Cdl Certification For Waiver Of Skills Tests

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Commercial Driver’s License
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Rural Nevada (877) 368-7828
Fax: (775) 684-4992
CDL CERTIFICATION FOR WAIVER OF SKILLS TESTS
Waiver is ONLY valid for one year after discharge or for active duty, National Guard or reserve members who are currently licensed and are or
were employed within the last year in a military position requiring operation of a military motor vehicle equivalent to a commercial motor vehicle
Bring a copy of your Military ID and evidence of military discharge to the DMV
NRS 483.330, 49 CFR 383.77
Part I – Applicant Certification (Please print)
Name
Date of Birth
Last
First
Middle
 A
 B
 C
 T
 N
 H
 X
Vehicle Class:
Endorsements:
(Indicate the highest level of class you have been driving)
Transfer of School Bus (S) and/or Passenger (P)
endorsements under this Waiver Program is prohibited
In compliance with Title 49 CFR 383.77, I certify that during the 2-year period immediately preceding this date:
I have not had more than one driver’s license in more than one jurisdiction at one time.
I have not had any license suspended, revoked or cancelled.
I have not had any convictions for any of the disqualification offenses listed below:
 Alcohol or drug related offenses
 Leaving the scene of an accident
 Commission of a felony involving the use of a motor vehicle
 Use of a motor vehicle in a felony involving the manufacture, distribution, or dispensing of a controlled substance
 Violations of state or local law relating to motor vehicle traffic control (other than a parking violation) arising in connection with any
traffic accident and have no record of an accident in which I was at fault
I have not had more than one (1) conviction for any serious violation listed below
Following a vehicle ahead too closely
Any violation for Railroad Highway Grade Crossing
Reckless driving
Driving a CMV without obtaining a CDL
Improper or erratic lane changes
Violation arising in connection with a fatal accident
Excessive speeding (15 mph or more above the
Driving a CMV without the proper class of CDL and/or endorsements for the
posted speed limit)
specific vehicle group being operated or for the passengers or type of cargo
being transported
Driving a CMV without a CDL in my possession (An individual shall not be guilty of this offense if he/she provides proof that
he/she held a valid CDL on the date the citation was issued; proof must be provided to the law enforcement authority who
issued the citation before the individual’s court appearance date or before the deadline to pay any fine for the cited violation.)
In compliance with NRS 483.330, I also certify that:
 I have not had my license or privilege to drive a motor vehicle suspended, revoked, or cancelled during the immediately preceding
4 years
 I have not been convicted of a violation of NRS 484C.130 (vehicular homicide)
 I have not been convicted of a violation of driving under the influence of alcohol or drugs during the immediately preceding 7 years
 I have not had three (3) or more convictions of moving traffic violations during the immediately preceding 4 years
 I have not been convicted of any of the offenses related to the use or operation of a motor vehicle which must be reported to the
National Driver Register Problem Driver Pointer System during the immediately preceding 4 years (pursuant to 23 CFR 1327 et seq.)
In compliance with Title 49 CFR 383.77, I also certify that:
I am or was within the past one year regularly employed in a military position requiring operation of a commercial motor vehicle;
and
For at least two years immediately preceding discharge from the military, I operated a vehicle of the same class and type as the one I
want to be licensed to drive.
I certify under penalty of perjury that I am qualified for the waiver of my driving skills tests and that the information
I have provided is true and correct to the best of my knowledge, information, and belief.
Driver’s signature:
Date:
Page 1 of 2
CDL-004 (Revised 4/2016)

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