Form Dts 33a - School License Application
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1
2Virginia Driver Training
DTS 33A (08/10/2012)
SCHOOL LICENSE APPLICATION
Class A - Commercial Vehicles
Purpose:
Use this form to apply for or renew a driver training school license for any type of commercial vehicles as defined in
Virginia Code §46.2-341.4 which includes a gross combined weight of 26,001 pounds or more.
Instructions:
Return completed form to the Commercial Licensing Work Center at the above address.
SPECIAL INSTRUCTIONS
This application must include a copy of a national criminal history check completed within 60 days of the date this application is received by DMV.
Review the Class A Driver Training School Curriculum Requirements publication (DTS 30) to be sure your curriculum meets DMV's standards and
requirements. Submit a copy of your course curriculum with this application.
All training vehicles must be inspected by an authorized DMV Representative prior to use - attach a vehicle insurance certification form (DTS - 5)
to this application.
APPLICATION INFORMATION
(check one)
OWNERSHIP TYPE
ONE YEAR LICENSE FEE
$ 100
Original first-time application
Renewal
Business Entity Ownership
Individual Ownership
OWNER INFORMATION
Enter name of business entity or full legal name of individual who is owner of school.
(mi)
BUSINESS ENTITY/INDIVIDUAL OWNER NAME (print) (last)
(suffix)
(first)
HOME ADDRESS
DMV CUSTOMER NUMBER
STATE
ZIP CODE
CITY
FAX NUMBER (if applicable)
HOME TELEPHONE NUMBER
EMAIL ADDRESS(if applicable)
(
)
(
)
REPRESENTATIVE INFORMATION (authorized to act on behalf of the school)
TELEPHONE NUMBER
TITLE (if applicable)
REPRESENTATIVE FULL LEGAL NAME (print) (last, first mi, suffix)
(
)
MANAGER/ADDITIONAL REPRESENTATIVE FULL LEGAL NAME (print) (last, first, mi, suffix)
TITLE (if applicable)
TELEPHONE NUMBER
(
)
CONTACT INFORMATION
CONTACT PERSON FULL LEGAL NAME (if different from owner/representative)
TITLE (if applicable)
TELEPHONE NUMBER
(
)
EMAIL ADDRESS (if applicable)
TITLE (if applicable)
FAX NUMBER
(
)
SCHOOL OPERATIONS INFORMATION
SCHOOL FULL NAME
MAILING ADDRESS
ZIP CODE
STATE
CITY
CITY
SCHOOL LOCATION ADDRESS (If different from above)
STATE
ZIP CODE
FEDERAL IDENTIFICATION NUMBER (FEIN/DMV customer number)
BUSINESS LICENSE NUMBER (attach a copy for each site)
SCHOOL/OWNER CELL PHONE NUMBER
SCHOOL/OWNER FAX NUMBER
SCHOOL TELEPHONE NUMBER
(
)
(
)
(
)
YOUR WEBSITE ADDRESS
DO YOU WISH TO DISPLAY YOUR WEB ADDRESS
ON DMV WEBSITE?
Yes
No
DO YOU WISH TO DISPLAY YOUR EMAIL ON
YOUR EMAIL ADDRESS
DMV WEBSITE?
Yes
No
Be sure to complete the reverse side of this form.
DMV USE ONLY
VERIFICATION OF:
DECISION:
CLERK STAMP
School Code #
School License #
APPROVED
$100 Fee paid
Licensed Date
License Expiration
DENIED
(mm/dd/yyyy)
Date (mm/dd/yyyy)
Business License
REMARKS
National Criminal
Background Check
Surety Bond
Contract/Agreement
Certificate of
Insurance
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