CDL Road Test Application
Save time, go to mass.gov/RMV to apply online!
A. Applicant Information
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)
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Apt. # |
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State |
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Zip Code |
Mailing Address |
(same as above) |
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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)
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1. |
Yes |
In the past 10 years, have you held any class of driver’s |
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license in another state, country, or jurisdiction? List any |
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No |
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current license/permit also. |
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If yes, where? |
Class of License |
License # |
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_______________________ |
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_______________________ |
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You may use additional paper if necessary |
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2. |
Yes |
Do you have a cognitive, neurologic, physical, or any other |
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impairment that may affect your functional ability to |
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No operate a motor vehicle safely? (for information on medical standards related to driver’s licenses, visit mass.gov/rmv)
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3. Yes |
Are you currently taking any medication that may affect |
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your ability to safely operate a motor vehicle? (for |
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No |
information on medical standards related to driver’s licenses, |
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visit mass.gov/rmv) |
4. Yes
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Are you subject to any driver disqualification under 49 |
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No |
CFR Section 383.51 of the Federal Motor Carrier Safety |
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Regulations and MGL Chapter 90F Section 9? |
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5. Yes Is your license or RIGHT to operate suspended,
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No |
revoked, canceled, withdrawn, or disqualified here or |
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in another state, country, or jurisdiction? |
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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.
Expiration (MM/ DD/ YYYY)
Bus Company (if applicable)
Bus Company Contact Information (if applicable)
p.1 |
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 |
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F.CDL Road Test Information To be completed by examiner
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Parts of Test |
Pass Fail |
Reason for Failure or Rejection |
Comments |
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1. |
Pre-Trip Inspection |
_________________________________________________ |
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Restriction Code |
Add Delete |
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2. |
Air Brakes |
_________________________________________________ |
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3. |
Straight Backing |
_________________________________________________ |
_____________ |
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4. |
Offset Backing Left or Right |
_________________________________________________ |
_____________ |
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5. |
Parallel Park (Conventional) |
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_________________________________________________ |
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6. |
Parallel Park (Sight Side) |
_________________________________________________ |
_____________ |
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7. |
Alley Dock |
_________________________________________________ |
_____________ |
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8. |
Road Test |
_________________________________________________ |
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Examiner Name |
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Examiner ID # |
Date Examined (MM/DD/YYYY) |
Location |
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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.
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MA Assigned CDL Permit/License Number |
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Signature _________________________________________ Date _________________________ |
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The Registrar reserves the right to cancel, revoke, or recall, any permit, |
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license, or ID card if it is determined that the applicant was not qualified for |
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such permit, license, or ID card. |
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Official Notice: |
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Massachusetts law requires persons convicted as a sex offender to register |
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with their local police departments. For information, call 1-800-93MEGAN or |
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visit https://www.mass.gov/orgs/sex-offender-registry-board |
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p.2 |
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RDT104_0120 |