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Box 68272 • Harrisburg, PA 17106-8272  \nCHECK APPLICABLE OPTION 1 : Free Update Card to be carried with your Junior Driver’s License. Form must be notarized  \nBLOCK:  OPTION 2: Replacement License. Form must be notarized (SEE REVERSE FOR FEES)  \n\n| A | DRIVER INFORMATION |  |  |  |  |  |  | Type or Print All Information |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  | DRIVER’S LICENSE NUMBER |  |  |  |  |  |  | LAST NAME |  |  |  |  |  |  |  |  | JR./ETC |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | FIRST NAME |  |  |  |  |  |  |  |  |  | MIDDLE NAME |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | DATE OF BIRTH |  |  |  |  |  | TELEPHONE NUMBER (8:00A.M. -4:30P.M.) |  |  | E-MAIL ADDRESS (if applicable) |  |  |  |  |  |  |  |\n|  | MONTH |  |  | DAY |  | YEAR |  |  |  |  |  |  |  |  |  |  |  |\n|  | Pennsylvania strongly supports organ and tissue donation because of its life-saving and life-enhancing opportunies. |  |  |  |  |  |  |  |  |  |  |  ADD (Parental consent required if under 18)\u003Cbr> REMOVE |  |  |  |  |  |\n| B | ADDRESS CHANGE-A Post Office Box number may be used in addition to the actual residence address, but cannot be used as the only address. See reverse if using an out-of-state address. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | NEW\u003Cbr>STREET\u003Cbr>ADDRESS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | CITY |  |  |  |  |  |  |  |  |  |  |  | STATE | PA |  | ZIP CODE |  |\n|  | This application will also serve as a request to update your voter registration unless you check this box: \u003Cbr>If you are not registered to vote, you will receive an application to register. You must be a U.S. citizen to register to vote in Pennsylvania. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| C | ELIGIBILITY ASSESSMENT\u003Cbr>1. Have you successfully completed a Driver’s Training Course(s) consisting of 30 hours of classroom theory and 6 hours of behind-the-wheel instruction approved by the Departments of Education and Transportation? |  |  |  |  |  |  |  |  |  |  |  Yes If yes, Section E must be completed.\u003Cbr> No If no, you are not eligible to apply. |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 2. Have you held your current Pennsylvania Junior Driver’s License for at least 1 year? |  |  |  |  |  |  |  |  |  Yes\u003Cbr> No If no, you are not eligible to apply. |  |  |  |  |  |  |  |\n|  | 3. Have you ever been involved in a crash in which you were partially or fully responsible during the past 1 year? |  |  |  |  |  |  |  |  |  |  |  Yes If yes, you are not eligible to apply.\u003Cbr> No |  |  |  |  |  |\n|  | 4. Have you been convicted of any violation of the Vehicle Code during the past 1 year? |  |  |  |  |  |  |  |  |  Yes If yes, you are not eligible to apply.\u003Cbr> No |  |  |  |  |  |  |  |\n| D | | For Veterans wishing to add the Veterans Designation to their Driver’s License or ID Card: I certify under penalty of law that I am a qualified applicant and hereby request it be added to my product. I understand that misrepresentation will result in the cancellation of my driver’s license.\u003Cbr>I acknowledge that receiving a Pennsylvania Permit, License or ID card will cancel or invalidate any Permit, License or ID card from another state. I certify under penalty of law that the information contained herein is true and correct. I hereby acknowledge this day that I have received notice of the provisions of Section 3709 of the Vehicle Code (see reverse for provisions) . If using a Messenger Service, I hereby authorize the Department to furnish them with my driving record for the purpose of processing this form.\u003Cbr>I wish to contribute $3.00 to the Organ Donation Aw","cbCaitCwnq9bGHWN","https://ap.wps.com/l/cbCaitCwnq9bGHWN","pdf",1311010,"English","# Driver Information\n## Eligibility Assessment\n# Address Change and Voter Registration\n## Special Options (Organ Donation, Veterans Designation)\n# Payment and Signatures","[{\"question\":\"What are the available options to change from a Junior Driver’s License to a regular non-commercial license?\",\"answer\":\"Choose Option 1 for a free update card to carry with your Junior Driver’s License, or Option 2 for a replacement license. Both options require the form to be notarized, and Option 2 references fees on the reverse side.\"},{\"question\":\"What eligibility requirements are checked in this application?\",\"answer\":\"The form asks whether the applicant completed an approved driver training course with specified hours, held the Junior License for at least 1 year, and whether there were any crashes or Vehicle Code convictions in the past 1 year. Failing the eligibility answers makes the applicant not eligible to apply.\"},{\"question\":\"What additional sections may be completed for organ donation, veterans designation, or parental consent?\",\"answer\":\"The application includes parts to add organ donation contributions and, for qualified applicants, request adding a veterans designation. It also notes parental consent requirements if the applicant is under 18, and includes an affidavit of consent that must be notarized.\"}]","APPLICATION FOR CHANGE FROM A JUNIOR DRIVER’S LICENSE TO A REGULAR NON-COMMERCIAL LICENSE - Notarized form | PDF"]