The DMV CDL28 form is a critical document used for applying for third-party certification to assess the driving abilities of commercial drivers. This form collects essential information about the certifier and their employment history, while also ensuring that all necessary background checks are conducted. For those looking to fill out the DMV CDL28 form, click the button below to get started.
Commercial Drivers License
555 Wright Way, Carson City
810 E. Greg St, Sparks, NV 89431
4110 Donovan Way, N Las Vegas, NV 89030
3505 Construction Way, Winnemucca, NV 89445
3950 E. Idaho St, Elko, NV 89801
178 N. Avenue F, Ely, NV 89301
THIRD PARTY CERTIFIER APPLICATION
NRS 483.912, NAC 483.125 to 483.197
Original Certification Recertification
Part I – To be completed by Certifier
Name: ___________________________________________________________________________
Employer: ________________________________________ Telephone: ____________________
Physical Address: _________________________________________________________________
StreetCityState Zip
Mailing Address: ___________________________________________________________________
Street/PO Box
City
State Zip
CONFIDENTIAL INFORMATION
Driver’s License Number: ______________________ State: ______ Exp. Date ________________
Vehicle Class: A
B
C
M
Endorsements:
T
P
N
H
S
X
Social Security No: __________________________________
Date of Birth: __________________
Yes
No
1.Have you ever had a driver’s license in another state?
If Yes, what states? ___________________________________________________
2.Has your driver’s license ever been suspended, revoked, cancelled or is it subject to disqualification? If Yes, please explain: ____________________________________
____________________________________________________________________
3.Have you been convicted of driving under the influence of alcohol or a controlled substance in the past 7 years?
4.Have you been convicted of a gross misdemeanor or felony relating to the management of money, fraud or embezzlement? If Yes, please explain: __________
5.Have you operated a commercial motor vehicle for at least two years?
6.What is your position with your present employer? _____________________________________
7.How long have you worked for this employer? ________________________________________
If less than two years, where did you work before and for how long? _______________________
_____________________________________________________________________________
I certify under penalty of perjury that the information on this application is true and accurate. I authorize the Department of Motor Vehicles to conduct any background investigation necessary to evaluate my driving, employment or credit history.
Signature: ____________________________________________ Date: ______________________
CDL28(8/2012)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed.
Part II – To be completed by Employer
I certify I am an authorized representative of __________________________________________________
Name of Company
and request the Department of Motor Vehicles review the application of __________________________
Name of Certifier
and if qualified, to enroll him/her in the authorized class for third party certification of driving ability.
Name: _______________________________________________ Title: ______________________
DEPARTMENT USE ONLY
Application reviewed by: _________________________________
Date: ______________________
Nevada Record Check:
CDLIS check:
PDPS check: Yes No
Other (please explain) : _____________________________________________________________
________________________________________________________________________________
Approved: Denied: Enrolled in Class Number: __________________________
Certifier Number _______________________ Company Number ____________________________
Enrolled in Class Number: _______________ Class Dates _________________________________
CDL Supervisor Signature: _______________________________________ Date: _____________
After filling out the DMV CDL28 form, you'll submit it to the appropriate department for processing. Be sure to check that all the information is accurate and complete. Missing details could delay your application. Follow these steps to fill out the form correctly.
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What is the DMV CDL28 form used for?
The DMV CDL28 form is primarily used for the application of third-party certifiers who wish to certify individuals for commercial driver’s licenses (CDLs). This form collects essential information about the certifier and the employer, ensuring that proper background checks and qualifications are verified by the Department of Motor Vehicles (DMV).
Who needs to fill out the CDL28 form?
The CDL28 form must be completed by individuals who are seeking to become third-party certifiers for commercial driving. This includes those who have been employed by a company that intends to certify drivers and who meet the qualifications set forth by the DMV.
What information is required on the CDL28 form?
The form requires several pieces of information, including the certifier’s name, employer details, contact information, and driver’s license number. Additionally, it asks for the certifier’s driving history, including any past suspensions or convictions, and employment history. This information helps the DMV assess the applicant’s qualifications.
Can I submit a photocopy of the CDL28 form?
No, photocopies of the CDL28 form are not acceptable. The DMV requires original signatures on the form. This policy is in place to maintain the integrity of the application process and ensure that all information is verified accurately.
What happens if I make a mistake on the CDL28 form?
Once the CDL28 form is signed, no changes can be made. If you discover an error after submission, you will need to complete a new form. It’s essential to review all information carefully before signing to avoid any issues that could delay the certification process.
How long does it take to process the CDL28 form?
The processing time for the CDL28 form can vary. Typically, it depends on the volume of applications being processed by the DMV and the completeness of the submitted information. It’s advisable to submit the form well in advance of any deadlines to ensure timely processing.
What is the role of the employer in the CDL28 application process?
The employer plays a crucial role in the CDL28 application process. They must complete Part II of the form, certifying that the individual applying for certification is an authorized representative of the company. This ensures that the employer supports the certifier’s application and acknowledges their role in the certification process.
What should I do if my application is denied?
If your application is denied, the DMV will typically provide a reason for the denial. It’s important to review this information carefully. Depending on the reason, you may be able to address the issues and reapply. Contacting the DMV for guidance on the next steps is also advisable.
Incomplete Information: Many applicants fail to fill out all required fields. Missing details, such as the driver's license number or social security number, can lead to delays or rejections.
Incorrect Address: Providing an incorrect physical or mailing address is a common mistake. Ensure that both addresses are accurate and complete to avoid communication issues.
Signature Issues: Some individuals forget to sign the form or provide a photocopied signature instead of an original. Remember, only original signatures are acceptable.
Failure to Disclose Past Issues: Not disclosing previous license suspensions, revocations, or disqualifications can result in serious consequences. Always answer these questions truthfully.
Inaccurate Employment History: Providing incorrect information about past employment can lead to complications. Ensure that the duration of employment and position details are accurate.
Not Reviewing the Form: Many applicants submit the form without reviewing it for errors. Taking a moment to double-check all entries can prevent mistakes that might delay the application process.
The DMV CDL28 form is a crucial document for individuals seeking third-party certification for driving abilities. However, it is often accompanied by several other forms and documents that play significant roles in the certification process. Understanding these documents can streamline the application process and ensure compliance with regulatory requirements.
Each of these documents complements the DMV CDL28 form, creating a comprehensive application package. By gathering and understanding these forms, applicants can enhance their chances of successful certification and contribute to safer roads for everyone.