Form Bmv 2380 - Cdl/waiver For Farm Related Service Industries Application - Ohio Bureau Of Motor Vehicles Page 2
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2SECTION 4: CHECK THE APPROPRIATE BOX FOR EACH STATEMENT
ALL QUESTIONS MUST BE ANSWERED - NO EXCEPTIONS:
I certify that during the two year period immediately preceding this application for a CDL waiver that:
1.
2.
3.
any type of motor vehicle
4.
5.
6.
7.
SECTION 5: ANSWER THE FOLLOWING DRIVER INFORMATION:
MARK THE TYPE OF VEHICLE YOU WILL BE DRIVING:
ANY PERSON GIVING FALSE INFORMATION IS SUBJECT TO PROSECUTION UNDER SECTIONS 4506.10 AND 4507.36 OF
THE OHIO REVISED CODE.
X
_____________________________________________________
____________________________
APPLICANT’S SIGNATURE
TODAY’S DATE
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