APPLICATION FOR MILITARY SKILLS TEST WAIVER
NOTICE: All information on this application must be in INK.
APPLICANT INFORMATION
LAST NAME FIRST NAME
DATE OF BIRTH (mm/dd/yyyy) DRIVER LICENSE NUMBER
SOCIAL SECURITY NUMBER
INSTRUCTIONS
The Commercial Driver License (CDL) skills test waiver form may be used by service members who are currently licensed and who are or
were employed within the last 12 months in a military position requiring the operation of a military motor vehicle equivalent to a Commercial
Motor Vehicle (CMV). This waiver allows a qualified service member to apply for a CDL without skills testing. CDL knowledge test(s) cannot
be waived. The transfer of School Bus (S) and/or Passenger (P) endorsements under this Waiver Program are prohibited.
DRIVER RECORD CERTIFICATION
During the 2-year period immediately preceding this date:
YES NO
1. Have you had more than one license (except for a military license)?
2. Has your license been suspended, revoked, cancelled or disqualified in this or any state?
Have you been convicted of any violations described below in any type of motor vehicle?
3. Being under the influence of alcohol as prescribed by state law
4. Being under the influence of a controlled substance
5. Having an alcohol concentration of 0.04 or greater while operating a CMV
6. Refusing to take an alcohol test as required by a state jurisdiction under its implied consent laws or regulations as defined in 49 CFR 383.72
7. Leaving the scene of an accident
8. Using the vehicle to commit a felony (other than manufacturing, distributing or dispensing a controlled substance)
9. Driving a CMV while your CDL is revoked, suspended, cancelled; or you are disqualified from operating a CMV
10. Causing a fatality through the negligent operation of a CMV (including motor vehicle manslaughter, homicide by motor vehicle,
or negligent homicide)
11. Using the vehicle in the commission of a felony involving manufacturing, distributing, or dispensing a controlled substance
Have you had more than one conviction for any of the violations described below in any type of motor vehicle?
12. Speeding in excess of 15 mph or more above the posted speed limit
13. Driving recklessly, as defined by state or local law or regulation (including offenses of driving a motor vehicle in willful or wanton disregard
for the safety of persons or property)
14. Making improper or erratic lane changes
15. Following the vehicle ahead too closely
16. Violating state or local law relating to motor vehicle traffic control (other than a parking violation) arising in connection with a fatal accident
17. Driving a CMV without obtaining a CDL
18. Driving a CMV without a CDL in the driver’s possession
19. Driving a CMV without the proper class of CDL and/or endorsements for a specific vehicle group being operated or for the passengers or
type of cargo being transported
20. Violating a state or local law or ordinance on motor vehicle traffic control prohibiting texting while driving
21. Violating a state or local law or ordinance on motor vehicle traffic control restricting or prohibiting the use of a hand held mobile telephone
while driving
22. Have you had any conviction for a violation of military, state or local law relating to motor vehicle traffic control (other than
parking violation) arising in connection with any traffic accident and have no record of an accident in which you were at fault?
CDL-3A (Rev. 6/19)

CERTIFICATION OF DRIVING EXPERIENCE
YES NO
23. Have you been regularly employed or were you regularly employed within the last 12 months in a military position requiring the operation of
a military motor vehicle that was representative of a commercial motor vehicle (CMV)?
24. Were you exempted from the CDL licensing requirements for driving a military vehicle on state roads and highways in accordance with
49 CFR §383.3 (c)?
25. Have you operated a military motor vehicle representative of the commercial motor vehicle (CMV) that you operate or expect to operate, for
at least the 2 years immediately preceding discharge from the military?
I certify under penalty of perjury that the information on this form is true and correct to the best of my knowledge, information and belief.
APPLICANT’S SIGNATURE DATE
Sworn to and subscribed before me on this the day of ,
Notary Public or Authorized Officer
COMMANDING OFFICER S CERTIFICATION OF COMMERCIAL DRIVING EXPERIENCE
LAST NAME FIRST NAME
STREET ADDRESS TELEPHONE NUMBER
CITY, STATE, ZIP, COUNTY
SERVICE MEMBER’S DATE OF QUALIFICATION: FROM TO
SERVICE MEMBER’S NAME
EXPIRATION DATE
(US Gov’t Motor Vehicle Operator Identification Card / License)
CIRCLE THE HIGHEST CLASS OF VEHICLES THE SERVICE MEMBER HAS BEEN DRIVING:
Class Vehicle Description EXAMPLE OF VEHICLES IN GROUP
A
5th WHEEL - Truck Tractor/Semitrailer
Any combination of vehicles with a GCWR
of 26,001 or more pounds provided the
GVWR of the vehicle(s) being towed is in
excess of 10,000 pounds.
A
PINTLE HOOK - Truck Trailer
Combination
Any combination of vehicles with a GCWR
of 26,001 or more pounds provided the
GVWR of the vehicle(s) being towed is in
excess of 10,000 pounds.
B
Any single vehicle with a GVWR of 26,001
or more pounds or any such vehicle towing
a vehicle not in excess of 10,000 pounds
GVWR.
The vehicle the service member operates is equipped with a full air brake system: YES NO
The vehicle the service member operates is equipped with an air-over-hydraulic braking system: YES NO
The transmission in the vehicle the service member operates is: AUTOMATIC MANUAL
I certify that the service member named on the front of this document is/was assigned in a job/assignment requiring the operation
of a commercial motor vehicle, the service member’s driving experience has been verified; and the information provided herein is
true and correct to my knowledge, information and belief. I also certify that I am an officer of the Armed Forces with the authority
to administer oaths; and who has the general powers of a notary public.
PRINT COMMANDING OFFICER’S NAME/RANK
SIGNATURE DATE
Authority of Article 136, Uniform Code of Military Justice or 10 U.S.C. 1044A and TRC 522.023 (F)
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