PennDOT Form DL-15A Limited License Affidavit Guide

PennDOT Form DL-15A Limited License Affidavit Guide – If your Pennsylvania driving privilege has been suspended and you qualify for an Occupational Limited License (OLL), you must complete and carry PennDOT Form DL-15A – Limited License Affidavit at all times. This official document works together with your photo OLL and authorizes limited driving for work, school, or medical treatment under Section 1553 of the Pennsylvania Vehicle Code.

This guide explains what Form DL-15A is, who needs it, how to complete it correctly, and where to download the official version directly from the Commonwealth of Pennsylvania.

What Is PennDOT Form DL-15A Limited License Affidavit?

Form DL-15A is the Limited License Affidavit issued by the Pennsylvania Department of Transportation (PennDOT). It is a required companion document to an Occupational Limited License (OLL).

According to official PennDOT instructions, the affidavit informs law enforcement that the driver is authorized to operate specific vehicle(s) only during the listed times and only for work, school, or medical treatment purposes. The form clearly states:

“FOR LAW ENFORCEMENT OFFICIALS: This Affidavit allows this person to drive the vehicle(s) listed during the stated times for work, school, or medical treatment in conjunction with an Occupational Limited License and under section 1553 of the PA Vehicle Code.”

You are required by law to carry the completed DL-15A together with your photo OLL at all times while driving.

Download the official Form DL-15A here:
Official PennDOT DL-15A Limited License Affidavit (PDF)

Who Needs to Complete Form DL-15A?

Any Pennsylvania driver who receives an Occupational Limited License must complete Form DL-15A. The affidavit is included as part of the larger Occupational Limited License Petition package (Form DL-15 / DL-15-15A).

You may begin filling out the DL-15A while waiting for your OLL camera card to arrive. Once you receive your photo OLL, the completed affidavit must stay with it permanently.

Key Information Required on Form DL-15A

The current version of Form DL-15A (revision 12-15 and later updates) requires the following sections:

  • Driver Information – Full name, date of birth, license number, current street address, city, state, and ZIP code.
  • Vehicle Information – Year, make, model, license plate number, and state for up to five vehicles you are authorized to drive.
  • Vehicle Insurance Information – Insurance company name, policy number, effective date, and expiration date for each listed vehicle.
  • Driving Schedules – Separate sections for work, school, and medical treatment, including leave and arrive times, days of the week, destination codes, employer/school/provider details, and detailed explanations.
  • Acknowledgments and Signatures – Employer, school administrator, or medical provider signatures (when applicable), plus the driver’s signature under penalty of law.

Misstatement of fact on the affidavit is a misdemeanor of the third degree and can result in a fine of up to $2,500 and/or imprisonment up to one year (18 Pa. C.S. § 4904(b)).

How Form DL-15A Relates to the Occupational Limited License (OLL)?

An Occupational Limited License allows a suspended Pennsylvania driver to operate a designated non-commercial vehicle only when necessary for occupation, medical treatment, or academic study. The OLL itself is not enough — you must also carry the completed DL-15A.

Important rules from official PennDOT sources:

  • The OLL is valid only for the length of your suspension term.
  • You may receive only one OLL every five years.
  • If you change vehicles, you do not need to notify PennDOT, but you must update your DL-15A and continue carrying the revised version.
  • Driving outside the times, vehicles, or purposes listed on the DL-15A can lead to further suspension or recall of the OLL.

For full eligibility details, review the official Occupational Limited License FAQs and the OLL Fact Sheet (PDF).

How to Apply for an Occupational Limited License and Obtain Form DL-15A?

Follow these official steps from the Pennsylvania Driver and Vehicle Services website:

  1. Confirm you meet all restoration requirements listed in your restoration letter.
  2. Complete the Occupational Limited License Petition (Form DL-15-15A).
  3. Include the non-refundable application fee (currently $88), proof of insurance (copies only), and any required restoration fees.
  4. Mail the complete package by certified mail to the address listed on the form (PennDOT Bureau of Driver Licensing, OLL/PL Unit, P.O. Box 68689, Harrisburg, PA 17106-8689).
  5. If approved, you will receive an OLL camera card. Take it to a Photo License Center to obtain your photo OLL.
  6. Complete and keep the DL-15A affidavit with your photo OLL at all times.

Note: The petition cannot be submitted at Driver License Centers — it must be mailed.

Where to Download the Official Pennsylvania PennDOT Form DL-15A?

Always use the official Commonwealth of Pennsylvania version to ensure accuracy and acceptance by law enforcement.

Direct download link:
https://www.pa.gov/content/dam/copapwp-pagov/en/penndot/documents/public/dvspubsforms/bdl/bdl-form/dl-15a.pdf

You can also access the full petition package that includes the DL-15A at:
Occupational Limited License Petition (DL-15-15A).

Important Tips for Completing and Using Form DL-15A

  • Type or print clearly in all sections.
  • List only the vehicles you are authorized to drive and keep insurance current.
  • Provide a detailed explanation of why you need the OLL in the designated sections.
  • Obtain required signatures from employers, school officials, or medical providers when applicable.
  • Update the form immediately if your work schedule, school, medical needs, or vehicles change.
  • Never drive outside the times, days, or purposes listed on the affidavit.

Official Resources and Additional Information

For the most current information, always refer to these trusted Pennsylvania government sources:

If you have questions about your specific eligibility or restoration requirements, contact PennDOT at 717-412-5300 or visit the official Driver and Vehicle Services website.

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