Troops to Trucks...Interested in getting your FREE Commercial Driver’s License?

Governor’s O�ce ofWorkforce Development

Georgia’s trucking industry is growing with more than 12,778 openings expected by 2016.

Looking for a career that values your military experience and certi�cations?

Your local DDS location can now transfer your Military 348 License into a civilian CDL. To �nd a location near you, visit http://1.usa.gov/Xsht3L

Georgia Departmentof Driver Services

Servicemen and women who are in their 90 days before or after discharge:

Atlanta Technical College404-225-4400

Albany Technical College229-430-3500

2 week and 7 - 8 week CDL courses are o�ered for all other veterans at the following locations:

2012

K Harvey – CDL Compliance Unit

Department of Driver Services

1/1/2012

CDL Workbook/Study Guide

CDL Workbook Page 2

This manual is designed to provide assistance to those individuals who will be taking the

following knowledge test(s): General Knowledge, Air Brakes, and Combination Vehicles.

The following directions will apply to each section of the workbook/study guide. Each part of

the workbook/study guide will have a title (i.e. Driver Disqualifications); there will be ‘fill in the

blank’ questions that you will need to answer for each part. There will be a space provided for

you to put the page number where you found the answer to that particular question. Make

sure that you put both the answer and page number for each question. Please answer all

questions in ink.

CDL Workbook Page 3

Section 1: Introduction

1. It is illegal to operate a CMV if your blood alcohol concentration (BAC) is ________________

or more. Page #_______________

2. You shall be deemed to have given your consent to alcohol testing if ___________________

________________________________________________. Page # _________________

3. You will lose your CDL for ________________________________________ if you have

committed your first out-of-service violation order. Page #________________

4. If convicted of a major traffic violation while operating a CMV that is placarded for

hazardous materials, you will be disqualified from driving a CMV for ___________________

_________________________________________________________________________.

Page #___________________

5. You will be disqualified from driving a commercial motor vehicle for _________________ if

convicted of a ____________________________________________________ major traffic

violation or any combination of such violations from the list above. Page #___________

6. You will be put out-of-service for _________________________ if you have any detectable

amount of alcohol under __________________. Page # ____________

7. If your license to operate your personal vehicle is revoked, cancelled, or suspended due to

serious speeding violations you will lose your CDL for periods ranging from ___________ to

_________________________________. Page #____________________

8. If your license to operate your personal vehicle is revoked, cancelled or suspended you

_____________________ obtain a ________________________________________ to

operate a CMV. Page #______________

9. List three of the nine ‘Serious’ traffic violations:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Page #______________

CDL Workbook Page 4

10. List three of the eleven ‘Major’ traffic violations:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Page #______________

CDL Workbook Page 5

Section 2: Driving Safely – Vehicle Inspection

1. _______________________ is the most important reason that you inspect your vehicle,

__________________ for yourself and for the other road users. Page # ___________

2. ________________________________________________________also may inspect your

vehicle. If they judge the vehicle to be unsafe, they will put it

__________________________________________________________ until it is fixed. Page

# ________________

3. Vehicles must be equipped with emergency equipment. Look for ____________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

___________________________________________________. Page # ________________

4. You need at least ____________________________________ tread depth in every major

groove on front tires. You need _________________________ inch on other tires. Page #

_______________

5. One thing to look for with tire problems is ____________________ size(s). Page #

_________

6. A broken _______________________________________________ can let poison fumes

into the cab or sleeper berth. Page # ________________

7. Steering wheel play with more than ____________________________________________

____________________________________________________________ can make it hard

to steer. Page # _____________________________

8. What will you check for to see if the vehicle has bad brake drums or shoes? ____________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________. Page # _________________

CDL Workbook Page 6

9. What is the purpose of the suspension system? __________________________________

_________________________________________________________________________

______________________________________________________. Page # ____________

10. How many missing or broken leaves will it take to put a vehicle ‘out-of-service’?

__________________________________________________________________________

__________________________________________________________________________

____________________________ Page # __________________________

11. How many reflective warning triangles are required for each vehicle? _________________

_________________ Page # ___________________

12. What can you look for that would indicate if the nuts on the wheel are loose? ___________

_______________________ Page # _________________

13. With cargo trucks, you must make sure the truck is _________________________________

________________________________and the cargo is _____________________________

__________________________________ each trip. If the cargo contains hazardous

materials, you must inspect for proper papers and _____________________________.

