IMPORTANT - PLEASE READ
ALL COMMERCIAL DRIVERS MUST:
Provide ALL information requested on this form. You
choose a driving type.
MUST
•
Sign this form and print your name and driver license number in the spaces provided.
•
Return this form in the self-addressed envelope OR, if you are required to renew in person, bring this form
•
with you to a Motor Vehicle office. In either case, include your completed license renewal application. Be
sure to follow all of the instructions on your license renewal application, including those for vision testing.
If certified medical status is required for the driving type you select on this form, with your renewal you
MUST
include a legible copy of your current U.S. Department of Transportation (USDOT) Medical Examiner’s
Certificate if it is not already on file with DMV.
1.
In the past 10 years was a driver license issued to you from another state in the U.S. or the
¨
¨
Yes
Yes
No If ‘
’, clearly print the names of each one:
District of Columbia?
You MUST certify to DMV that you operate (or expect to operate) a commercial motor vehicle
2.
(CMV) in one of the following four driving types (select ONLY one):
¨
Certified medical status is required. You are age 21 or older and you
Non-excepted Interstate (NI)
-
operate, or expect to operate, interstate (other than for excepted operation).
¨
- Certified medical status is required. You are age 18 or older and you
Non-excepted Intrastate (NA)
operate, or expect to operate, in NYS only (other than for excepted operation).
¨
- You are age 18 or older and you operate, or expect to operate, interstate in
Excepted Interstate (EI)
Excepted Operation ONLY. You must have A3 restriction.
¨
You are age 18 or older and you operate, or expect to operate, in
Excepted Intrastate (EA)
-
Excepted Operation ONLY and in NYS ONLY. You must have A3 and K restrictions.
If the driving type you selected requires certified medical status (NI or NA) you must provide a
legible copy of your current USDOT Medical Examiner’s Certificate to DMV when you renew, if it
is not already on file.
Please see DMV form MV-44.5 if additional information is needed to help you determine your driving type.
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SIGN HERE :
____________________________________________________________
Print your full name:
____________________________________________________________
Õ
Enter your 9-digit driver license number
reset/clear
For more information, please visit dmv.ny.gov and refer to the Commercial Driving License Section.
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