PA DOT Form DL-16LC DS. Acknowledgement of Suspension / Revocation / Disqualification As Required Under Section 1541 of The Vehicle Code

This form, DL-16LC DS, is an acknowledgment form used by the Pennsylvania Department of Transportation (PennDOT) to notify individuals of a suspension, revocation, or disqualification of their driver's license in accordance with Section 1541 of The Vehicle Code. The purpose of this form is to ensure that the individual acknowledges and understands the consequences and requirements associated with the suspension, revocation, or disqualification.

The form consists of sections where the individual must provide their personal information, including their full name, address, date of birth, and driver's license number. It also includes a section where the individual can indicate whether they acknowledge the suspension, revocation, or disqualification and understand the conditions for reinstatement. The individual must sign and date the form to certify their understanding and acknowledgement.

When filling out this form, it is important for the individual to carefully read and comprehend the information provided regarding the suspension, revocation, or disqualification. They should ensure that their personal information is accurate and complete. Signing the form indicates their acceptance of the consequences and their commitment to fulfilling any necessary requirements for reinstatement.

Application Example: When an individual receives a notice of suspension, revocation, or disqualification from PennDOT, they are required to complete Form DL-16LC DS. By submitting this form, they acknowledge the action taken against their driver's license and affirm their understanding of the conditions for reinstatement. This form helps PennDOT maintain records of individuals' acknowledgments and ensures compliance with the legal requirements related to license suspensions, revocations, or disqualifications.

Related Forms: There may not be direct alternatives to Form DL-16LC DS within the Pennsylvania Department of Transportation forms. However, other forms related to license suspensions, revocations, or disqualifications may exist, depending on the specific circumstances. It is important to consult PennDOT's official website or contact them directly for accurate and up-to-date information.