PA DOT Form DL-121 DS. Seizure Reporting Form

The DL-121 DS Seizure Reporting Form is a form used by the Pennsylvania Department of Transportation (PennDOT) to collect information regarding seizures or epilepsy in individuals who hold or wish to obtain a driver's license. The purpose of this form is to assess the individual's ability to safely operate a motor vehicle considering their medical condition.

The DL-121 DS form consists of sections where the applicant provides personal information such as name, address, and driver's license number. They are required to disclose details about their seizure history, including the frequency, duration, and any triggers associated with their seizures. The form also asks for information on the individual's treatment regimen, including medications and any restrictions advised by their healthcare provider.

When filling out the DL-121 DS form, it is crucial for the applicant to provide accurate and comprehensive information. This aids PennDOT in determining the individual's fitness to drive and whether any additional requirements or restrictions should be imposed to ensure safety on the road.

The DL-121 DS Seizure Reporting Form is necessary for individuals who have a history of seizures or epilepsy as it allows PennDOT to evaluate their ability to safely operate a motor vehicle. By disclosing their condition, individuals can receive appropriate guidance and potentially prevent accidents caused by seizures while driving.

There is a related form called DL-121A DS School Bus Seizure Reporting Form, which is specifically designed for individuals seeking to operate a school bus. This form gathers similar information to the DL-121 DS form but focuses on assessing an applicant's eligibility to drive a school bus considering their seizure history.

It is important to note that the DL-121 DS Seizure Reporting Form is unique to Pennsylvania and may differ from similar forms used in other states. Individuals should consult their respective state's Department of Transportation for specific guidelines and forms related to seizure reporting and driving eligibility.