADAVIT: This section must be notarized when applying for replacement (duplicate)
I certify under penalty of law that I am a qualified applicant and hereby request it be added to myproduct.
Commercial License or Camera Card. You are entitled to a free replacement ONLY
I understand that misrepresentation will result in the cancellation of my driver’s license.
if this application is completed within 90 days of the original date of issuance and
I acknowledge that receiving a Pennsylvania Permit, License or ID card will cancel or invalidate any Permit,
the original was never received due of loss in the mail.
License or ID card from another state. I certify under penalty of law that all information given on this application is
true and correct. I hereby authorize the Social Security Administration to release to the Department of Transportation
SUBSCRIBED AND SWORN
information concerning my Social Security Identification Number for the purpose of identification. If using a Messenger
MO
DAY
YEAR
TO BEFORE ME:
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 reverse for provisions.)
Signature of Person Administering Oath
I certify that I do not have a VALID driver’s license from more than one State or jurisdiction.
I certify I do not have any VALID commercial products from any other State or jurisdiction.
I wish to contribute $3.00 to the Organ Donation Awareness Trust Fund. (see reverse)
S
WARNING: Misstatement of
I wish to contribute $3.00 to the Veterans’ Trust Fund. (see reverse)
fact is a misdemeanor of
X
E
the third degree punishable
SIGN
SIGN IN PRESENCE OF NOTARY
of up to $2,500and/or
HERE
A
imprisonment up to 1 Year
APPLICANT’S SIGNATURE IN INK
(DATE)
(18 Pa C.S. Section 4904(b)).
L
PAID BY:
Check
Money Order
Debit/Credit Card
TOTAL $
Payable to PennDOT (PennDOT Driver License Centers do not accept cash.)
DL-80CD (7-21)
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
o Federal Government
o Pennsylvania State Government
Relationship to person meeting exemption (check one):
o Spouse
o 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 E.
• 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.
DUPLICATE FEE SCHEDULE
Application for a duplicate camera card or a product never received, the form must be notarized. Fees will apply if more than 90
NEVER RECEIVED
days from date issued.
LEARNER’S PERMIT AND/OR
FEE $5.00 NOTE: Permit expiration date will remain the same. If your Learners Permit expires within 15 days, you will
KNOWLEDGE TEST
be required to purchase an extension using a DL-31CD. NOTE: If extending or upgrading your permit, you must surrender
your existing permit.
AUTHORIZATION
FEE: $5.00 if photo was not taken with the original camera card and this form must be notarized.
CDL CAMERA CARD
If license is endorsed with a Class M, the fee is $10.00 and this form must be notarized.
FEE: $31.50 - The Bureau will issue one of the following: (this form must be notarized.)
• A camera card, which is a temporary Commercial Driver’s License for 60 days, for the purpose of having a
photo-image taken at a Photo Driver’s License Center
CDL
• A Commercial Driver’s License, complete with the applicant’s most recent photo-image
PHOTO LICENSE
If license is endorsed with Class M, the fee is $36.50 and this form must be notarized.
NOTE: Effective January 22, 2019, if your address has been changed by a government entity, there is no fee. You will be
required to provide proof, such as a notice from the county or the U.S. Post Office.
NO FEE
SCHOOL BUS ENDORSEMENT
ORGAN DONATION
When you are adding or removing the Organ Donor designation a duplicate fee is required. Refer to fees above.
DESIGNATION
You have the opportunity to contribute $3.00 to the Fund. The additional $3.00 contribution must be added to your payment.
ORGAN DONATION
You must also check the block provided to ensure proper handling of your contribution. The ODTF provides for the
AWARENESS TRUST
development and implementation of donor awareness programs and funds shall be appropriated subject to the approval of
FUND (ODTF)
the Governor.
You have the opportunity to make a tax deductible contribution to the VTF. Your contribution will help support programs and
VETERANS’ TRUST
projects for Pennsylvania veterans and their families. Since this additional $3.00 is not part of the fee, please add the donated
FUND (VTF)
amount to your payment. Also, please check the proper block on the form to ensure your contribution is handled properly.
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 717-412-5300.
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.
CHANGE OF ADDRESS - FEDERAL REGULATIONS HAVE CHANGED: All CDL holders must prove U.S. Citizenship or legal presence and residency. If you are
requesting a change of address you must provide one of the following residency documents. To determine if you must appear in person please contact our customer
call center at 717-412-5300.
TO MEET RESIDENCY REQUIREMENTS YOU MUST PRESENT ONE OF THE FOLLOWING
Current, unexpired PA driver’s license or photo ID card
A computer-generated utility bill showing your name and
A W-2 form/pay stub
PA vehicle registration card
address (cellphone, cable, electric, gas)
Lease agreements or mortgage documents
Auto insurance card
Post-marked mail/package labels through USPS, UPS,
Official Tax Records reflecting current name and address
FedEx etc.
--The proof of residency documents must have your name and official Pennsylvania street address on it.--
GENDER CHANGE - If requesting a gender change, a DL-32 (Request for Gender Designation Change) application must be completed along with this application and
submitted in person to a Driver License Center for processing.
ALL DOCUMENTS PRESENTED AT A DRIVER LICENSE CENTER MUST BE ORIGINAL.
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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