PENNDOT - Application For Ignition Interlock ... - State Legal Forms 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Section A, which includes your personal information such as your driver's license number, last name, first name, middle name, date of birth, and social security number. Ensure all details are accurate.
3. Indicate your eye color and provide a contact telephone number. If applicable, complete the out-of-state address change section by checking the appropriate box and attaching necessary documentation.
4. In Section B, select one application option only. If you are applying for an ignition interlock license or returning to a regular license after serving your interlock period, check the corresponding box.
5. If you have had any violations during your ignition interlock period, answer the question provided in this section accurately.
6. For Section C, if requesting a photo exemption for religious reasons, ensure you include a letter detailing your request and affiliation.
7. Finally, sign Section D to authorize and certify that all information is correct. Enter the fee amount and ensure you check the organ donation contribution box if applicable before submitting.

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