Form DL 170 ETP at a glance
What it is: The Certificate of Driving Skill is a form to be used by ETP participants only.
Where and when to file: This certificate is valid for one year from the drive test date. Return the original copy of this form to a Department of Motor Vehicles (DMV) office unless DMV tells you to mail it to Sacramento. Make a copy for your records. If you have questions, please call the Employer Testing Program Unit at (916) 229-3154.
A filled-in Form DL 170 ETP example: a driver tested in a Class B truck
How to fill out Form DL 170 ETP, box by box
Section 1: the driver
The driver completes Section 1.
Print the driver name (First, Middle, Last) and the driver license number.
Enter the address, city, state and zip code.
Enter the home telephone number and the work telephone number.
Enter the employment date with this company (required): MO, DA and YR.
The driver's certification
The driver certifies under penalty of perjury under the laws of the State of California that the information is true and correct, that the driver is employed by the employer named on this form, has attended driver training and has passed the employer's driving test(s). The driver understands that the driver may be required to pass a DMV administered test, at DMV's discretion, and that if the employer's drive test(s) does not meet DMV's requirements and standards the driver will be required to retest or the commercial driver license will be downgraded to the previous class. Enter EXECUTED AT (CITY, COUNTY) and the driver signs.
You may be required to pass a DMV administered test at DMV's discretion.
Section 2: the type of vehicle
The examiner completes Section 2.
The driver passed a drive test(s) in the following type vehicle(s) on the blank line to fill in: Class A non-passenger vehicle, Class A tractor trailer bus, Class B non-passenger vehicle, or Class B bus or van or Class B school bus (school bus mechanics only). It is designed to carry 11-15 passengers, including the driver [Restriction 42(M) with GVWR of 26,001 lbs. or more, 49(N) with GVWR of 26,000 lbs. or less, 74 or 75]. Or it is designed to carry 16 or more passengers, including the driver, with a GVWR of 26,000 lbs. or less [Restriction 49(N), 76]. Or it is designed to carry 16 or more passengers, including the driver, with a GVWR of 26,001 lbs. or more [Restriction 42(M)].
You may not drive a school bus unless you passed a drive test in a school bus and have a school bus endorsement.
This form cannot be used to qualify for a Commercial Class C driver license.
Section 2: restrictions and route approval number
The vehicle(s) is: restricted from operating a tractor-trailer combination connected by a fifth wheel [Restriction 60(O)]; does not have air brakes [Restriction 48(L)]; is equipped with air brakes (law test required); may not operate a full air brake equipped vehicle [Restriction 61(Z)]; is a 3-axle vehicle with a GVWR between 6,000-26,000 lbs. (Restriction 79-Class B vehicles only); has an automatic transmission [Restriction 64(E)].
Enter the DMV route approval number, the vehicle license number(s) and the trailer ID plate number(s).
A separate and complete drive test is required to remove a restriction or add a Passenger Endorsement.
The examiner's certification
The examiner certifies under penalty of perjury under the laws of the State of California that the information provided is true and correct, that the examiner has the appropriate class of commercial license for the test vehicle, and has administered a drive test(s) which meets DMV's drive test requirements and standards in the vehicle(s) identified on this form. Enter EXECUTED AT (CITY, COUNTY) and the examiner signs.
Print the examiner printed name and the examiner's driver license number.
Section 3: the employer's representative
The authorized representative of the employer completes Section 3 and certifies under penalty of perjury under the laws of the State of California that the information provided is true and correct. The representative also certifies that the driver is employed by this employer and is required to operate Commercial Class A or B vehicles in the course of employment, and has attended the required training and passed a drive test(s) which meets DMV's drive test requirements and standards. Enter EXECUTED AT (CITY, COUNTY) and the authorized representative signs.
Print the authorized representative's printed name, the representative's driver license number and the phone number where the representative can be reached.
Enter the employer name, employer address, city, state and zip code.
More rules for Form DL 170 ETP
Keep a copy of this form for a minimum of three years from the date the driver is no longer in your employ.
A separate DL 170 ETP is required for each class of drive test if drive test dates or examiners are different.
Issue a DL 170 ETP only to drivers who are employed by you at the time the certificate is issued, have taken the required training, and have taken a drive test equivalent to DMV's drive test requirements and standards.
A drive test is required for each DL 170 ETP issued.
If the drive test administered by your employer does not meet DMV requirements and standards, you may be required to retest to retain your commercial license status.
Sources
[1] Form DL 170 ETP (REV. 10/2017), Certificate of Driving Skill, California Department of Motor Vehicles (the Official source link on this page).