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Medical Reporting Forms - PennDOT Driver & Vehicle …

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/Medical-Reporting-Forms.aspx
    Cardiovascular( DL-120A Cardiovascular form)( DL-705 Cardiovascular waiver) § 71.3 (b) (5) states that a person who has no established medical history or clinical …

Medical Reporting - PennDOT Driver & Vehicle Services

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/MedicalReporting.aspx
    Medical Reporting Forms. Medical Reporting Overview. Patient Management. PA Drivers and Families. Medical Advisory Board. Content Editor ‭[1]‬ ... Email: [email protected]. …

Medical Reporting - dmv.pa.gov

    https://www.dmv.pa.gov/Driver-Services/Mature-Drivers/Pages/Medical-Reporting.aspx
    Medical Reporting Fact Sheet. Pennsylvania's Medically Impaired Driver Law. Information for Health Care Personnel. Notice to Health Care Providers Regarding Medical …

PennDOT - Self-Certification Form - Pennsylvania …

    https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-11CD.pdf
    Please mail the Self-Certification form and medical certificate (if applicable) to: Bureau of Driver Licensing • P.O.Box 69008 • Harrisburg, PA 17106-9008. ... Visit us at …

Reporting of Medical Conditions Affecting Driver Safety

    https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Medical-Protected/BR-Ro.pdf
    currently have online access to the medical forms, but are interested in obtaining access, visit the Medical Reporting Information Center on PennDOT’s Driver and Vehicle …

Applying for a Learner's Permit - PennDOT Driver

    https://www.dmv.pa.gov/Driver-Services/Driver-Licensing/Driver-Manual/Chapter-1/Pages/Applying-for-a-Learner%27s-Permit.aspx
    The form must be completed no earlier than six months prior to your 16th birthday. All information must be completed. Step 3. If the driver license examiner cannot determine …

PennDOT - Non-Commercial Learner's Permit …

    https://www.dot.state.pa.us/Public/DVSPubsForms/BDL/BDL%20Form/DL-180.pdf
    THIS FORM IS VALID FOR 1 YEAR FROM THE DATE OF PHYSICAL EXAMINATION. The physical date may not be more than 6 months prior to your 16th birthday. ... • Current, …

DL-102 (4-22) REPORT OF EYE EXAMINATION

    https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Medical-Protected/DL-102.pdf
    Bureau of Driver Licensing • P.O. Box 68682 • Harrisburg, PA 17106-8682 • (717) 787-9662. Return this form to the address listed above, FAX to (717) 705-4415, or email to …

Self-Certification / Medical Examiner's …

    https://www.dmv.pa.gov/Driver-Services/Commercial-Driver/Pages/Sample-Medical-Examiners-Certificate.aspx
    The Federal regulations also require commercial drivers to self-certify the type of driving in which they operate or expect to operate. Commercial drivers are required to certify using PennDOT’s Self …

Mature Driver Forms and Publications - PennDOT Driver …

    https://www.dmv.pa.gov/Driver-Services/Mature-Drivers/Pages/Mature-Driver-Forms-and-Publications.aspx
    DL-180RCD. Application for Pennsylvania commercial driver’s license by out-of-state CDL Driver. DL-503. Request for driver history (copy of driving record) DL-8611. Request for …



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