Form Cdl 5 PDF Details

For individuals venturing into the realm of commercial driving in North Carolina, the CDL-5 form represents a crucial initial step. Revamped in January 2012, this document serves multiple purposes, including applications for new licenses, renewals, and duplicates. It encompasses a variety of critical information such as personal identification, licensing details, and a section dedicated to medical certification - all tailored to ensure compliance with federal and state regulations. Applicants face the task of disclosing their residency, driving history across states within the past decade, and confirming their eligibility under specific operation categories defined by the federal code. Furthermore, they must attest to their current licensing status, vouch for the absence of any disqualifications, and when necessary, affirm that the vehicle used for the skills test aligns with the type of commercial vehicle they intend to operate. The form captures the essence of a rigorous vetting process, aiming for safety and legality in commercial driving operations. It not only establishes a foundational record for the North Carolina Department of Transportation but also solidifies the applicant's commitment to adhering to the high standards set forth for commercial drivers. The declaration sections at the end of the form highlight the seriousness of the application process, ensuring that all information provided is accurate and acknowledging the consequences of falsehoods. This form stands as a testament to the meticulous procedures designed to maintain the integrity and safety of commercial driving.

QuestionAnswer
Form NameForm Cdl 5
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescdl certification form, cdl 5 form, cdl carolina district, ncdot cdl forms

Form Preview Example

CDL-5 (Rev. 1/12)

State of North Carolina

District _____

North Carolina Department of Transportation

Station

_____

Division of Motor Vehicles

RACF

_____

 

APPLICATION / CERTIFICATION

FOR COMMERCIAL DRIVER LICENSE

Original

Name(Last)

Renewal

(First)

Duplicate

(Middle)

(Suffix)

North Carolina License Number:

Race:

White

Black

American Indian

Other

Hair Color:

Blonde

Black

 

Gray

White

 

Brown

Sdy

Residence Address:

 

 

 

Social Security Number:

 

 

 

 

Sex:

 

Height:

 

 

 

 

 

 

Male

Female

 

Ft.

In.

Red

Eye Color: Blue

 

Gray

Bald

Pink

 

Black

 

 

 

Dichromatic

 

Other

 

 

 

 

 

 

 

Mailing Address:

Date of Birth:

U.S. Citizen

Yes No

Hazel

Green

Brown

City:

 

 

State:

Zip:

County:

City:

 

State:

 

Zip:

 

 

 

 

 

 

 

 

 

Class CDL Applying For

 

Endorsements

 

 

 

 

A

B

C

 

H T S P

N X

M

 

 

Are you transferring to North Carolina? Y

N

 

 

 

 

 

If yes, list all states and license numbers where you have been licensed in the last 10 years.

 

Previous State and Number

Previous State and Number

Previous State and Number

 

County:

Organ Donor

Yes No

Previous State and Number

Previous State and Number

Previous State and Number

Previous State and Number

Previous State and Number

INITIAL BELOW: All applicants must certify to Items 1, 2, 3 or 4, whichever is applicable.

You must certify that you operate or expect to operate in one of the following applicable certifications.

1.________NON-EXCEPTED INTERSTATE: operates or expects to operate in interstate commerce, is both subject to and meets the qualification requirements under 49 CFR part 391, and is required to obtain a medical examiner’s certificate by 391.45.

2.________EXCEPTED INTERSTATE: operates or expects to operate in interstate commerce, but engages exclusively in transportation or operations excepted under 49 CFR 390.3(f), 391.2, 391.68 or 398.3 from all or parts of the qualification requirements of 49 CFR part 391, and is, therefore, not required to obtain a medical examiner’s certificate.

3.________NON-EXCEPTED INTRASTATE: operates only in intrastate commerce and, therefore, is subject to State driver requirements.

4.________EXCEPTED INTRASTATE: operates in intrastate commerce but, engages exclusively in transportation or operations excepted from all or parts of the State driver qualification requirements.

All applicants must initial Items 5 and 6. Only initial line 7 when a skills test is required.

5.________I certify that I am not subject to disqualification under Title 49, Code of Federal Regulations, Part 383.51, of any license suspension, revocation, or cancellation under State Law.

6.________I certify that I do not have a driver’s license from more than one state or jurisdiction.

7.________I certify that the vehicle in which I will take the commercial motor vehicle skills test is representative of the type and size motor vehicle I operate or expect to operate.

I certify that the information provided in this application is correct and true to the best of my knowledge. My signature represents consent to release my driving record information. I understand that supplying false information may result in the suspension of my driving privilege. I also understand that the application fee required when submitting this application is non-refundable, and all test scores are valid for 90 days.

Signature:

 

Date:

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Simple tips to fill in cdl 5 form step 1

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Completing section 2 of cdl 5 form

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How to fill out cdl 5 form portion 3

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