PA DOT Form DL-11CD DS. Self-Certification Form

The Form DL-11CD DS, also known as the Self-Certification Form, is used by individuals in Pennsylvania to certify their physical and mental fitness to operate a motor vehicle.

This form consists of several sections that require the applicant to provide personal information such as their full name, address, date of birth, contact details, and driver's license number. It also includes a section where the applicant needs to disclose any medical conditions or disabilities that may affect their ability to drive safely.

It is important for applicants to accurately fill out this form and provide complete information about their medical history. This information is crucial for the Pennsylvania Department of Transportation (PennDOT) to assess an individual's eligibility to hold a driver's license.

The Self-Certification Form is typically required when renewing a driver's license or applying for a new license. It helps PennDOT determine if the applicant meets the required medical standards for driving. By signing this form, the applicant certifies that they meet these standards and understand the importance of reporting any changes in their medical condition that may affect their driving ability.

Related Form: An alternative form similar to DL-11CD DS is Form DL-180C DS, which is the Non-Commercial Learner's Permit Application. While both forms gather personal and medical information, DL-180C DS is specifically designed for individuals applying for a learner's permit instead of a driver's license.