PennDOT Form DL-129 DS | Loss of Consciousness Guide – The Pennsylvania Department of Transportation (PennDOT) requires healthcare professionals to report certain medical conditions that may impair a person’s ability to safely operate a motor vehicle. One of the key documents used for this purpose is the Form DL-129 DS – Loss of Consciousness And / Or Awareness Form. This form supports electronic submission and helps PennDOT evaluate driver fitness under state medical regulations.
This guide explains what the form is, who must use it, the legal basis for reporting, how electronic submission works, and where to access the official document. All information is drawn from official Commonwealth of Pennsylvania sources.
What Is PennDOT Form DL-129 DS?
Form DL-129 DS is the electronic-submission version of the Loss of Consciousness And / Or Awareness Form used by authorized healthcare providers in Pennsylvania. The “DS” suffix indicates that the form can be completed, signed, and submitted online through a secure digital process (typically via DocuSign).
Healthcare professionals use this form to report patients age 15 or older who experience periodic episodes of loss of consciousness or loss of attention/awareness that could affect safe driving. The form collects patient information, medical history, episode details, diagnostic findings, and the provider’s professional assessment.
Official access to the form is restricted. Providers must first obtain medical reporting login credentials from PennDOT.
You can download the official Form DL-129 DS PDF here:
Download PennDOT Form DL-129 DS (PDF).
Legal Basis: Pennsylvania Medical Standards for Drivers
Reporting requirements and medical standards are set out in the Pennsylvania Code and Vehicle Code.
Under 67 Pa. Code § 83.5:
- § 83.5(a)(3) states that a person who has periodic episodes of loss of consciousness of unknown etiology or not otherwise categorized will not be qualified to drive unless free from such episodes for the year immediately preceding.
- § 83.5(b)(6) allows a provider to recommend disqualification if the individual has periodic episodes of loss of attention or awareness of unknown etiology or not otherwise categorized, unless free from episodes for the year immediately preceding, as reported by a licensed physician.
In addition, Section 1518(b) of the Pennsylvania Vehicle Code requires physicians, chiropractors, physician assistants, certified registered nurse practitioners, and other persons authorized to diagnose or treat disorders and disabilities to report, within 10 days and in writing, the full name, address, and date of birth of every person over 15 years of age diagnosed with a condition that could impair the ability to drive safely. Reports are generally not required if the condition is expected to last less than 90 days.
These rules help PennDOT protect public safety by identifying drivers whose medical conditions may pose a risk on the road.
For the complete list of medical reporting forms and related regulations, visit the official page:
PennDOT Medical Reporting Forms.
Who Must Complete and Submit Form DL-129 DS?
Only authorized healthcare professionals may complete and submit Form DL-129 DS. This includes:
- Physicians
- Chiropractors
- Physician assistants
- Certified registered nurse practitioners
- Other persons authorized to diagnose or treat disorders and disabilities
Patients or family members cannot submit the form. The form is password-protected and intended exclusively for credentialed providers.
Providers who do not yet have login credentials can request them through the official PennDOT process:
Request Health Care Personnel Credentials.
How to Submit Form DL-129 DS Electronically?
PennDOT has modernized many medical forms for electronic submission. Forms marked with the “DS” suffix, including DL-129 DS, can be completed and signed online.
Typical steps for electronic submission include:
- Access the official DL-129 DS link after logging in with your medical reporting credentials.
- Enter your full name and email address (and any additional signer’s details if required).
- Click “Begin Signing” to open the form.
- Complete all required fields with accurate patient and clinical information.
- Add your electronic signature.
- Click “Finish.” The completed form is automatically emailed to PennDOT for processing.
This digital process, introduced as part of broader online service improvements, reduces processing time compared with paper mail or fax submissions.
For technical issues with the digital signature process, contact PennDOT’s Driver and Vehicle Services Customer Call Center at 717-412-5300 and reference “DocuSign DVS.” For questions about the form content, reference “Driver Licensing Form.”
Additional information on medical reporting is available at:
PennDOT Medical Reporting Information Center.
Key Information Collected on Form DL-129 DS
While the exact fields may be updated periodically, the form generally requests:
- Patient identification details (driver’s license number, name, address, date of birth, contact information)
- Length of time the provider has treated the patient
- Diagnosed diseases or conditions
- History of multiple episodes of loss of consciousness, including dates of recent episodes
- History of episodes of loss of awareness that could make driving unsafe, including dates
- Diagnostic tests performed and results
- Possible causes or triggers of the episodes
- Signs, symptoms, nature, extent, and frequency
- Provider’s professional opinion regarding the patient’s ability to drive safely
- Provider identification, specialty, license number, and signature
Accurate and complete information helps PennDOT make timely and informed licensing decisions.
What Happens After Submission?
Once PennDOT receives a completed medical report:
- The Medical Unit reviews the information.
- PennDOT may request additional medical documentation or examinations.
- The driver’s license may be recalled, restricted, or allowed to continue, depending on the findings and applicable regulations.
- Providers are generally protected from civil or criminal liability when they report in good faith as required by law.
Drivers who disagree with a PennDOT decision have appeal rights under Pennsylvania law.
For more details on the reporting process and submission options, see:
Submission of Medical Reports to PennDOT.
Related PennDOT Medical Forms
Form DL-129 DS is one of several condition-specific medical reporting forms. Related forms include:
- DL-13 – Initial Reporting Form
- DL-120 – Medical Cardiovascular Form
- DL-121 – Seizure Disorder / Epilepsy Form
- DL-122 – Diabetic Form
- DL-124 – General Neurological Form
- DL-129SB – School Bus Driver Loss of Consciousness And / Or Awareness Form
School bus drivers are subject to additional standards under Chapter 71 of the Pennsylvania Code.
A full list of current forms is maintained on the official Medical Reporting Forms page linked earlier.
Contact PennDOT for Assistance
Healthcare providers with questions about Form DL-129 DS or the medical reporting process can contact:
- Customer Call Center: 717-412-5300 (Monday–Friday, 8 a.m.–5 p.m. ET)
- Medical Unit Phone: 717-787-9664 or 717-787-9662
- Email: [email protected]
- Mail: Bureau of Driver Licensing, Driver Qualifications Section, P.O. Box 68682, Harrisburg, PA 17106-8682
- Fax: (717) 705-4415
Official website:
PennDOT Driver and Vehicle Services.
Why Accurate Medical Reporting Matters?
Medical reporting is a critical public-safety tool. By documenting episodes of loss of consciousness or awareness, healthcare professionals help PennDOT identify drivers who may pose a risk to themselves and others. Timely and accurate use of Form DL-129 DS supports safer roads across Pennsylvania while ensuring that drivers receive fair and medically informed evaluations of their fitness to drive.
Always use the official PennDOT form and current credentials when submitting reports. For the most up-to-date instructions and form version, refer to the Commonwealth of Pennsylvania websites linked throughout this article.