Download Dmv Cdl28 Template Open Editor Now

Download Dmv Cdl28 Template

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.

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Dmv Cdl28 Example

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: ______________________

Signature: ____________________________________________ Date: ______________________

DEPARTMENT USE ONLY

Application reviewed by: _________________________________

Date: ______________________

Nevada Record Check:

Yes

No

Date: ______________________

CDLIS check:

Yes

No

PDPS check: Yes No

Date: ______________________

Other (please explain) : _____________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Approved: Denied: Enrolled in Class Number: __________________________

Certifier Number _______________________ Company Number ____________________________

Enrolled in Class Number: _______________ Class Dates _________________________________

CDL Supervisor 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.

Guide to Writing Dmv Cdl28

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.

  1. Start with Part I. Enter your name in the designated space.
  2. Provide your employer's name and telephone number.
  3. Fill in your physical address, including street, city, state, and zip code.
  4. Complete the mailing address section, if different from your physical address.
  5. In the confidential information section, write your driver’s license number, state, and expiration date.
  6. Select your vehicle class: A, B, C, or M.
  7. List any endorsements you have: T, P, N, H, S, or X.
  8. Enter your Social Security number and date of birth.
  9. Answer the questions regarding previous licenses, suspensions, and convictions. Provide explanations where necessary.
  10. Indicate if you have operated a commercial motor vehicle for at least two years.
  11. State your position with your current employer and how long you have worked there.
  12. If you have worked for less than two years, provide details of your previous employment.
  13. Sign and date the form, ensuring your signature is original.
  14. Move to Part II. Your employer must complete this section.
  15. Your employer will enter their name, title, and signature, along with the date.

More PDF Documents

Understanding Dmv Cdl28

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.

Common mistakes

  1. 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.

  2. 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.

  3. Signature Issues: Some individuals forget to sign the form or provide a photocopied signature instead of an original. Remember, only original signatures are acceptable.

  4. Failure to Disclose Past Issues: Not disclosing previous license suspensions, revocations, or disqualifications can result in serious consequences. Always answer these questions truthfully.

  5. Inaccurate Employment History: Providing incorrect information about past employment can lead to complications. Ensure that the duration of employment and position details are accurate.

  6. 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.

Document Data

Fact Name Description
Purpose of the Form The DMV CDL28 form is used for third-party certifiers applying to certify drivers for commercial licenses in Nevada.
Governing Laws This form is governed by Nevada Revised Statutes (NRS) 483.912 and Nevada Administrative Code (NAC) 483.125 to 483.197.
Confidential Information The form requires sensitive information, including the driver's license number, social security number, and driving history.
Signature Requirement Original signatures are mandatory on the form, as photocopies are not accepted, and no changes can be made once signed.

Documents used along the form

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.

  • Commercial Driver's License (CDL): This is the primary license required for individuals who operate commercial vehicles. The CDL demonstrates that the driver has met specific training and testing requirements to safely operate larger vehicles.
  • Medical Examination Report (MVR): A medical examination report is necessary to ensure that the driver meets the health standards set by the Department of Transportation. This report assesses the physical and mental fitness of the driver, which is vital for safety on the road.
  • Emotional Support Animal Letter: This letter can be crucial for individuals seeking the companionship of an emotional support animal for mental well-being. If you believe you need one, you can access the Emotional Support Animal Letter form to start the process.
  • Background Check Consent Form: This form authorizes the DMV to conduct a thorough background check. It typically includes a review of the applicant's driving history, criminal record, and other relevant information that may impact their eligibility for certification.
  • Employer Verification Form: This document is completed by the applicant's employer to confirm their employment status and driving experience. It serves as a reference to validate the applicant's qualifications and skills.
  • Training Completion Certificate: After completing a certified training program, the applicant receives this certificate. It serves as proof that the individual has undergone the necessary training to operate commercial vehicles safely and effectively.

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.

Similar forms

  • DMV Form DL 44: This form is used for applying for a California driver's license. Similar to the CDL28, it requires personal information, including the applicant's name, address, and driver's license history. Both forms are designed to ensure that applicants meet the necessary qualifications for driving.
  • Ohio Living Will Form: To ensure your healthcare choices are honored, refer to the essential Living Will documentation resources for guidance on completion and legal validity.
  • DMV Form MV-1: This is the application for a vehicle title in many states. Like the CDL28, it collects essential information about the applicant and their vehicle. Both forms serve as official requests to the DMV and require accurate information to process applications successfully.
  • DMV Form 100: This form is used for commercial vehicle registration. It shares similarities with the CDL28 in that it is focused on commercial driving requirements. Both forms emphasize the importance of providing a valid driver's license number and vehicle class.
  • DMV Form 826: This is a certificate of title application for a boat or personal watercraft. While the focus differs, both forms require the applicant to provide detailed personal and vehicle information. Each form aims to ensure compliance with state regulations.
  • DMV Form 881: This is a request for a duplicate driver’s license. Similar to the CDL28, it requires the applicant to provide personal identification details and may involve a background check. Both forms are crucial for maintaining accurate records within the DMV system.
  • DMV Form 600: This is an application for a motorcycle endorsement. Like the CDL28, it assesses the qualifications of the applicant to ensure they are fit to operate a specific type of vehicle. Both forms require applicants to disclose their driving history and any relevant endorsements.