Dl 398 Form PDF Details

Dl 398 form is an important document that needs to be completed accurately and submitted to the Social Security Administration. This form is used to report changes in your name, address, or other information that may impact your eligibility for benefits. It's crucial that you submit a completed dl 398 form to the SSA as soon as possible to ensure that your benefits are not impacted. For more information on how to complete and submit this form, please visit our website. Thank you for choosing our company as your source of information on this important topic!

QuestionAnswer
Form NameDl 398 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCDl, DL-398, military, DL-31CD

Form Preview Example

DL-398(11-13)

MILITARY COMMERCIAL DRIVER’S LICENSE (CDL) SKILLS TEST WAIVERAPPLICATION

MUST BEAPENNSYLVANIARESIDENT TOAPPLY

Per 49 CFR 383.77, the Commercial Driver License (CDL) skills test waiver form may be used by service members who are currently licensed and who are or were employed within the last 90 days in a military position requiring the operation of a military motor vehicle equivalent to a Commercial Motor Vehicle (CMV). This waiver allows a qualified service member to apply for a CDL without skills testing provided there is sufficient evidence to support the waiver. CDL knowledge (written) test(s) cannot be waived. The transfer of School Bus(S) and/or Passenger (P) endorsements under this Waiver Program are prohibited. For supporting documents needed to support a waiver please visit www.dmv.state.pa.us

A

APPLICANT INFORMATIONList all information as it appears on your Pennsylvania Driver’s License or Learner’s Permit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S LICENSE NUMBER

 

LAST NAME

 

 

 

 

JR./ETC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

MIDDLE NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

TELEPHONE NUMBER (8:00 a.m. to 4:30 p.m.)

E-MAILADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MONTH

DAY

YEAR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESIDENCE ADDRESS (STREET)

 

 

 

CITY

STATE

ZIP CODE

 

COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAILING ADDRESS (STREET)

 

 

 

CITY

STATE

ZIP CODE

 

COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

B

DRIVER RECORD CERTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

During the 2-year period immediately preceding this date:

 

 

 

 

 

 

 

•

Have you had more than one license (except for a military license)?

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

•

Has your license been suspended, revoked, cancelled or disqualified in this or any state? . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

Have you been convicted of any violations described below in any type of motor vehicle?

 

 

 

 

 

•

Being under the influence of alcohol as prescribed by state law

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

•

Being under the influence of a controlled substance

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

•

Having an alcohol concentration of 0.04 or greater while operating a CMV

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

•

Refusing to take an alcohol test as required by a State jurisdiction under its implied consent laws or

 

 

 

 

 

 

regulations as defined in 49 CFR 383.72

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

• Leaving the scene of an accident

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

•

Using the vehicle to commit a felony (other than manufacturing, distributing or dispensing a controlled substance)

.YES

NO

 

•

Driving a CMV while your CDL is revoked, suspended, cancelled; or you are disqualified from operating a CMV

. .YES

NO

 

•

Causing a fatality through the negligent operation of a CMV (including motor vehicle manslaughter, homicide

 

 

 

 

 

 

by motor vehicle, or negligent homicide)

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

•

Using the vehicle in the commission of a felony involving manufacturing, distributing, or dispensing a controlled

 

 

 

 

 

 

substance

. . . . . . . . . .

. . . . . . . .

. . .

. . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

Haveyouhadmorethanoneconvictionforanyoftheviolationsdescribedbelowinanytypeofmotorvehicle?

 

 

• Speeding in excess of 15 mph or more above the posted speed limit

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

•

Driving recklessly, as defined by State or local law or regulation (including offenses of driving a motor vehicle

 

 

 

 

 

 

in willful or wanton disregard for the safety of persons or property)

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

• Making improper or erratic lane changes

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

•

Following the vehicle ahead too closely

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

•

Violating State or local law relating to motor vehicle traffic control (other than a parking violation) arising in

 

 

 

 

 

 

connection with a fatal accident

YES

NO

 

• Driving a CMV without obtaining a CDL

. . . . . . . . . . . . . . . . . .

YES

NO

 

• Driving a CMV without a CDL in the driver’s possession

. . . . . . .

. . . . . . . . . . . . . . . . . .

