Massdot Cdl Road Test Application PDF Details

For individuals in Massachusetts seeking to obtain or upgrade their Commercial Driver's License (CDL), the MassDOT CDL Road Test Application form is a key part of the process. This form serves as a comprehensive application that must be completed and submitted prior to taking the CDL road skills test. It encompasses sections that capture applicant information, such as name, date of birth, current driver's license details, and social security number. Additionally, it asks for the specific CDL endorsements the applicant is applying for, including license classes A, B, or C, and any special endorsements like Air Brakes, Passenger, or School Bus. The form also delves into mandatory questions related to previous licenses held, any impairments that could affect driving ability, current medications, compliance with Federal Motor Carrier Safety Regulations, and any current suspensions or disqualifications that could affect eligibility. A unique aspect of this process involves the sponsor information section, highlighting the responsibility of the sponsor during the road test. Vehicle requirements are meticulously outlined to ensure that vehicles used for the test are suitable and compliant with state regulations. The document further extends into instructions for the examiner to fill during the test, detailing parts of the test, pass/fail criteria, and reason for failure or rejection, if any. Finally, it concludes with the necessity for applicants to meet specific requirements and provide a sworn statement regarding the truthfulness of the application, underscoring the seriousness and legal obligations entailed in acquiring a CDL. Through this form, applicants and the state work together to ensure that only qualified individuals are granted the privilege to operate commercial vehicles, enhancing road safety for everyone.

QuestionAnswer
Form NameMassdot Cdl Road Test Application
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescdl test application, massachusetts road test application form, cdl road test application, ma cdl road

Form Preview Example

CDL Road Test Application

Save time, go to mass.gov/RMV to apply online!

A. Applicant Information

Last Name

First Name

Middle Name

Suffix

Date of Birth (MM/DD/YYYY)

Current Massachusetts Learner’s Permit or Driver’s License # (if applicable)

What is your Social Security Number?

Residential Address (Where you actually reside)

Street

Apt. #

City

State

 

 

Zip Code

Mailing Address

 (same as above)

 

 

 

 

 

Street

Apt. #

City

State

Zip Code

B. Service Type

CDL endorsements applying for:

License Class: A B C

 Air Brakes Combo Passenger School Bus Motor Bus

C. Mandatory Questions (Use additional paper if needed for these questions)

1.

 Yes

In the past 10 years, have you held any class of driver’s

license in another state, country, or jurisdiction? List any

 

 No

 

current license/permit also.

 

If yes, where?

Class of License

License #

____________________

_____________

_______________________

____________________

_____________

_______________________

You may use additional paper if necessary

 

 

 

 

2.

 Yes

Do you have a cognitive, neurologic, physical, or any other

impairment that may affect your functional ability to

 

 

No operate a motor vehicle safely? (for information on medical standards related to driver’s licenses, visit mass.gov/rmv)

3.  Yes

Are you currently taking any medication that may affect

your ability to safely operate a motor vehicle? (for

 

 No

information on medical standards related to driver’s licenses,

 

visit mass.gov/rmv)

4.  Yes

 

Are you subject to any driver disqualification under 49

 No

CFR Section 383.51 of the Federal Motor Carrier Safety

Regulations and MGL Chapter 90F Section 9?

 

5. Yes Is your license or RIGHT to operate suspended,

 No

revoked, canceled, withdrawn, or disqualified here or

in another state, country, or jurisdiction?

 

If yes, where? ________________________________________________

Why? ______________________________ Exp.Date:_______________

(Note: If you answered yes, additional documentation may be required)

6.Yes Do you meet all the driver qualification requirements of

the Federal Motor Carrier Safety Regulations, 49 CFR No Part 391?

D. Sponsor Information

Please be aware that as a sponsor you are subject to Chapter 90 Section 8B, which states in part:

“Such licensed operator shall be liable for the violation of any provision of this chapter, or of any regulation made in accordance herewith, committed by such persons with a learner’s permit; provided, however, that an examiner in the employ of the Registrar, when engaged in his official duty, shall not be liable for the acts of any person who is being examined by said examiner.”

Sponsors must also meet the following requirements:

1.Be at least 21 years old.

2.Have a valid U.S. Commercial Driver’s License with proper endorsements for the class of vehicle that you are using.

3.Have a current DOT medical card. (If the sponsor does not have a current DOT medical card, he/she will be subject to a fine.* The test, however, will still proceed.)

*A DOT medical card is not required for a state or municipal employee using a state or municipal vehicle.

Sponsor License Number

Expiration (MM/ DD/ YYYY)

Class

State

Sponsor Printed Name

Sponsor Signature

Date (MM/DD/YYYY)

Bus Company (if applicable)

Bus Company Contact Information (if applicable)

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Please complete reverse side

RDT104_0120

E. Vehicle Information

Vehicles used for a Class A, B, or C road test must meet the following requirements. Vehicles not meeting the following requirements will be refused/rejected.

 Represent the type and class of vehicle you will be driving when you

 Have a valid registration and current inspection sticker.

receive your CDL. For a Passenger Endorsement, the applicant must

 Have adequate seating next to the operator for the use of the

have the appropriate class vehicle designed to carry 16 or more

examiner.

passengers, including the driver.

 Have a manufacturer’s gross vehicle weight rating (GVWR) on the

 Be able to pass a safety check. Vehicles with unstable, dangerous, or

vehicle, appropriate for the class of license for which you are applying.

HAZMAT loads will be rejected. The vehicle must be completely free

If there is no GVWR on the vehicle, you must have a document from

of hazardous material.

the manufacturer or a motor vehicle dealer proving the GVWR.

