Form 447-Cdl - Application For A Commercial Driver'S License Or Commercial Beginner'S Permit (Class A, B, Or C)

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South Carolina Department of Motor Vehicles

Application for a Commercial Driver’s License or

Commercial Beginner’s Permit (Class A, B, or C)

447-CDL

(Rev. 10/12)

Commercial Beginner’s Permit

Commercial Driver’s License (CDL)

I AM APPLYING FOR A (check any that apply):

BP or DL NUMBER

CUSTOMER NUMBER

LAST NAME

FIRST NAME

MIDDLE NAME

SUFFIX

RESIDENCE ADDRESS (Must be your current address of residence and cannot be a P.O. Box)

COUNTY

CITY or TOWN

STATE

ZIP CODE

PHONE NUMBER

EMAIL ADDRESS

(

)

I understand the Department will send mail to the residence address above unless

I have specified a special or temporary mailing address below.

It is optional to ADD a SPECIAL and/or TEMPORARY mailing address to your file.

SPECIAL MAILING ADDRESS – Optional (To have your mail sent to an address different from residence address)

COUNTY

CITY or TOWN

STATE

ZIP CODE

Do you want to DELETE a special

Yes

mailing address now on file?

TEMPORARY MAILING ADDRESS – Optional (To have your mail sent to an address for a limited time period)

EXPIRATION DATE

CITY or TOWN

STATE

ZIP CODE

COUNTY

Do you want to DELETE a temporary

Yes

mailing address now on file?

SOCIAL SECURITY NUMBER* (SSN)

DATE of BIRTH

HEIGHT

WEIGHT

RACE

GENDER

Month

Day

Year

Feet

Inches

Male

Female

* Your Social Security number is required for the purposes of identifying you and preparing jury lists pursuant to South Carolina Code of Laws Sections

56-1-90 and 14-7-130. The Driver’s Privacy Protection Act of 1994 (DPPA), 18 U S.C. Section 2721,2725, the Family Privacy Protection Act of 2002

(FPPA), 30-2-10 et seq., and Section 56-3-545 of the S.C Code restrict the disclosure of personal information contained in our records.

ORGAN AND TISSUE

YES, I want to be an organ and tissue donor.

DONATION

Amount of donation $ ________.00

YES, I wish to donate $5.00, more or less, to Donate Life SC.

ORGAN DONOR STATEMENT - If you marked YES that you want to be an organ and tissue donor upon death, your consent shall serve as a

legally binding document as outlined under the South Carolina Uniform Anatomical Gift Act. Except in the case where the donor is under the

age of 18, the donation does not require the consent of any other person. For donors under the age of 18, the legal guardian of the donor shall

make the final decision regarding the donation.

If you marked “YES,” you verify that you have read the organ donor statement and you consent for the SCDMV to send your personal

information to the SC Organ and Tissue Donor Registry. A red heart will be printed on the front of your driver’s license. If you are currently

registered you must check “YES” to have the red heart reprinted on your license.

If you change your decision to consent in the future or wish to be removed from the SC Organ and Tissue Donor Registry, you can go online to

or contact Donate Life SC at 1-87-PASS-IT-ON. You may also have your name removed from the registry by visiting

any SCDMV office or while completing a credential transaction. SCDMV will assess an administrative fee for the

change and there may be a 72 hour delay in removing your name from the SC Organ and Tissue Donor Registry.

VOTER REGISTRATION

Must be a United States Citizen and meet requirements to complete a DMV Voter Registration Application.

Do you want to register to vote or update your address with the County Registration Board?

(check one box)

Yes, I wish to complete a DMV Voter Registration Application to register to vote or update my address with the County Registration Board.

No, I decline the DMV Voter Registration Application.

No, I have already registered to vote.

No, I am not eligible to vote.

Sex Offender Registry Notice

- Section 23-3-460 of the S.C. Code of Laws states that a person who has been convicted

anywhere of an offense listed in 23-3-430 must register with the county sheriff within 3 days of establishing residency in South Carolina. A

copy of the Sex Offender Registry Law is available upon request ( ).

All CDL applicants MUST answer the following 17 questions.

Any falsification of information on this application may result in

a 60-day disqualification of your CDL and/or result in criminal prosecution under state and federal law.

1. Are you a resident of South Carolina?.................................................................................................................................................

Yes

2. Are you a citizen of the United States? ……………………………………………………………………………………………………….

Yes

3. Do you now have or have you ever had a South Carolina identification card, beginner’s permit, driver’s license, or moped

license? If yes, give the number and name if different from number and name given on this application..........................................

Yes

_____________________________________________________________________________________________________

4. Do you now have or have you ever had an identification card, beginner’s permit, driver’s license, or moped license from another

Yes

state or country?

If yes, list information from last time issued. State/Country_________________________

License Number _____________and Issue Date__________________________.