Form Bmv 2380 - Application For Cdl/waiver For Farm Related Service Industries

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OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
APPLICATION FOR CDL/WAIVER FOR FARM RELATED SERVICE INDUSTRIES
INSTRUCTIONS:
CDL WAIVER FOR FARM RELATED SERVICE INDUSTRIES - This waiver applies to seasonal CDL drivers 1) Farm
retail outlets and suppliers; 2) Agri-chemical businesses; 3) Custom harvesters and 4) Livestock feeders. The waiver
allows a seasonal driver to obtain a restricted Class B CDL license without written/skills testing. This restricted license is
limited to a seasonal period not to exceed 180 days in any 12-month period and requires a $25.00 application fee. Each
application period must be a minimum of thirty (30) days and no more than 180 days. Applications submitted more
than 90 days prior to the beginning of the seasonal period will not be accepted. Applicants must be 18 years old
or older to apply. Applicants that currently hold a commercial driver license, other than a CDL waiver for farm
related service industries, are not eligible to apply.
Please complete the entire application and return with a CHECK or MONEY ORDER for $25.00 payable to: Ohio
Treasurer Kevin L. Boyce. DO NOT SEND CASH. Mail the application and check or money order to: Ohio Bureau of
Motor Vehicles, Attn: Farm Waiver Processing, P.O. Box 16784, Columbus, Ohio 43216-6784.
INCOMPLETE APPLICATIONS AND APPLICATIONS WITHOUT THE $25.00 FEE WILL DELAY PROCESSING.
SECTION 1: PERSONAL DATA
LAST NAME
FIRST NAME
MIDDLE NAME
PREVIOUS NAME IF CHANGED
TELEPHONE #
RESIDENCE ADDRESS (STREET)
CITY
STATE
ZIP
COUNTY
MAILING ADDRESS IF DIFFERENT THAN RESIDENCE (STREET)
CITY
STATE
ZIP
COUNTY
FILL IN THIS SECTION ACCORDING TO YOUR CURRENT LICENSE
STATE WHERE LICENSE ISSUED
CLASS
EXP. DATE
ENDORSEMENT
RESTRICTIONS
/
/
BIRTHDATE
SOCIAL SECURITY # OR DRIVER LICENSE #
SEX
HEIGHT
WEIGHT
EYES
/
/
SECTION 2: CHECK ALL THAT APPLY
Farm retail outlet and/or supplier
Custom harvester
Agri-chemical business
Livestock feeder
Each period must be a minimum of 30 days. The total number of days is not to exceed 180 days in any
twelve-month period.
Examples:
Continuous Seasonal Dates:
April 1 – September 27 (180 days)
Split Seasonal Dates:
March 15 – April 14 (30 days) & June 1 – October 28 (150 days) for a combined total of 180 days
NOTE: ALL SPLIT SEASONAL DATES REQUIRE A SEPARATE APPLICATION AND $25.00 FEE FOR EACH PERIOD REQUESTED.
INDICATE THE BEGINNING AND ENDING DATES BELOW.
FROM:
TO:
/
/
/
/
SEE REVERSE SIDE
BMV 2380 1/09 Page 1 of 2

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