Out-of-State Registered Vehicles, Trailers, and Semi Trailers

Carry proof of insurance coverage in the form of a policy or letter from the insurance company specifying the limits of coverage. The insurance coverage MUST be equal to Massachusetts minimum requirements of $20,000/$40,000P bodily injury and $5,000 property damage coverage for the vehicle’s use in Massachusetts. (No faxes or photo copies.)

Rental Vehicles

Have the rental agreement and written permission on the rental company’s letterhead authorizing use of the vehicle for the road test.

Vehicle Make/Year

Tractor Registration Number/GVWR

State

Trailer Make/Year

Trailer Registration Number/GVWR

State

 

 

 

 

 

 

F.CDL Road Test Information To be completed by examiner

Parts of Test

Pass Fail

Reason for Failure or Rejection

Comments

 

1.

Pre-Trip Inspection

_________________________________________________

 

 

 

 

 

Restriction Code

Add Delete

2.

Air Brakes

_________________________________________________

 

 

 

 

 

 

 

3.

Straight Backing

_________________________________________________

_____________

 

 

 

 

 

 

4.

Offset Backing Left or Right

_________________________________________________

_____________

 

 

 

 

 

 

 

 

 

 

 

 

5.

Parallel Park (Conventional)

 

_________________________________________________

 

 

 

 

 

 

 

6.

Parallel Park (Sight Side)

_________________________________________________

_____________

 

 

 

 

 

 

7.

Alley Dock

_________________________________________________

_____________

 

 

 

 

 

 

 

 

 

 

 

 

8.

Road Test

_________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Examiner Name

 

 

Examiner ID #

Date Examined (MM/DD/YYYY)

Location

 

 

 

 

 

 

 

 

Examiner Signature ___________________________________________________________ Date ___________________

G. Applicant Requirements

Applicants must meet all of the following requirements for a Class A, B, or C road test in order to be tested:

Have a current driver’s license, if you are seeking additional endorsements.

Have a valid CDL permit, with proper endorsements for the vehicle used.

Have completed CDL self-certification and provided a valid U.S. Department of Transportation (DOT) medical card or medical waiver*

Have a completed road test application.

Be on time for the skills test. If you are late, you will not be examined. If you must cancel or reschedule your appointment with less than 72 hours’ notice, you will be responsible for the skills test fee.

H. Certification and Signature of Applicant (application not complete without signature)

I have reviewed this completed Application Form and swear (affirm), under the penalties of perjury, that the information I have provided is true and correct.

I am aware that false statements are punishable by fine, imprisonment, or both under M.G.L. Chapter 90, Section 24B.

 

 

 

MA Assigned CDL Permit/License Number

 

Signature _________________________________________ Date _________________________

 

 

 

 

 

 

 

 

 

 

The Registrar reserves the right to cancel, revoke, or recall, any permit,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

license, or ID card if it is determined that the applicant was not qualified for

 

 

 

 

 

 

 

 

 

 

such permit, license, or ID card.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Official Notice:

 

 

 

 

 

 

 

 

 

 

 

Massachusetts law requires persons convicted as a sex offender to register

 

 

 

 

 

 

 

 

 

 

 

with their local police departments. For information, call 1-800-93MEGAN or

 

 

 

 

 

 

 

 

 

 

 

visit https://www.mass.gov/orgs/sex-offender-registry-board

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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RDT104_0120

How to Edit Massdot Cdl Road Test Application Online for Free

Having the goal of making it as effortless to apply as it can be, we generated the PDF editor. The process of filling out the massachusetts road test application form can be effortless in case you comply with the next actions.

Step 1: The initial step is to click the orange "Get Form Now" button.

Step 2: At this point, you are on the file editing page. You can add text, edit current details, highlight specific words or phrases, put crosses or checks, add images, sign the form, erase unwanted fields, etc.

For every single section, create the details requested by the system.

completing cdl application ma part 1

Fill in the You may use additional paper if, Yes, Yes, Do you have a cognitive neurologic, If yes where, Why ExpDate, Note If you answered yes, Yes, Do you meet all the driver, D Sponsor Information, Please be aware that as a sponsor, Be at least years old Have a, The test however will still, Sponsor License Number, and Expiration MM DD YYYY field using the data requested by the program.

cdl application ma You may use additional paper if, Yes, Yes, Do you have a cognitive neurologic, If yes where, Why ExpDate, Note If you answered yes, Yes, Do you meet all the driver, D Sponsor Information, Please be aware that as a sponsor, Be at least years old Have a, The test however will still, Sponsor License Number, and Expiration MM DD YYYY blanks to insert

Describe the crucial data the Vehicle MakeYear, Tractor Registration NumberGVWR, State Trailer MakeYear, Trailer Registration NumberGVWR, State, F CDL Road Test Information To be, Reason for Failure or Rejection, Comments, PreTrip Inspection, Air Brakes, Straight Backing, Offset Backing Left or Right, Parallel Park Conventional, Parallel Park Sight Side, and Alley Dock box.

Completing cdl application ma stage 3

The I have reviewed this completed, Signature Date, MA Assigned CDL PermitLicense, The Registrar reserves the right, and RDT space is where each party can put their rights and responsibilities.

Finishing cdl application ma step 4

Step 3: Press the "Done" button. Now you can upload your PDF file to your device. Additionally, it is possible to deliver it by means of email.

Step 4: Generate a minimum of several copies of the file to stay away from different possible difficulties.

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