Page # __________________

14. Air pressure should build from _______________ to ____________ psi within ___________

__________________. Build air pressure until the governor cut-out (usually around

______________________________). Know your vehicle requirements. Page # _________

15. The _________________________________ should begin gradual rise to normal operating

range. Page # ______________

16. Optional emergency items include: _____________________________________________

_________________________________________________________________________

__________________________________________________. Page # ________________

17. If the vehicle has hydraulic brakes, pump the brake pedal __________________ times.

Then apply firm pressure to the pedal and hold for _____________________________. The

pedal ______________________________________________________. Page # _________

18. To test the parking brake(s), set parking brake (power unit only). Release trailer parking

brake (if applicable). Place vehicle into _____________________ gear. Gently

CDL Workbook Page 7

______________________________________________________ parking brake to make

sure the ________________________________________holds. Page # _____________

19. When testing the service brake, go about _________________ miles per hour. Push the

brake pedal firmly. Page # ________________

20. Drivers of trucks and truck tractors when transporting cargo must inspect the securement of

the cargo within the first __________________ miles of a trip and every _______________

miles or every __________________ hours (whichever comes first) after. Page # _________

21. You must _______________________________________________ when on the road.

Apply the _______________________________________________ when you leave your

vehicle. Page # _____________

22. Put on the ________________________________ whenever necessary to keep from rolling

back. Release the ____________________________________ only when you have applied

enough engine power to keep from rolling back. Page # ____________

23. In addition to mechanical damage, rough acceleration can cause damage to

_______________________________________ when pulling a trailer. Page # ___________

24. When holding the steering wheel, your hands should be _____________________________

___________________________________________. Page # __________________

25. If you cannot get your vehicle into the correct gear while driving you will

____________________________________________________. Page # ________________

26. When backing, you should ______________________________ and check your path if you

are unsure. Page # ___________________

27. Avoid ______________________________whenever you can. When you park, try to park

so that you will be able to ____________________________________ when you leave.

Page # __________________

28. Check your mirrors regularly. Check more often in __________________ situations. Page #

_____________

CDL Workbook Page 8

29. Before you change lanes you need to ________________________________ to make sure

that no one is ______________________________ you or _________________________ to

________________________________________. Page # ___________________

30. Most good drivers look at least _____________ to ____________ seconds ahead. At lower

speeds, that’s about one ________________. At highway speeds it’s about a

_____________________________________. Page #

31. When backing use __________________________________ whenever possible. Page #

______________________

32. Watch your _________________________, and ____________________________ when

your engine reaches the top of the range. Page # __________________

33. Before starting down a hill slow down and make sure that you are in a low enough gear,

____________________________________________ than the gear required to climb the

same hill. Page # _________________

34. Retarders help to slow a vehicle reducing the need for using your __________________.

Page # __________________

35. Slow down to a safe speed and _________________________ to the right gear

________________________________________ the curve. Page # ________________

36. Because retarders can be noisy, be sure you know where their use is _________________.

Page # ___________________

37. When your ______________________________ have poor traction, the retarder may cause

them to __________________________. Page # _________________

38. Good drivers shift their attention __________________ and _________________,

____________________________ and _____________________________. Page #

_________________________

39. Check your mirrors before you change lanes to make sure there is

____________________________________________. Page # _________________

CDL Workbook Page 9

40. Mirror adjustment should be checked ______________ to the _______________ of any trip

and can only be checked accurately when the trailer(s) are __________________________.

Page # _________________

41. Before starting down a hill ______________________________________________ and

_____________________________________________ to a speed that you can control

without using the ___________________________ hard. Page # __________________

42. In turns, check your mirrors to make sure the __________________________________

_________________________________________________________________. Page #

_______________

43. Many large vehicles have curved ____________________________________________

____________________________________ mirrors that show a ________________ area

than flat mirrors. Page # ___________________

44. But everything appears ___________________________ in a _____________________

mirror than it would if you were looking at it directly. Things also seem ______________

_________________ than they really are. Page # __________________

45. If you must stop on a road or the shoulder of any road, you must put out your emergency

warning devices within __________________________. Page # ___________________

46. Put your turn signal on before changing lanes. Change lanes _____________________ and

__________________________. Page # __________________

47. Signal _________________________________. You need __________________________

_____________________________________________________ to turn safely. Page #

________________

48. If you must stop on or by a one-way or divided highway, place warning devices __________,

___________________ and ________________________ toward the

_____________________________ traffic. Page # ____________________

49. Warn drivers behind you when you’ll need to slow down. A __________________________

___________________ on the brake pedal – enough to ____________________________

the brake lights – should warn following drivers. Page # ________________

CDL Workbook Page 10

50. If you stop on a two-lane road carrying traffic in both directions or on an undivided

highway, place warning devices within ______________________ of the front or rear

corners to mark the location of the vehicle and ______________________ behind and

ahead of the vehicle, on the shoulder or in the lane you stopped in.

