Name

Required
Optional
Conditional

Edits/Business Rules

Application Header

Display only. Standard Header for Permit or License (BOL) Applications.

Revocation Justification

R

Explanation why PennDOT is revoking permit or license. 500 characters are allowed.

Notification of Revocation

R

Any date between date the permit or license was issued (Permit Issue Date) and 30 days prior to current date.