PennDOT Form DL-9004: Commercial Drivers License Agreement – Pennsylvania employers of commercial drivers who need efficient, unlimited access to driver histories can use PennDOT Form DL-9004. Officially titled the Internet User Application/Licensing Agreement for Employers of Commercial Drivers, this form establishes a formal licensing agreement with the Pennsylvania Department of Transportation (PennDOT). It grants approved businesses real-time online access to commercial driver records for employment screening and compliance purposes.
This comprehensive guide covers everything U.S. employers—especially those operating in Pennsylvania—need to know about Form DL-9004, including eligibility, fees, completion steps, legal requirements, and how to maintain the account. All information is drawn from official PennDOT sources current as of the form’s July 2025 revision.
What Is PennDOT Form DL-9004?
Form DL-9004 is the official application and licensing agreement required for employers of commercial drivers (CDL holders) seeking unlimited electronic access to Pennsylvania driver histories through PennDOT’s Online Services. Once approved, the account allows employers to view and print driver records for current or prospective commercial driver employees without per-record fees for one year.
This specialized access differs from standard business accounts (which charge per record). It is designed specifically for companies that employ commercial motor vehicle drivers and need ongoing monitoring for safety, hiring, and regulatory compliance under federal and state rules, including the Driver’s Privacy Protection Act and the Fair Credit Reporting Act.
You can download the official Form DL-9004 (revised 7-25) directly from PennDOT:
Download PennDOT Form DL-9004 PDF
Who Should Use Form DL-9004?
This form is intended for:
- Employers of commercial drivers (CDL holders) operating in or hiring Pennsylvania-licensed drivers
- Companies that need unlimited annual access to driver histories of their commercial driver employees and potential hires
- Businesses required to maintain compliance with federal motor carrier safety regulations and Pennsylvania Vehicle Code provisions
Note that separate forms exist for other groups: DL-9005 for employers of school bus drivers, DL-9001 for general businesses/insurance agents, and DL-9002 for government agencies. Form DL-9004 is strictly limited to commercial driver employee records.
Key Benefits of the DL-9004 Internet Account
Approved applicants receive:
- Unlimited electronic access to driver histories of current and potential commercial driver employees for one full year
- Real-time online retrieval and printing of records
- Streamlined hiring and ongoing monitoring processes
- Compliance support with Pennsylvania and federal privacy and record-use laws
After the initial year, access is maintained by submitting the annual renewal form (DL-9010) and the corresponding fee.
Fees Associated with Form DL-9004
Two separate payments are required with the initial application:
- Non-refundable application fee: $200.00 made payable to PennDOT
- Annual access fee: $15.00 per estimated number of commercial driver employees (current employees plus potential hires during the year)
Example: For 234 commercial drivers, the annual access fee would be 234 × $15 = $3,510.00.
Both fees must be paid by separate checks or money orders payable to PennDOT. Cash is not accepted. The annual access fee provides unlimited use for one year from the date the account is issued. Renewal requires Form DL-9010 and the same per-driver fee structure.
How to Complete PennDOT Form DL-9004?
The form (5 pages) must be completed in full, printed clearly or typed, and notarized. Major sections include:
- Part A – Main Office: Legal business name, DBA (if any), contact person, physical street address, mailing address, record storage address (for audits), telephone, fax, email, and website
- Part B – Business Identification and Licensing Information: Federal Employer Identification Number (EIN), date and state of incorporation (attach certification), Dun & Bradstreet number, DOT number, and MC/MX number if applicable
- Part C – Ownership: Names, titles, phone numbers, and driver’s license/ID numbers (with state of issuance) of owners, partners, or corporate officers involved in management
- Part D – Business Description: Type of business, number of CDL drivers currently employed and potential hires, and a specific description of how driver abstracts will be used
- Part E – Business References: Names, addresses, contact persons, and telephone numbers of business references
- Part F – Requester Account History: Questions about prior PennDOT accounts, administrative actions, criminal convictions related to fraud or unauthorized disclosure, and other methods of obtaining records
- Part G – User Name/Number and Password: Information on how credentials will be issued after approval
- Internet User Affidavit and Part H – Certification Statement and Signatures: Detailed terms of use that must be read and agreed to, followed by notarized signatures (individual, partnership, or authorized corporate officer)
All statements are made under penalty of perjury. False statements can result in criminal penalties under Pennsylvania law (18 Pa.C.S. § 4903 and § 4904).
Important Terms and Conditions of the Licensing Agreement
By signing Form DL-9004, the requester agrees to strict conditions, including but not limited to:
- Using records only for the purpose stated on the application and in compliance with 75 Pa.C.S. § 6114, Title 67 Pa. Code Chapter 95, the Federal Driver’s Privacy Protection Act (18 U.S.C. §§ 2721 et seq.), and the Fair Credit Reporting Act
- Protecting the confidentiality of driver records and never selling, assigning, or transferring the information
- Not combining records with other databases except as required by law
- Prohibiting use for direct mail advertising or publishing personal information on the internet without PennDOT permission
- Safeguarding account credentials and immediately reporting any unauthorized use
- Allowing PennDOT or its auditors to review records for compliance
- Limiting access exclusively to commercial driver employees and prospective hires
- Submitting the annual renewal (DL-9010) at least 30 days before expiration to avoid conversion to a paid-per-record account
- Using a web browser with 128-bit encryption, limiting sessions to 25 transactions, and closing the browser after each session
- Prohibiting the use of bots or automated scripts
PennDOT retains the right to terminate the agreement for false statements, concealment of facts, violations, or at its discretion.
Submission Instructions and Mailing Address
After completing and notarizing the form:
- Prepare two separate checks or money orders payable to PennDOT (application fee + annual access fee)
- Mail the original notarized form and both payments to:
PennDOT
Driver Record Services, 3rd Floor
1101 South Front Street
Harrisburg, PA 17104
For questions, contact PennDOT at (717) 705-1051.
Once approved, you will receive two separate emails: one with your username/account number and another with a temporary password, along with access instructions.
Annual Renewal Process
To maintain unlimited access, submit Form DL-9010 (Internet User Renewal Application) with the annual fee ($15 per commercial driver employee) at least 30 days before the one-year period ends. Failure to renew converts the account to a standard paid-per-record account. The renewal form is available on the official PennDOT website.
Official renewal form link: Download PennDOT Form DL-9010
Related Official Resources
For additional information on driver records business accounts and related forms, visit the official Commonwealth of Pennsylvania page:
Request a Driver Records Business Account – Official PA.gov Page
Other related forms include the general Business Internet Application (DL-9001) and the School Bus Drivers version (DL-9005).
Why Accurate Completion Matters?
Incomplete forms, missing notarization, incorrect fees, or failure to attach required documentation (such as incorporation certificates) will delay or result in denial of the application. Because the agreement involves sensitive personal driver data protected by federal and state privacy laws, PennDOT carefully reviews each application for compliance and legitimacy.
Employers across the United States who hire Pennsylvania CDL holders—or operate fleets that include Pennsylvania-licensed commercial drivers—benefit from this efficient online system when properly established through Form DL-9004.
Final Steps and Download
To begin the process, download the current official form, complete every section accurately, obtain notarization, prepare the two required payments, and mail everything to the address listed above.