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Military CDL Skills Test Waive .pdf


Nombre del archivo original: Military_CDL_Skills_Test_Waive.pdf
Autor: kmorton

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APPLICATION FOR MILITARY SKILLS TEST WAIVER
The Commercial Driver License (CDL) skills test waiver form may be used by service members who are currently licensed and who are or were
employed within the last 90 days in a military position requiring the operation of a military motor vehicle equivalent to a Commercial Motor Vehicle
(CMV). This waiver allows a qualified service member to apply for a CDL without skills testing. CDL knowledge (written) test(s) cannot be waived. The
transfer of School Bus(S) and/or Passenger (P) endorsements under this Waiver Program are prohibited.
APPLICANT INFORMATION
NAME (Last, First, Middle)

STATE /DRIVER LICENSE NUMBER (required)

APPLICATION DATE

RESIDENCE ADDRESS (STREET)

CITY

STATE

ZIP CODE

COUNTY

MAILING ADDRESS (IF DIFFERENT)

CITY

STATE

ZIP CODE

COUNTY

DRIVER RECORD CERTIFICATION

During the 2-year period immediately preceding this date:




YES




NO

YES

• Having an alcohol concentration of 0.04 or greater while operating a CMV …………………………………………………….





NO

YES





• Refusing to take an alcohol test as required by a State jurisdiction under its implied consent laws or regulations as defined
in 49 CFR 383.72 ………………………………………………………………………………………………………………………



YES



NO

• Leaving the scene of an accident …………………………………………………………………………………………………….

YES

YES





NO

• Driving a CMV while your CDL is revoked, suspended, cancelled; or you are disqualified from operating a CMV …………





• Causing a fatality through the negligent operation of a CMV (including motor vehicle manslaughter, homicide by motor
vehicle, or negligent homicide) ……………………………………………………………………………………………………….



YES



NO

• Using the vehicle in the commission of a felony involving manufacturing, distributing, or dispensing a controlled substance



YES



NO

• Speeding in excess of 15 mph or more above the posted speed limit …………………………………………………………..



YES



NO

• Driving recklessly, as defined by State or local law or regulation (including offenses of driving a motor vehicle in willful or
wanton disregard for the safety of persons or property) …………………………………………………………………………..



YES



NO

YES
YES




NO

• Following the vehicle ahead too closely ……………………………………………………………………………………………




• Violating State or local law relating to motor vehicle traffic control (other than a parking violation) arising in connection with
a fatal accident …………………………………………………………………………………………………………………………



YES



NO

YES
YES




NO

• Driving a CMV without a CDL in the driver’s possession …………………………………………………………………………




• Driving a CMV without the proper class of CDL and/or endorsements for a specific vehicle group being operated or for the
passengers or type of cargo being transported ……………………………………………………………………………………



YES



NO

• Violating a State or local law or ordinance on motor vehicle traffic control prohibiting texting while driving …………………



YES



NO

• Violating a State or local law or ordinance on motor vehicle traffic control restricting or prohibiting the use of a hand held
mobile telephone while driving ………. ……………………………………………………………………………………………..



YES



NO



YES



NO

Have you been regularly employed or were you regularly employed within the last 90 days in a military position requiring the
operation of a military motor vehicle that was representative of a commercial motor vehicle (CMV)?………………………….



YES



NO

Were you exempted from the CDL licensing requirements for driving a military vehicle on state roads and highways in
accordance with 49 CFR §383.3 (c)? ……………………………………………………………………………………………………



YES



NO

Have you operated a military motor vehicle representative of the commercial motor vehicle (CMV) that you operate or expect
to operate, for at least the 2 years immediately preceding discharge from the military? …………………………………………



YES



NO

• Have you had more than one license (except for a military license)? …………………………………………………………….
• Has your license been suspended, revoked, cancelled or disqualified in this or any state? ……………………………………

YES

NO

Have you been convicted of any violations described below in any type of motor vehicle?
• Being under the influence of alcohol as prescribed by state law …………………………………………………………………
• Being under the influence of a controlled substance ………………………………………………………………………………

• Using the vehicle to commit a felony (other than manufacturing, distributing or dispensing a controlled substance) ………

YES

YES

NO
NO

NO
NO

Have you had more than one conviction for any of the violations described below in any type of motor vehicle?

• Making improper or erratic lane changes …………………………………………………………………………………………..

• Driving a CMV without obtaining a CDL …………………………………………………………………………………………….

Have you had any conviction for a violation of military, state or local law relating to motor vehicle traffic control
(other than parking violation) arising in connection with any traffic accident and have no record of an accident in
which you were at fault? …………………………………………………………………………………………………………..

NO

NO

CERTIFICATION OF DRIVING EXPERIENCE

I certify under penalty of perjury that the information on this form is true and correct to the best of my knowledge, information and belief.
APPLICANT’S SIGNATURE

DATE

CDL-ST WVR (05/2012)

COMMANDING OFFICER’S CERTIFICATION OF COMMERCIAL DRIVING EXPERIENCE
TELEPHONE NUMBER

COMMANDING OFFICER’S NAME (LAST, FIRST, MIDDLE)

STREET ADDRESS

CITY

STATE

SERVICE MEMBER’S DATE OF QUALIFICATION:

ZIP CODE

FROM

COUNTY

TO

SERVICE MEMBER’S NAME

EXPIRATION DATE (US Gov’t Motor Vehicle
Operator Identification Card / License)

Circle the highest class of vehicles the service member has been driving:

Class

Vehicle Description

EXAMPLE OF VEHICLES IN GROUP

th

* 5 WHEEL - Truck Tractor/Semitrailer
A

Any combination of vehicles with a GCWR of
26,001 or more pounds provided the GVWR
of the vehicle(s) being towed is in excess of
10,000 pounds.
* PINTLE HOOK - Truck Trailer Combination

A

Any combination of vehicles with a GCWR of
26,001 or more pounds provided the GVWR
of the vehicle(s) being towed is in excess of
10,000 pounds.

B

Any single vehicle with a GVWR of 26,001 or
more pounds or any such vehicle towing a
vehicle not in excess of 10,000 pounds
GVWR.

The vehicle the service member operates is equipped with a full air brake system:



YES



NO

The vehicle the service member operates is equipped with an air-over-hydraulic braking system:



YES



NO



MANUAL

The transmission in the vehicle the service member operates is:

 AUTOMATIC

I certify that the service member named on the front of this document is/was assigned in a job/assignment requiring the operation of a
commercial motor vehicle, the service member’s driving experience has been verified; and the information provided herein is true and correct
to my knowledge, information and belief. I also certify that I am an officer of the Armed Forces with the authority to administer oaths; and
who has the general powers of a notary public.
PRINT COMMANDING OFFICER’S NAME/RANK

DATE

SIGNATURE

DATE

Authority of Article 136, Uniform Code of Military Justice or 10 U.S.C. 1044A


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