Get the free PennDOT - Employment Affidavit of Intended Use

DL9105 (1013) Account Number: EMPLOYMENT AFFIDAVIT OF INTENDED USE INFORMATION SALES UNIT (See Reverse Side for Instructions) Business Type (check one): q Individual q Partnership q Corporation q

How to fill out penndot - employment affidavit

How to fill out penndot - employment affidavit?

1. Obtain the form: You can obtain the penndot - employment affidavit form from the PennDOT website or by visiting a local PennDOT office. Make sure to download or request the most recent version of the form.
2. Personal Information: Begin by filling out your personal information at the top of the form. This includes your full name, address, date of birth, social security number, and driver's license number.
3. Employer Information: Enter the details of your current employer, including the company name, address, and phone number. If you have multiple employers, provide information for each one separately.
4. Employment Dates: Indicate the starting and ending dates of your current or most recent employment. If your employment is ongoing, simply write "Present" in the "To" section.
5. Employment Verification: This section requires your employer's verification. Contact your employer and request them to complete and sign the designated area, confirming your employment dates and the accuracy of the information provided.
6. Notarization: Some states require the penndot - employment affidavit to be notarized. Check the instructions on the form or visit the PennDOT website to determine if notarization is necessary. If so, find a licensed notary public and have them notarize the affidavit.
7. Submission: After completing the form and obtaining any required notarization or employer verification, make a copy of the document for your records. Then, submit the original form to the appropriate PennDOT office as instructed on the form or by checking the PennDOT website.

Who needs penndot - employment affidavit?

1. Driver's License Applicants: Individuals applying for a new driver's license or renewing their existing license may be required to submit a penndot - employment affidavit as part of the application process. This form serves as proof of employment and helps the licensing authority verify the applicant's identity and residency.
2. CDL Applicants: Commercial Driver's License (CDL) applicants may also need to provide a penndot - employment affidavit as part of the CDL application process. CDL applicants must typically provide proof of employment or submit this affidavit to demonstrate their employment history and eligibility for a CDL.
3. License Suspension/Revocation Reinstatement: If your driver's license has been suspended or revoked and you are seeking reinstatement, PennDOT may require you to complete an employment affidavit. This form may be used to verify your employment status and assess your eligibility for license reinstatement.

Remember to always check the specific requirements and guidelines provided by PennDOT or your local licensing authority to ensure you complete and submit the penndot - employment affidavit correctly and on time.

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What is penndot - employment affidavit?

Penndot - employment affidavit is a form required by the Pennsylvania Department of Transportation (PennDOT) for individuals to certify their employment status for driver's license related purposes.

Who is required to file penndot - employment affidavit?

Individuals who are renewing or applying for a driver's license in Pennsylvania may be required to file a penndot - employment affidavit.

How to fill out penndot - employment affidavit?

To fill out the penndot - employment affidavit, individuals must provide their personal information, employment details, and sign the form to certify the accuracy of the information provided.

What is the purpose of penndot - employment affidavit?

The purpose of the penndot - employment affidavit is to verify the employment status of individuals applying for or renewing a driver's license.

What information must be reported on penndot - employment affidavit?

The penndot - employment affidavit typically requires information such as the applicant's name, address, employer's name and address, and a signature certifying the accuracy of the information provided.