templat DL-704.
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PennDOT DL-704 Fillable PDF – Download & Complete Online
- Negara USA
- Bahasa Inggeris
- Aktiviti Vehicle Licensing
- Jabatan Pennsylvania Department of Transportation
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.
What Is the DL-704 Form?
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.
How to Fill Out DL-704 Using Formize
Instead of downloading the PDF and editing it manually, you can fill the form directly on our site. Follow the simple steps below.
Common Mistakes to Avoid
- Leaving required fields blank – PennDOT will reject the form.
- Using an outdated version – always use the latest PDF linked on this page.
- Signing on a printed copy before electronic submission – the digital signature field must be completed within Formize.
Where to Submit the Completed Form
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.
Related Resources
For additional PennDOT forms, visit the official Pennsylvania government website. Need help with medical waivers? Contact your physician or the PennDOT Medical Review Unit.
Do I need to print the DL-704 after filling it online?
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.
Can I submit the DL-704 electronically?
PennDOT currently accepts mailed paper copies. However, you can upload the completed PDF to the PennDOT online portal if you have an account.
What medical conditions must be reported on DL-704?
Any condition that could impair driving safety, such as limb loss, diabetes, heart disease, seizure disorders, or vision impairments, must be disclosed.
How long does it take for PennDOT to process the DL-704?
Processing times vary, but most applications are reviewed within 10‑14 business days after receipt.
Is there a fee to file the DL-704?
There is no separate fee for the DL-704 itself, but PennDOT may charge standard licensing or waiver fees depending on your situation.
What should I do if I make a mistake on the form?
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.
Can a non‑physician complete the medical section?
No. The medical certification must be completed and signed by a licensed physician, physician assistant, or nurse practitioner.
Is the DL-704 form available in other languages?
The official PennDOT version is in English only. If you need translation assistance, contact a certified translator before submitting.
Cara mengisi DL-704 secara percuma, dalam talian dalam 5 langkah mudah:
- 1Open the Fillable FormClick the **Fill out this form** button on the page. The Formize PDF Filler app will load the DL-704 directly in your browser.
- 2Enter Your InformationType into each field, select dates from the calendar widgets, and upload any required medical documents using the attachment icons.
- 3Add Your Digital SignatureWhen you reach the signature field, use your mouse or touchscreen to draw your signature, then click **Apply**.
- 4Review & SaveClick **Review** to check for missing required fields. Once everything looks correct, press **Save** to download the completed PDF.
- 5Submit to PennDOTMail the saved PDF to your local PennDOT Driver Licensing Center or upload it through the PennDOT online portal.
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