PA DL-180 2010 free printable template

DL-180 (12-10) BUREAU OF DRIVER LICENSING NON-COMMERCIAL LEARNER'S PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION IN BLUE OR BLACK INK YOU MUST APPLY IN PERSON THIS FORM IS VALID FOR 1 YEAR

How to fill out PA DL-180

How to fill out PA DL-180

1. Obtain the PA DL-180 form from the Pennsylvania Department of Transportation website or local office.
2. Fill in your personal information, including full name, address, date of birth, and driver's license number.
3. Provide details regarding your medical or physical conditions, if applicable.
4. Indicate if you are applying for a medical exemption for a specific condition.
5. Review the information you have entered for accuracy.
6. Sign and date the form where indicated.
7. Submit the completed form to the appropriate PennDOT office, along with any required documentation.

Who needs PA DL-180?

1. Individuals who wish to apply for a medical exemption concerning their driver's license in Pennsylvania.
2. Persons with medical or physical conditions that may affect their ability to drive safely.

Instructions and Help about PA DL-180

Hi my name is Dr. John McNamara thanks for watching I'd like to take a few minutes and explain how the d-o-t physical examination is done the d-o-t physical exam is divided up into seven different sections the first section is your general information the second section is your health history the third section we test your vision now a driver has to have a minimum of 2040 vision in both eyes in order to qualify regardless of whether you're wearing glasses your horizontal field of gaze needs to be at least 70 degrees, and you need to be able to distinguish the difference between red green and amber lights the fourth part is the hearing test the driver has to be able to hear a whisper from at least five feet in both ears fifth part is the blood pressure and pulse section of the test if you have no history of hypertension whatsoever then you must have at or below a blood pressure of 139 over 89 if you're above 139 over 89 then the time you're qualified is reduced also if you have a history of hypertension that time is reduced the sixth part is this left is the laboratory testing this is where we take a little urine sample, and we check for blood sugar protein that sort of thing it's an indication of possible or hidden health problems and the seventh and last part of the examination is the general physical exam this is where we listen to your heart your lungs carotid arteries check your field of gaze do some muscle tests check your balance do some palpation of the abdomen just to determine whether you're qualified to drive a commercial vehicle when you're finished you have the DL 51 form completed and also the little green card certificate keeping your wallet for more information visit.

What is form dl 180?

Pennsylvania Drivers Ed Parent or Guardian Certification Form (Form DL-180C) The valid registration card for the vehicle you will use for the driving test. Proof of insurance for the vehicle you will use for the driving test. The valid driver's license of the person going with you to the Driver License Center.

People Also Ask about

How do I get a new driver's permit in PA?

Process for Obtaining a Duplicate Learner's Permit: Complete Form DL-31 (PDF), "Non-Commercial Learner's Permit Application to Add/Extend/Replace/Change/Correct". Make a check or money order for appropriate fee made payable to PennDOT. Mail application and check or money order to:

What are the rules for a learners permit in PA?

You may only drive under the supervision of a licensed driver who is at least 21 years of age or a parent, guardian, person in loco parentis, or spouse who is 18 years of age or older and holds a driver's license. The supervising driver must sit in the front seat.

What does a 16 year old need to get a permit in PA?

Be sure to bring your completed Non-Commercial Learner's Permit Application (PDF), completed Parent and Guardian Consent form, if under the age of 18,(PDF) required proof of identification and residency, and appropriate fee.

Do you need a physical for a learners permit in PA?

You will need to schedule a medical exam with the Health and Wellness Center on campus. The doctor needs to complete the back side of the Learner's Permit application. This must be completed before you can go to the DMV to apply for a license.

Can you get a learner's permit at 15 in PA?

Learners permits are issued to applicants who are at least 15 years of age and have successfully completed a written knowledge examination. The permit holder is allowed to drive under the supervision of a licensed driver who is at least 21 years old.

What are the restrictions for a 17 year old driver in PA?

Nighttime driving restriction begins at 11 p.m.: Even with a junior license, a young driver may not be behind the wheel between the hours of 11 p.m. and 5 a.m. Exceptions for employment and volunteer or charitable service will apply, but young drivers must carry proper documentation regarding their need to travel.

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What is PA DL-180?

PA DL-180 is a form used in Pennsylvania for individuals to report their medical history when applying for or renewing a driver's license, particularly for those who have certain medical conditions.

Who is required to file PA DL-180?

Individuals who have specific medical conditions that could affect their ability to operate a motor vehicle are required to file PA DL-180.

How to fill out PA DL-180?

To fill out PA DL-180, individuals should provide their personal information, detail their medical history as required, and ensure that a medical professional completes the certification section of the form.

What is the purpose of PA DL-180?

The purpose of PA DL-180 is to assess whether an individual’s medical condition may impair their driving capabilities and ensure road safety.

What information must be reported on PA DL-180?

The information that must be reported on PA DL-180 includes personal identification details, a summary of medical conditions, treatments, medications, and a medical professional's certification.