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    Request For Gender Change On Driver'S License/Identification Card

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    Tham Dang
    This document is a request form for changing the gender designation on a Pennsylvania driver's license or identification card. It requests applicant information and asks the applicant to select their new gender designation of Male, Female, or Non-Binary/Other. The applicant must sign to certify that the request accurately reflects their gender identity and is not for any fraudulent purpose. It provides information on fees for different license or card types and instructions for making other changes or corrections to one's record.

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    © All Rights Reserved
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    Request For Gender Change On Driver'S License/Identification Card

    Uploaded by

    Tham Dang
    55 views2 pages
    This document is a request form for changing the gender designation on a Pennsylvania driver's license or identification card. It requests applicant information and asks the applicant to select their new gender designation of Male, Female, or Non-Binary/Other. The applicant must sign to certify that the request accurately reflects their gender identity and is not for any fraudulent purpose. It provides information on fees for different license or card types and instructions for making other changes or corrections to one's record.

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    This document is a request form for changing the gender designation on a Pennsylvania driver's license or identification card. It requests applicant information and asks the applicant to select their new gender designation of Male, Female, or Non-Binary/Other. The applicant must sign to certify that the request accurately reflects their gender identity and is not for any fraudulent purpose. It provides information on fees for different license or card types and instructions for making other changes or corrections to one's record.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    55 views2 pages

    Request For Gender Change On Driver'S License/Identification Card

    Uploaded by

    Tham Dang
    This document is a request form for changing the gender designation on a Pennsylvania driver's license or identification card. It requests applicant information and asks the applicant to select their new gender designation of Male, Female, or Non-Binary/Other. The applicant must sign to certify that the request accurately reflects their gender identity and is not for any fraudulent purpose. It provides information on fees for different license or card types and instructions for making other changes or corrections to one's record.

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    © All Rights Reserved
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    DL-32 (1-23)

    REQUEST FOR GENDER CHANGE ON


    DRIVER’S LICENSE/IDENTIFICATION CARD

    A APPLICANT INFORMATION
    DRIVER’S LICENSE/ID NUMBER LAST NAME(S) JR/ETC

    FIRST NAME MIDDLE NAME

    DATE OF BIRTH TELEPHONE NUMBER (8:00 a.m. to 4:30 p.m.) E-MAIL ADDRESS (if applicable)
    MONTH DAY YEAR

    Please check the product(s) you currently have:

    Non-Commercial Driver’s License


    Commercial Driver’s License Identification Card

    B GENDER DESIGNATION STATEMENT (see instructions on reverse side)


    I, wish the gender designation on my Driver’s License/ ID Card to read
    PRINT NAME

    Male (M) Female (F) Non-Binary/Other (X)

    I hereby certify under penalty of law that this request for the selected gender designation to appear on my Driver’s License/ ID Card accurately
    reflects my gender identity and is not for any fraudulent or other unlawful purpose.

    C AUTHORIZATION AND CERTIFICATION

    For Veterans wishing to add the Veterans Designation to their Driver’s License or ID Card:I certify under penalty of law that I am a qualified
    applicant and hereby request it be added to my product. I understand that misrepresentation will result in the cancellation of my driver’s license
    and/or identification card.

    I acknowledge that receiving a Pennsylvania Permit, License or ID card will cancel or invalidate any Permit, License or ID card from another state.
    I certify under penalty of law that all information given on this application is true and correct. I hereby authorize the Social Security Administration to
    release to the Department of Transportation information concerning my Social Security Identification Number for the purpose of identification. I hereby
    acknowledge this day that I have received notice of the provisions of Section 3709 of the Vehicle Code.

    I wish to contribute $3.00 to the Organ Donation Awareness Trust Fund (see reverse)

    I wish to contribute $5.00 to the Veterans’ Trust Fund (see reverse)

    XSIGN
    HERE

    (APPLICANT’S SIGNATURE IN INK) DATE

    WARNING: Misstatement of fact is a misdemeanor of the third degree punishable by a fine of up to $2,500 and/or imprisonment up to 1 year (18 Pa. C.S. Section 4904(b)).

