PennDOT DL-102-DS Eye Exam Form | Electronic Submission – If your vision does not meet Pennsylvania’s driving standards during a driver’s license application, renewal, or medical review, the Pennsylvania Department of Transportation (PennDOT) may require Form DL-102, the Report of Eye Examination. The electronic version, known as DL-102-DS, allows secure online completion and submission through DocuSign for faster processing. This guide explains everything U.S. drivers in Pennsylvania need to know about the form, eligibility, vision requirements, and the electronic submission process using official PennDOT sources.
What Is PennDOT Form DL-102-DS?
Form DL-102 is the official Report of Eye Examination used by PennDOT’s Bureau of Driver Licensing Medical Unit. The “-DS” suffix indicates the version designed for electronic (digital signature) submission. It documents a professional eye examination to determine whether an applicant or licensed driver meets the Commonwealth’s visual standards for safe operation of a motor vehicle.
The form is required when a driver fails the vision screening at a Driver License Center or when PennDOT requests additional medical documentation related to vision. It must be completed by a qualified health care provider and submitted to PennDOT for review.
You can download the official electronic submission instructions and form here: PennDOT Form DL-102-DS (PDF).
When Is Form DL-102 Required?
PennDOT may issue or request Form DL-102 in these common situations:
- A driver fails the vision test at a Driver License Center while applying for a learner’s permit, driver’s license, or renewal.
- The Medical Unit needs updated vision information as part of a medical reporting review or restriction evaluation.
- A driver seeks to add, change, or remove a vision-related restriction (such as corrective lenses or daylight-only driving).
- Additional documentation is needed for bioptic telescope lens driving (in which case Form DL-102BD may also be required).
According to the official Pennsylvania Driver’s Manual, if vision does not meet standards, the examiner provides the Report of Eye Examination (DL-102). The driver must then have a qualified provider complete the form and return it so testing can continue.
Who Can Complete the DL-102 Report of Eye Examination?
Only specific licensed professionals may complete the form. PennDOT requires completion by an:
- Optometrist
- Ophthalmologist
- Physician assistant
- Certified registered nurse practitioner
- Licensed physician who has the equipment to properly evaluate vision
The provider must answer questions about visual capability to drive, field of vision, need for corrective lenses, use of telescopic lenses, visual acuity measurements, and related medical findings (including diabetic retinopathy screening when applicable). The provider also certifies the accuracy of the information under penalty of law.
Pennsylvania Vision Standards for Drivers
Pennsylvania regulations (67 Pa. Code § 83.3) set clear visual standards. Key requirements include:
- Combined visual acuity of 20/40 or better to drive without corrective lenses in most cases.
- A combined field of vision of at least 120 degrees in the horizontal meridian (excluding normal blind spots).
- Drivers with acuity between 20/70 and 20/100 (best corrected) may qualify for a restricted license under specific conditions, including annual vision exams and a successful driver’s examination.
- Visual acuity worse than 20/100 combined with best correction generally disqualifies a person from driving.
Restrictions such as “corrective lenses required,” “daylight driving only,” or side-mirror requirements may be added based on examination results. Drivers using bioptic telescopic lenses follow additional procedures involving Form DL-102BD.
How to Complete and Submit Form DL-102-DS Electronically?
PennDOT introduced electronic submission for many medical and licensing forms (including DL-102) to speed processing and reduce wait times. Forms carrying the “DS” designation support secure digital completion and signature via DocuSign.
Follow these steps for electronic submission:
- Download or access the DL-102-DS instructions from the official PennDOT link: DL-102-DS Report of Eye Examination.
- Click the provided link in the document to begin the online process.
- Enter your full name and email address. If multiple signatures are required, enter the additional signer’s information.
- Click “Begin Signing.” The electronic form will display.
- Complete all required fields accurately with your health care provider (or have the provider complete their sections).
- Add the required digital signature(s) at the end of the form.
- Click “Finish.” The completed form is automatically emailed to PennDOT for processing.
This electronic method is faster than mailing or faxing the traditional paper version. Printable versions of medical forms remain available for those who prefer them.
Alternative Submission Methods
If electronic submission is not used, the completed paper Form DL-102 may be returned by:
- Mail to: Bureau of Driver Licensing, P.O. Box 68682, Harrisburg, PA 17106-8682
- Fax to: (717) 705-4415
- Email to: [email protected]
Always use the most current version of the form available on the official PennDOT website.
Contact Information for Questions
For questions about the form content or Medical Unit processing:
- Phone: PennDOT Driver and Vehicle Services Customer Call Center at 717-412-5300 (reference “Medical Unit”). Hours are typically Monday–Friday, 8 a.m. to 5 p.m. ET.
- Email: [email protected]
For technical issues with the DocuSign digital signature process, reference “DocuSign DVS” when contacting the Call Center.
Additional medical reporting resources are available on the official PennDOT Medical Reporting page.
Tips for a Smooth Process
- Schedule your eye examination with a provider who has the proper equipment and experience completing PennDOT forms.
- Bring any current corrective lenses or bioptic devices to the examination.
- Ensure all sections of the form are fully completed before submission—incomplete forms cause delays.
- Keep a copy of the completed form for your records.
- Allow reasonable processing time after electronic submission before returning to a Driver License Center.
Related Forms and Resources
Drivers may also encounter related PennDOT forms such as:
- DL-102BD – Bioptic Lens Vision Examination
- DL-180 – Non-Commercial Learner’s Permit Application
- Other medical condition-specific forms (cardiovascular, neurological, diabetic, etc.)
Many of these forms now support electronic submission with the “DS” designation. Always verify the latest versions and instructions on the official pa.gov website or the Driver and Vehicle Services section.
Conclusion
Pennsylvania PennDOT Form DL-102-DS provides a convenient electronic pathway for submitting the Report of Eye Examination. By having a qualified eye care professional complete the form and using the secure online DocuSign process, drivers can resolve vision-related licensing issues more quickly. Always rely on official PennDOT sources for the most current forms, standards, and contact information to ensure compliance and road safety.