Form DL-82 "Out-Of-State Address/ Photo Exemption" - Pennsylvania

What Is Form DL-82?

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, 2018;
  • 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-82 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-82 "Out-Of-State Address/ Photo Exemption" - Pennsylvania

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DL-82 (8-18)
OUT-OF-STATE ADDRESS/
PHOTO EXEMPTION
Bureau of Driver Licensing • P.O. Box 68272 • Harrisburg, PA 17106-8272
Attach a letter from your employer on their letterhead to document your status, or a copy of your current Photo ID issued by your employer, or military
personnel must provide a copy of military orders. 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.
DRIVER INFORMATION
Type or Print All Information
LAST NAME
JR/ETC.
DRIVER’S LICENSE NUMBER
FIRST NAME
MIDDLE NAME
DATE OF BIRTH
TELEPHONE NUMBER (8:00 A.M. - 4:30 P.M.)
E-MAIL ADDRESS (If Applicable)
MONTH
DAY
YEAR
Residential
A Post Office Box number may be used in addition to the actual residence address, but cannot be used as the only address.
Address
Mailing
Address
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.
o
o
COMPLETE IF REQUESTING RESIDENCY EXEMPTION
B
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:
U.S. Armed Forces
Federal Government
Pennsylvania State Government
Relationship to person meeting exemption (check one):
o
o
o
Spouse
Dependent Child
o
o
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.
COMPLETE IF REQUESTING EXEMPTION FROM HAVING YOUR PHOTO TAKEN
C
If you are a non-commercial driver and will be out of state for the entire next 60 days, complete and sign the
following statement and submit with a completed DL-143 application. You will receive either a Camera Card with
further instructions or a photo license (if name has not changed and a photo is on file). You must apply for a
driver's license containing your photo within 45 days of your return.
STATEMENT:
I am a non-commercial driver and during the entire next 60 days I will be absent from the state
for the following reason:
Military
Work
Other __________________________ (attach supporting documentation)
o
o
o
NOTE: If you have already renewed your driver’s license and received a photo camera card, you may request a
free replacement photo exempt license by attaching the original signed photo camera card you recently received
to this application. Otherwise, you have to apply for a duplicate using form DL-80 along with the required fee.
AUTHORIZATION AND CERTIFICATION
D
I acknowledge that receiving a Pennsylvania Permit, License or ID card will cancel or invalidate any Permit, License or ID
card from another state. I certify under penalty of law that all information given on this application is true and correct. If using a
X
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.
SIGN
WARNING: Misstatement of fact is a misdemeanor of the
third degree punishable by a fine of up to $2,500 and/or
HERE
imprisonment up to 1 year (18 Pa C.S. Section 4904(b).
(APPLICANT’S SIGNATURE IN INK)
Please mail this completed form with any required document(s) to the address at the top right corner of this form.
The most current version of this form can be found at: www.dmv.pa.gov
DL-82 (8-18)
OUT-OF-STATE ADDRESS/
PHOTO EXEMPTION
Bureau of Driver Licensing • P.O. Box 68272 • Harrisburg, PA 17106-8272
Attach a letter from your employer on their letterhead to document your status, or a copy of your current Photo ID issued by your employer, or military
personnel must provide a copy of military orders. 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.
DRIVER INFORMATION
Type or Print All Information
LAST NAME
JR/ETC.
DRIVER’S LICENSE NUMBER
FIRST NAME
MIDDLE NAME
DATE OF BIRTH
TELEPHONE NUMBER (8:00 A.M. - 4:30 P.M.)
E-MAIL ADDRESS (If Applicable)
MONTH
DAY
YEAR
Residential
A Post Office Box number may be used in addition to the actual residence address, but cannot be used as the only address.
Address
Mailing
Address
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.
o
o
COMPLETE IF REQUESTING RESIDENCY EXEMPTION
B
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:
U.S. Armed Forces
Federal Government
Pennsylvania State Government
Relationship to person meeting exemption (check one):
o
o
o
Spouse
Dependent Child
o
o
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.
COMPLETE IF REQUESTING EXEMPTION FROM HAVING YOUR PHOTO TAKEN
C
If you are a non-commercial driver and will be out of state for the entire next 60 days, complete and sign the
following statement and submit with a completed DL-143 application. You will receive either a Camera Card with
further instructions or a photo license (if name has not changed and a photo is on file). You must apply for a
driver's license containing your photo within 45 days of your return.
STATEMENT:
I am a non-commercial driver and during the entire next 60 days I will be absent from the state
for the following reason:
Military
Work
Other __________________________ (attach supporting documentation)
o
o
o
NOTE: If you have already renewed your driver’s license and received a photo camera card, you may request a
free replacement photo exempt license by attaching the original signed photo camera card you recently received
to this application. Otherwise, you have to apply for a duplicate using form DL-80 along with the required fee.
AUTHORIZATION AND CERTIFICATION
D
I acknowledge that receiving a Pennsylvania Permit, License or ID card will cancel or invalidate any Permit, License or ID
card from another state. I certify under penalty of law that all information given on this application is true and correct. If using a
X
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.
SIGN
WARNING: Misstatement of fact is a misdemeanor of the
third degree punishable by a fine of up to $2,500 and/or
HERE
imprisonment up to 1 year (18 Pa C.S. Section 4904(b).
(APPLICANT’S SIGNATURE IN INK)
Please mail this completed form with any required document(s) to the address at the top right corner of this form.
The most current version of this form can be found at: www.dmv.pa.gov