_____________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________that prevents drivers from

seeing the vehicle within ___________________. If line of sight view is obstructed due to

__________________________________________, move the ________________________

triangle to a point ______________________________________ so warning is provided.

Page # ______________________

51. Use your horn ______________________. It can help to avoid a _________________.

Page # ________________

52. Slow to a __________________ speed before you _________________ a curve. Be in a

_________________________ that will let you ____________________________ in the

curve. Page # _______________

53. ________________________________________________ is the major cause of fatal

crashes. You must _____________________________________ depending on

_______________________________________________________. Page # ____________

54. When putting out triangles, ____________________________________________________

and the ____________________________ traffic. Page # ___________________

55. ___________________________________ + ____________________________________ +

__________________________________________ = total stopping distance. Page #

_____________

56. It will take longer to ______________________, and it will be harder to ______________

without _______________________, when the road is ______________________. Page #

_______________________

57. Whenever you double your speed, it takes about ________________________ times as

much distance to stop and your vehicle will have _______________________ times the

destructive power if it crashes. Page # ___________________


58. On packed snow, reduce speed by ____________________, or ____________________. If

the surface is _____________________, reduce speed to _________________________

and stop driving as soon as you can safely do so. Page # _________________

59. Perception distance is the distance your ____________________________ travels from the

___________________________________________________________ see a hazard until

your brain recognizes it. Page # _________________

60. Hydroplaning is more likely if __________________________________ is low, or the

_______________________________________. Page # ________________

61. When the temperature drops, ___________________________ will ___________________

before the ___________________________________. Page # __________________

62. When hydroplaning, you can regain control by ____________________________ the

___________________________ and ____________________________ in the

______________________________. Page # _________________

63. You should always be able to _____________________ within the _____________________

you can see ahead. Page # ________________

64. In many states, the speed limits are _________________ for trucks and _______________

than for ________________. It can vary as much as ____________________. Page #

______________________

65. When you’re driving in heavy traffic, the safest speed is _____________________________

___________. Page # _________

66. Watch for _____________________________, ______________________________, and

______________________________ on the road. These are indications of ____________

_________________________________. Page # ___________________

67. Your vehicle’s speed will _____________________ on __________________________

because of ___________________________. Page # _____________

68. Commercial vehicles are __________________ wide and _______________________ most

of a lane. Safe drivers will manage what little space they have. You can do this by keeping


your vehicle ______________________ in ____________________________, and

_________________ driving ________________________ others. Page # ___________

69. Of all the space around your vehicle, it is the area _______________ of the vehicle -- the

space you’re __________________________ -- that is the most important. Page #

_________

70. ______________________ your speed for adverse _____________________ or

__________________________________. Decrease your speed even further when

_______________________________________________ is close to

_____________________________________. Page # ______________

71. How much space should you keep in front of you? Over ______________________, you’d

need ________________________________ for a 40 foot vehicle and

_____________________________ for a ______________________ vehicle. Page #

_____________

72. One good rule says that you need at least _________________________ for each

_______________ of vehicle length at speeds ________________________________. Page

# ______________

73. When dealing with tailgaters safely: _________________________ quick changes.

__________________________________ your following distance. Avoid _____________.

Don’t turn on your ______________________ or __________________________________

_________________________________. Page # _____________

74. When the road is ___________________________, you need much more _______________

to stop. Page # _________________

75. Strong winds make it difficult to stay in your lane. The problem is usually worse for lighter

vehicles. This problem can be especially bad ____________________________________

_______________________________________. Page # _____________

76. The _______________________ of a cargo van changes its height. Page # ____________

77. If you doubt that you have safe space to pass under an object, go slowly. If you aren’t sure

that you can make it, ______________________________________________________.

