Application For Chauffeur License Form PDF Details

The Application for Chauffeur License, a document issued by the State of Rhode Island - Division of Motor Vehicles, demands meticulous attention to detail from all applicants aspiring to operate vehicles in a professional capacity. With clear instructions to use only blue or black ink, the application encompasses several critical sections including personal information, specific questions related to the chauffeur license, and the necessity for three character references, each affirming the applicant's integrity and reliability. Furthermore, the form stipulates that all applicants must disclose any past convictions or driving impairments that might affect their eligibility. For those applying from outside the state, it mandates the submission of both a state and local BCI check along with a driving record, not older than 60 days. Rhode Island residents, upon approval, must surrender their Operator’s License in exchange for the Chauffeur License. This comprehensive form not only serves as a means to vet potential chauffeurs but also emphasizes the importance of character, legal compliance, and driving capability in ensuring public safety on the roads. Additionally, the application process involves a declaration signed under penalty of perjury, emphasizing the serious commitment required by applicants. It is a crucial step for ensuring that only qualified individuals are entrusted with the responsibility of transporting passengers safely.

QuestionAnswer
Form NameApplication For Chauffeur License Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesRhode_Island, Cranston, chauffeur license, chauffeur's license ri

Form Preview Example

State of Rhode Island - Division of Motor Vehicles

 

Application for Chauffeur License

Chauffeur Application

http://www.dmv.ri.gov

USE BLUE OR BLACK INK ONLY

rev: 09/10.2

Page 1 of 2

Transaction Type (Please Select One)

CHAUFFEUR LICENSE (complete sections A, B, C, D)

Type of vehicle you will be driving:

JITNEY

BUS

 

 

Please check box below if applying for a CDL

 

 

Passenger endorsement (P):

TAXICAB

PUBLIC LIVERY

CDL: PASSENGER

 

 

A.

Applicant’s Information (All Fields Are Mandatory)

 

 

LAST NAME:

FIRST NAME:

MIDDLE NAME:

SUFFIX:

ANY FORMER NAME: PLEASE PRINT

OPERATOR’S LICENSE NUMBER:

RESIDENCE ADDRESS:

CITY/TOWN:

STATE:

ZIP:

 

 

 

 

PREVIOUS RESIDENCE ADDRESS:

CITY/TOWN:

STATE:

ZIP:

(IF WITHIN THE PAST 10 YEARS)

 

 

 

 

 

 

 

MAILING ADDRESS: (IF DIFFERENT FROM RESIDENCE)

CITY/TOWN:

STATE:

ZIP:

DATE OF BIRTH: (MM/DD/YY)

PLACE OF BIRTH: (CITY/TOWN, STATE, PROVINCE OR COUNTRY)

SEX:

MALE FEMALE

WEIGHT:

_____________ LBS

HEIGHT:

_______ FT _______ IN

EYE COLOR: (Check one)

BROWN

GREEN

GRAY

DICHROMATIC

BLUE

BLACK

HAZEL

PINK

HAIR COLOR: (Check one)

BLACK

BROWN

WHITE BALD

BLONDE

RED

GRAY

B.Chauffeur License Questions

1. Is your license or right to operate a vehicle currently

 

 

suspended, revoked or refused by this or any other

YES

NO

state?

 

 

 

 

 

2. Have you ever been convicted before any court

YES

NO

for any offense?

If yes, please explain: __________________________

 

 

____________________________________________

 

 

 

 

 

3. Do you have any conditions (other than eyesight) that

YES

NO

Could impair your ability to drive a motor vehicle?

 

 

If yes, please explain: __________________________

 

 

TO BE COMPLETED BY OUT-OF-STATE TRANSFERS ONLY

5.Have you ever held a license in any other state?

If yes, what is the most recent state? ____________

License Number:______________________

Exp. Date: _____________

Endorsements: _______________________________

Restrictions: _________________________________

YES

NO

 

____________________________________________

 

 

 

 

 

 

4.

Have you ever held a license to operate a motor vehicle

YES

NO

 

in this state?

 

 

 

 

If yes, how long: _______________

 

 

6.

Are you a US Citizen?

YES

NO

7.

Are you a Rhode Island resident?

YES

NO

8.

Do you use any type of corrective lenses while driving?

YES

NO

Non-Rhode Island residents must submit a certified STATE and LOCAL BCI check and a certified copy of their driving record. Neither document can be more than 60 days old. Documents should be submitted with application. This application, duly filled out, must be presented by applicant to the Rhode Island Division of Motor Vehicles, 600 New London Avenue, Cranston, R.I. 02920. It is the applicants’ responsibility to have their Police Chief complete their Police Department check. Residents of Rhode Island must return their R.I. Operator’s License when the Chauffeur License is issued.

Applicants for the chauffeur license are required to have three (3) references, signed by responsible persons, attesting to the applicant’s good character and habits. Persons attesting to the applicant’s character are subject to penalties.

C.Three References

REFERENCE 1

I, the undersigned, have known __________________________________ for ______________ years and know him/her to be honest, sober and of

good character and habits.

SIGNATURE:

TELEPHONE:

OCCUPATION:

RESIDENCE ADDRESS:

CITY/TOWN:

STATE:

ZIP:

CONTINUED ON BACK

*

Page 2 of 2

C.Three References (continued)

REFERENCE 2

I, the undersigned, have known __________________________________ for ______________ years and know him/her to be honest, sober and of

good character and habits.

SIGNATURE:

TELEPHONE:

OCCUPATION:

RESIDENCE ADDRESS:CITY/TOWN:STATE: ZIP:

REFERENCE 3

I, the undersigned, have known __________________________________ for ______________ years and know him/her to be honest, sober and of

good character and habits.

SIGNATURE:

TELEPHONE:

OCCUPATION:

RESIDENCE ADDRESS:

CITY/TOWN:

STATE:

ZIP:

NOTE:

All chauffeur applicants are required to get an original Criminal Background Report (BCI) from

the Rhode Island Attorney General’s Office, located at 150 South Main Street, Providence, RI 02903.

D.Signature: Authorization For Release Of Information

I, the undersigned, hereby make application for chauffeur license, and declare under penalty of perjury that all statements made on this application are true and complete to the best of my knowledge and belief. As part of this application process, the Division of Motor Vehicles will make inquiries to federal, state and local law enforcement agencies as to criminal background information as well as motor vehicle information in order to determine the fitness and competency of the applicant to hold a chauffeurs license.

I, _________________________________________________________ voluntarily consent to the disclosure and release any and all information with

the above stated agencies.

Applicant Signature: _____________________________________________________________________

Subscribed and signed before me this__________ day of _____________________________, 20_______.

Notary Public Signature: _____________________________________________________________________ Commission Exp. _____________

 

FOR DMV USE ONLY

 

 

DATE ISSUED: ________________

 

1.

Application completed in full

4.

DMV Background Approval

 

 

GRANTED FOR: _______________________________________

2.

Signature and notary

5.

Clerk of Hearing Officer initials

3.

Police approval

6.

Signature of Issuing Clerk

 

 

PENDING: ____________________________________________

SIGNATURE: __________________________________________

Date: _________________________

*

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