Transcription of REAL ID INDICATOR REQUEST FORM
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REAL ID INDICATOR REQUEST FORM
REAL ID INDICATOR REQUEST FORMDL-63 RID (3-19)You must make application in person at a REAL ID Driver License Center in order to receive your product the same day. If you do notmake application at a REAL ID Driver License Center your product will be mailed to certify under penalty of law that all information given on this application is true and correct. If using a Messenger Service, I hereby authorizethe Department to furnish them with my driving record for the purpose of processing this form. I hereby acknowledge this day that I havereceived notice of the provisions of Section 3709 of the Vehicle Code. (See reverse for provisions.) (Applicant s Signature in Ink) (Date)XSIGNHEREE-MAIL ADDRESS (if applicable)DRIVER INFORMATIONFIRST NAMEDRIVER S LICENSE NUMBERLAST NAME(S)DATE OF BIRTHMIDDLE NAMEJR/ETCMONTH DAY YEARADDREAL ID INDICATOR - There will be a one-time non-refundable$30 REAL ID fee.
REAL ID INDICATOR REQUEST FORM DL-63RID (9-19) You must make application in person at a PennDOT REAL ID Driver License Center in order to receive your product the same day. If you ... • Consular Report of Birth Abroad (CRBA) issued by the U.S. Department of State, Form FS-240, DS-Form1350 or FS-Form 545 ...
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