DL-704-Vorlage
Mit den traditionellen Funktionen zum Anzeigen und Ausfüllen eines PDF-Dokuments, kombiniert mit den Vorteilen einer Webanwendung und einem ansprechenden Layout, können Sie DL-704 in wenigen Minuten fertigstellen.

The DL-704 is the Pennsylvania Department of Transportation (PennDOT) form used for driver‑related medical certifications and physical examinations. Whether you need a waiver, a fitness‑to‑drive statement, or a physician’s endorsement, the DL-704 must be completed accurately before submission to PennDOT.
DL-704 collects detailed health information, including any conditions that could affect safe driving (e.g., limb loss, diabetes, cardiovascular issues, seizure disorders). The form is required for new drivers, license renewals, and when a medical waiver is needed.
Instead of downloading the PDF and editing it manually, you can fill the form directly on our site. Follow the simple steps below.
After you finish the form in Formize, download the completed PDF and mail it to your local PennDOT Driver Licensing Center, or upload it through the PennDOT online portal if you have an account.
For additional PennDOT forms, visit the official Pennsylvania government website. Need help with medical waivers? Contact your physician or the PennDOT Medical Review Unit.
Yes. PennDOT requires a printed copy with your signature. The Formize app lets you download a PDF that you can print and sign if a physical signature is required.
PennDOT currently accepts mailed paper copies. However, you can upload the completed PDF to the PennDOT online portal if you have an account.
Any condition that could impair driving safety, such as limb loss, diabetes, heart disease, seizure disorders, or vision impairments, must be disclosed.
Processing times vary, but most applications are reviewed within 10‑14 business days after receipt.
There is no separate fee for the DL-704 itself, but PennDOT may charge standard licensing or waiver fees depending on your situation.
Correct the error in the Formize editor before saving, or if you have already printed, cross out the mistake, initial it, and write the correct information.
No. The medical certification must be completed and signed by a licensed physician, physician assistant, or nurse practitioner.
The official PennDOT version is in English only. If you need translation assistance, contact a certified translator before submitting.
Mit den traditionellen Funktionen zum Anzeigen und Ausfüllen eines PDF-Dokuments, kombiniert mit den Vorteilen einer Webanwendung und einem ansprechenden Layout, können Sie DL-704 in wenigen Minuten fertigstellen.
Der einfachste Weg, PDF-Formulare online auszufüllen
Füllsitzung löschen
Bearbeitungssitzung löschen
