Form Ta W6818 PDF Details

In the world of specialized vehicle operation, particularly on the vast network of the New York State Thruway Authority system, navigating the complexities of compliance with federal and state regulations is paramount for drivers and companies alike. The TA-W6818 form stands as a crucial document in this landscape, serving as the application for obtaining a Special Permit to Operate Longer Combination Vehicles (LCV)/Tandems. This form encapsulates a detailed process that ensures applicants have met the stringent requirements set forth under the Federal Motor Carrier Safety Regulations, 49 CFR Part 380, prior to permit issuance. Among these stipulations is the necessity for original signatures to validate the authenticity of the information provided by the applicant, who must declare their compliance with these standards. The application process is comprehensive, requiring a non-refundable fee, a ten-year motor vehicle driver's abstract, accident reports spanning the last five years, and valid medical and commercial driver's licenses, alongside a thorough review of the driver's experience and history of traffic offenses and accidents. Moreover, the form engages with the certification process, where the employer validates the driver's eligibility and qualifications for operating LCV/Tandems, further anchoring the form's role in fostering safety and accountability on the Thruway. Through its detailed requirements and structured application process, the TA-W6818 form embodies the collaborative effort between drivers, companies, and regulatory entities to uphold the highest standards of safety and compliance on New York's thoroughfares.

QuestionAnswer
Form NameForm Ta W6818
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesTandems, false, LCV, TAP-602

Form Preview Example

TA-W6818 (12/2013)

New York State Thruway Authority

 

 

 

Page 1 of 2

Department of Maintenance and Operations

 

 

 

 

Office of Traffic Management

 

 

 

 

 

F

 

 

P.O. Box 189

 

 

 

 

 

 

 

Albany, NY 12201-0189

 

 

 

 

APPLICATION FOR SPECIAL PERMIT TO

 

 

 

 

FORM MUST HAVE

 

OPERATE LCV/TANDEM VEHICLES

ORIGINAL SIGNATURES

The company applicant desiring to operate longer combination vehicles (LCV)/tandems is required to meet the Federal Motor Carrier Safety Regulations under 49 CFR Part 380. By signing this form, the company applicant attests that the terms under 49 CFR Part 380 are met or will be completed within 30 days of issuance of the Special Permit to Operate LCV/Tandem Vehicle(s) on the New York State Thruway Authority System.

INSTRUCTIONS:

 

Complete applicable fields and mail completed form along with the following to the address above:

-

Non-refundable $15.00 application fee (check or

Out of State Drivers Only:

 

money order payable to NYS Thruway Authority)

- Motor Vehicle Driver's Ten Year Abstract (original, certified copy

-

Accident Reports (for last five years)

dated within last three months)

-

Valid Medical Examiner's Certificate (photocopy accepted) -

Commercial Driver License (photocopy accepted)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section I

 

Driver Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver License No.

 

 

 

State

 

License Expiration Date

CDL Double/Triple Endorsement

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

Date of Birth

Current LCV/Tandem Permit No.

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address/P.O. Box No.

 

 

 

 

 

Date of Last Medical Examination

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

Zip Code

 

Type of Application

 

 

 

 

 

 

 

 

 

 

New

Renewal

Second Company

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employed By

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Company

 

 

 

 

 

2nd Company

 

 

 

 

 

List tractor trailer driving experience only. Minimum of five (5) years experience required. (Attach additional sheets if necessary.)

From

 

To

 

Yrs.

Mos.

 

Employer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Combination

Vehicle Generally

Operated

Total =

If license to drive issued by any state has ever been revoked or suspended, furnish information requested below:

Date

State

Reason (indicate whether revoked or suspended)

Date Reinstated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List traffic or driving offenses during last 5 years. List latest first. Include offenses committed in private vehicles.

Date

Location

 

Offense

 

Disposition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List all reportable accidents during last 5 years, and attach a copy of accident report for each. List latest first. Include all accidents in which

you were involved while operating private vehicles.