    Payable to PennDOT (PennDOT Driver


    PAID BY: Debit/Credit Card Check Money Order License Centers do not accept cash.) TOTAL $
    DL-32 (1-23)
    The most current version of this form can be found at www.dmv.pa.gov
    If you wish to update your gender on your current PennDOT Driver License or Photo Identifcation card please
    visit a PennDOT Driver License Center and bring with you a completed DL-32 application along with the
    appropriate product application and fee, if applicable.
    FEE INFORMATION
    FEE: $37.50 - Applicant will be issued a camera card to take to a Photo Driver License
    NON-COMMERCIAL PHOTO Center for the purpose of having a photo taken.
    DRIVER’S LICENSE
    If license is endorsed with Class M, fee is $42.50.

    FEE: $37.50 - Applicant will be issued a camera card to take to a Photo Driver License
    COMMERCIAL PHOTO Center for the purpose of having a photo taken.
    DRIVER LICENSE
    If license is endorsed with Class M, fee is $42.50.

    FEE: $37.50 - Applicant will be issued a camera card to take to a Photo Driver License
    IDENTIFICATION CARD
    Center for the purpose of having a photo taken.

    ORGAN DONATION You have the opportunity to contribute $3.00 to the Fund. The additional $3.00 contribution must
    AWARENESS TRUST FUND be added to your payment. You must also check the block provided to ensure proper handling
    of your contribution. The ODTF provides for the development and implementation of donor
    (ODTF)
    awareness programs and funds shall be appropriated subject to the approval of the Governor.
    You have the opportunity to make a tax deductible contribution to the VTF. Your contribution
    VETERANS’ TRUST FUND will help support programs and projects for Pennsylvania veterans and their families. Since
    (VTF) this additional $5.00 is not part of the fee, please add the donated amount to your payment.
    Also, please check the proper block provided in Section C to ensure proper handling of your
    contribution.

    UPDATE CARD No Fee. (Update cards are not issued to Commercial Driver License or REAL ID products.)

    INSTRUCTIONS
    Veterans Designation: You have the opportunity to add the veterans designation to your driver’s license/identification card,
    which clearly indicates you are a veteran of the United States Armed Forces. To qualify, you must have served in the United
    States Armed Forces, including a reserve component or the National Guard, and have been discharged or released from
    such service under conditions other than dishonorable. If you are requesting to add the veterans designation to your license/
    ID card, make sure you check the box in Section C.

    Gender Designation Statement:

    Male (M), Female (F) gender, Non-Binary/Other (X) designation requests must complete sections A, B, and C.

    If your driver’s license/identification card is due to expire within six (6) months, you are required to complete the applicable
    renewal form and attach it to this form.
    DL-143CD Commercial Driver’s License Renewal Application
    DL-143 Non-Commercial Driver’s License/Application for Renewal
    DL-54B Photo Identification Card/Application for Renewal

    All other changes/corrections:


    If you require additional changes/corrections to your record, you must complete one of the following forms and attach to
    this form.

    DL-80CD Commercial Driver’s License Application To Duplicate/Correct


    DL-80 Non-Commercial Driver’s License/Application for Change/Correction/Replacement
    DL-54B Photo Identification Card/Application for Change/Correction/Replacement
    PROVISIONS OF SECTION 3709 OF THE VEHICLE CODE
    Section 3709 provides for a fine of up to $300 for dropping, throwing or depositing, upon any highway, or upon any other public or
    private property without the consent of the owner thereof or into or on the waters of this Commonwealth, from a vehicle, any waste paper,
    sweepings, ashes, household waste, glass, metal, refuse or rubbish or any dangerous or detrimental substance, or permitting any of the
    preceding without immediately removing such items or causing their removal.
    For any violation of Section 3709, I may be subject to a fine of up to $300 upon conviction, including any violation resulting from the conduct
    of any other persons present within any vehicle of which I am the driver.

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