PennDOT DL-704 Fillable PDF – Download & Complete Online

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• Using an outdated version – always use the latest PDF linked on this page.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.