 

 

Number

Amount of

 

 

 

 

 

Date

Location

Injured or Fatal

All Damages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TA-W6818 (12/2013) Page 2 of 2

APPLICATION FOR SPECIAL PERMIT TO

OPERATE LCV/TANDEM VEHICLES

Section II Certification(s)

It is hereby requested that a permit be issued to the foregoing driver for LCV/tandem operation on the New York State Thruway. I certify that this driver: is an employee of this company; is qualified to operate a LCV/tandem vehicle; has met, or will complete within 30 days, the Federal Motor Carrier Safety Regulation 49 CFR Part 380 requirements, and that the foregoing information is true to the best of my knowledge.

First Company Name

Federal ID No.

Name (Please type or print)

Signature

Title

USE ONLY FOR LEASED DRIVERS:

Second Company Name

Federal ID No.

Name (Please type or print)

Signature

Title

The driver is an employee of

 

 

, a driver leasing company under contract with

the above certified LCV/tandem company.

(Name of Leasing Company)

I hereby certify that I am the driver named in the foregoing statement and that the information contained herein is true and complete to the best of my knowledge, information, and belief. I understand that any false or misleading statement or omission herein may result in the rejection of this application for one year and any other penalties in such case provided. I have listed all of my traffic or driving offenses, and all accidents in which I have been involved as a driver during the past five years, regardless of whether or not such offenses or accidents occurred while I was driving my own or another privately owned vehicle. I understand that such accidents or offenses will be considered by the Authority in the issuance of the permit and that the permit may be revoked if I, at any time, no longer meet the requirements.

I further certify that I have read and I understand all of the LONGER COMBINATION VEHICLE (LCV)/TANDEM PROVISIONS (TAP-602), including the provision which limits their speed to 65 miles per hour or to lower posted speeds. I further certify that I have also read, understand, and realize I am governed by the New York State Transportation Law, Sections 211 and 212, and the Thruway Authority Rules and Regulations.

Driver Signature

Driver Name (please print or type)

Date

Notification Required Under Personal Privacy Protection Law

The information you are providing on this application is being requested pursuant to New York State Public Authorities Law for use in connection with issuing permits to LCV/tandem drivers.

The information contained herein will be kept in hard copies and/or computerized files, at the Authority's discretion and will be maintained by the Traffic Program Supervisor or Designee; New York State Thruway Authority, 200 Southern Boulevard, Albany, NY 12209, (518) 436-2816.

How to Edit Form Ta W6818 Online for Free

Whenever you would like to fill out TAP-602, you don't need to download any applications - simply try our online PDF editor. In order to make our tool better and easier to use, we continuously design new features, with our users' suggestions in mind. With just a few easy steps, you are able to start your PDF editing:

Step 1: Click on the "Get Form" button at the top of this page to access our PDF tool.

Step 2: This editor will allow you to modify your PDF file in a variety of ways. Transform it by adding any text, correct original content, and include a signature - all when it's needed!

To be able to finalize this form, ensure that you provide the right details in every single area:

1. It's very important to fill out the TAP-602 accurately, therefore be careful while filling in the sections containing all of these blanks:

Stage # 1 for filling in LCVs

2. Once your current task is complete, take the next step – fill out all of these fields - Date, State, Reason indicate whether revoked or, Date Reinstated, List traffic or driving offenses, Date, Location, Offense, Disposition, List all reportable accidents, Date, Location, Injured or Fatal, Number, and Amount of All Damages with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Stage number 2 in filling in LCVs

Be really attentive when filling in Reason indicate whether revoked or and Date, as this is the part in which many people make some mistakes.

3. This next part will be focused on First Company Name, Second Company Name, Federal ID No, Federal ID No, Name Please type or print, Name Please type or print, Signature, Title, Signature, Title, USE ONLY FOR LEASED DRIVERS, The driver is an employee of, the above certified LCVtandem, Name of Leasing Company, and a driver leasing company under - fill in all of these blanks.

LCVs conclusion process described (stage 3)

4. This specific section comes with the following empty form fields to look at: Driver Signature, Driver Name please print or type, Date, Notification Required Under, and The information you are providing.

Date, Notification Required Under, and Driver Name please print or type inside LCVs

Step 3: Check the details you have inserted in the blank fields and then hit the "Done" button. Join us today and immediately get TAP-602, set for download. Every edit made is conveniently kept , making it possible to change the file at a later point anytime. We don't share any details that you use while dealing with documents at our website.

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