204 Application Information

Important: Read the important information here before proceeding, THEN click the link below to start the on-line application process.

Below are links to supplementary forms which may be required with your on-line application process. The checklist provided during the on-line application process will guide you to which forms you will need.

The forms are in PDF format which means you must have a copy of the Adobe Reader to view them. Click the icon below if you need to download a free copy from Adobe.com

Individual Forms List (Please consult the checklist provided during on-line filing for guidance on which forms you may need.)
Authorization and Release This form is a required document which must be submitted with your application fee. *REQUIRED*	Fee Schedule This form lists all fees and filing deadlines as set by the board.
Complete Written Instructions for On-line filing These instructions are provided DURING the on-line filing process as well. When you begin filing on-line, simply click the "Print Help" option at the top menu to view these same instructions.	Sample Application under Rule 204 This application is a sample application printed during the on-line filing process. It is provided as reference material for all applicants filing under Rule 204.
List of Driving Record Repositories This is a list of driving record repositories to assist in the collection of the required driving history records.	List of Criminal History Record Repositories This is a list of criminal record repositories to assist in the collection of the required criminal history records.
MPRE Information This form details the board's requirements for the MPRE.	List of Certificate of Good Standing Repositories This is a listing of contact information to assist in the collection of the required certificates of good standing (used to show proof of practice in another jurisdiction).
Personal Verification of Driving Record Information This form is used to verify that you do not have a driving record in a particular jurisdiction. Read the form for details.	Personal Verification of Criminal History Information This form is used to verify that you do not have a criminal record in a particular jurisdiction. Read the form for details.
Attorney Disclaimer Form This form should be used by applicants licensed to practice in another jurisdiction that are currently working in a legal capacity in PA.	Name and/or Change of Address Form This form is to be filled out and faxed or mailed to the Board Office to notify us of any changes.
Amendment to Application For Post Submission of On-Line Application This form should be used to update your application after it is submitted.