For Attorneys

Help your client on the path to license restoration.

Fast track your client to license restoration. Fill out our online form and submit payment securely online.

1) Attorney Contact Information
Name*
First Last
Office Phone*
Mobile Phone
Your Email*
Enter Email Confirm Email
Attorney ID*
2) Client Contact Information
Name*
First Last
Client Email*
Enter Email Confirm Email
Phone*
Alternate Phone
Address*
Street Address Address Line 2 City State ZIP Code
3) Client Details
License Number*
Date Of Birth*
MM slash DD slash YYYY
Social Security #*
4) Payment
Payment Amount*
Authorization*
- I authorize License Restoration Services - Carmen Marinelli, Esquire and/or Bonnie S. Ash to speak to PENNDOT or any agency necessary to assist in having my Pennsylvania driving privilege restored.
Signature
Notes for LRS:
Credit Card
Card Details
Cardholder Name
Total
$0.00

We accept all major credit cards.

1) Attorney Contact Information