YES

NO

 

•

Driving a CMV without the proper class of CDL and/or endorsements for a specific vehicle group being operated

 

 

 

 

 

 

or for the passengers or type of cargo being transported

. . . . . . .

. . . . . . . . . . . . . . . . . .

YES

NO

 

•

Violating a State or local law or ordinance on motor vehicle traffic control prohibiting texting while driving

. .

YES

NO

 

•

Violating a State or local law or ordinance on motor vehicle traffic control restricting or prohibiting the use of a

 

 

 

 

 

 

hand held mobile telephone while driving

. . . . . . . .

. . . . . . . . . . . . . . . .

. .

YES

NO

 

Have you had any conviction for a violation of military, state or local law relating to motor vehicle traffic

 

 

 

 

 

control (other than parking violation) arising in connection with any traffic accident and have no record

 

 

 

 

 

of an accident in which you were at fault?

. . . . . . . . . . . . . . . . . .

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

D

CERTIFICATION OF DRIVING EXPERIENCE

Have you been regularly employed or were you regularly employed within the last 90 days in a military position

 

 

requiring the operation of a military motor vehicle that was representative of a commercial motor vehicle (CMV)?

. . .YES

NO

Were you exempted from the CDL licensing requirements for driving a military vehicle on state roads and

 

 

highways in accordance with 49 CFR §383.3 (c)?

. . . . . . . . . . . . . . .

. . .YES

NO

Have you operated a military motor vehicle representative of the commercial motor vehicle (CMV) that you operate

 

or expect to operate, for at least the 2 years immediately preceding discharge from the military?

. . .YES

NO

Are you an active or reserve member of any branch or unit of the armed forces of the United States or a veteran

 

 

who received an honorable discharge from any branch or unit of the active or reserve components of the armed

 

 

forces of the United States?

. . . . . . . . . . . . . . . .

. . .YES

NO

 

 

I certify under penalty of perjury that the information on this form is true and correct to the best of my knowledge, information and belief.

 

 

 

 

APPLICANT’S SIGNATURE

DATE

 

 

 

 

 

 

COMMANDING OFFICER’S CERTIFICATION OF COMMERCIAL DRIVING EXPERIENCE

COMMANDING OFFICER’S NAME (LAST, FIRST, MIDDLE)

 

 

 

 

TELEPHONE NUMBER

 

 

 

 

 

 

 

STREETADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE

 

ZIP CODE

 

COUNTY

 

 

 

 

 

 

 

SERVICE MEMBERS DATE OF QUALIFICATION

 

 

EXPIRATION DATE (US Gov’t Motor Vehicle Operator Identification Card / License)

FROM

TO

 

 

 

 

 

 

 

 

 

 

 

SERVICE MEMBERS NAME

Circle the highest class of vehicles the service member has been driving:

CLASS

VEHICLE DESCRIPTION

EXAMPLE OF VEHICLES IN GROUP

*5th WHEEL - Truck Tractor/Semitrailer Any combination of vehicles with a GCWR of

A26,001 or more pounds provided the GVWR of the vehicle(s) being towed is in excess of 10,000 pounds.

* PINTLE HOOK - Truck Trailer Combination Any combination of vehicles with a GCWR of

A26,001 or more pounds provided the GVWR of the vehicle(s) being towed is in excess of 10,000 pounds.

 

Any single vehicle with a GVWR of 26,001 or

B

more pounds or any such vehicle towing a

 

vehicle not in excess of 10,000 pounds GVWR.

The vehicle the service member operates is equipped with a full air brake system:

. . . . . . . . . . . . . . . . YES

NO

The vehicle the service member operates is equipped with an air-over-hydraulic braking system:

. . . . . . . . . . . . . . . . YES

NO

The transmission in the vehicle the service member operates is:

AUTOMATIC MANUAL

I certify that the service member named on the front of this document is/was assigned in a job/assignment requiring the operation of a commercial motor vehicle, the service member’s driving experience has been verified; and the information provided herein is true and correct to my knowledge, information and belief. I also certify that I am an officer of theArmed Forces with the authority to administer oaths; and who has the general powers of a notary public.

PRINT COMMANDING OFFICER’S NAME/RANK

DATE

SIGNATURE

DATE

Authority ofArticle 136, Uniform Code of Military Justice or 10 U.S.C. 1044A

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