Page # _________________


78. Because of _______________________________ and _________________________, large

vehicles can hit other vehicles or objects during turns. Page # _____________

79. When making a left turn, if there are two turning lanes, always take the _______________

turn lane. Page # _______________

80. If you are driving a truck or bus that cannot make the right turn without swinging into

another lane, ______________________________________ as you complete the turn. Page

# _______________

81. Because of _______________________________ and the space large vehicles require, you

may need a much larger _________________ to enter traffic than you would in a car. Page

# _________________

82. Before you start across a road, make sure you can ________________________________

__________________________________ before traffic reaches you. Page # __________

83. A hazard is any road condition or ______________________________________________

that is a possible danger. Pager # __________________

84. Make sure you are ____________________________ enough before you get on the curved

part of an off ramp or on ramp. Page # _______________

85. Rental trucks should be watched carefully. Their drivers are often not used to the

_________________________________ they have to the ___________________ and

_____________ of the truck. Page # _______________

86. Tourists unfamiliar with the area can be very __________________________. Clues to

tourist include car-top luggage and out-of-state license plates. Page # ______________

87. Some of these will have the ‘slow moving vehicle’ symbol to warn you. This is a ________

________________________ with ____________________________________________.

Page # __________________

88. If drivers react a _________________________________ because of distractions, crashes

double. Page # _______________


89. Aggressive driving is the act of operating a motor vehicle in a _______________________,

_____________________, or ___________________________________________ without

regard for the rights or safety of others. Page # _______________

90. When confronted by an aggressive driver, __________________ and

_______________________ make every attempt to get out of their way. Page #

____________

91. You must adjust your speed to keep your stopping distance within your sight distance. This

means going slowly enough to be able to stop within the range of ____________________

___________________________. Page # ________

92. Dim your light before they cause glare for other drivers. Dim your lights within __________

of an ___________________ vehicle and when ____________________ another vehicle

within __________________. Page # _____________

93. The best advice for driving in a fog is ______________________________________. Page #

______________

94. Make sure the _____________________ is working, and that you know how to

___________________ it. If you use other heaters and expect to need them (e.g., mirror

heaters, battery box heaters, fuel tank heaters), check _____________________________

_________________________. Page # __________________

95. Water in the brakes can cause the brakes to be weak, to apply unevenly, or to grab. This

can cause __________________________________________________, ______________

_____________________________, ___________________________________________

_______________________________________, and ___________________________ if

you pull a trailer. Page # ____________

96. Make sure that you have enough tread on your tires. The ________________ tires must

provide traction to push the rig over wet pavement and through snow. Page # __________

97. You may find yourself in conditions where you can’t drive without chains, even to get to a

place of safety. Carry the _______________________________ of chains and ___________

________________________. Make sure they will fit your __________________________.

Page # _____________


98. The engine oil helps keep the engine ______________________, as well as

______________________________________. Page # _________________

99. Check the tire mounting and air pressure. Inspect the tires every ___________________ or

every ________________________________ when driving in very hot weather. Page #

_______________

100. Remove any ice, snow, etc., from the windshield, windows, and mirrors before starting.

Use a ______________________________, ____________________________, and

____________________________________________________ as necessary. Page #

____________

101. Carbon monoxide gas will cause you to be sleepy. In large enough amounts it can kill

you. Check the exhaust system for _____________________________ and for

____________________________ and __________________________________________.

Page # __________________

102. Some vehicles have sight glasses, see-through coolant overflow container, or coolant

recovery containers. These permit you to check the coolant level while the engine is

______________. If the container is not part of the pressurized system, the cap can be

_________________________________________ and ____________________________

even when the engine is at operating temperature. Page # ______________

103. Check your ____________________________ and ____________________________

for ice. If they have ice, the road most likely will be icy as well. Page # ______________

104. Make turns as _______________________ as possible. Don’t brake any _____________

than necessary, and don’t use the engine brake or speed retarder. Page # _____________

105. Tar in the road pavement frequently rises to the surface in very hot weather. Spots

where tar ‘bleeds’ to the surface are very _____________________. Page #

_____________

106. The round, black-on-yellow warning sign is placed ahead of a public

___________________________________________________________. Page # _________


107. Forcing an automatic transmission into a lower gear at high speed could damage the

_________________________________ and also lead to loss of ______________________

____________________. Page # ______________

108. A full stop is required at grade crossings whenever: the nature of the

________________ makes a stop mandatory under state or federal regulations, such a stop

is otherwise ________________________________________________. Page #

_________________

109. Escape ramps are made to stop runaway vehicles safely without injuring

____________________ and _________________________________. Page # ___________

110. The use of brakes on a long and/or steep downgrade is only _______________________

to the braking effect of the engine. Page # __________

111. Railroad crossings with steep approaches can cause your unit to hang up on the tracks.

It takes a typical tractor-trailer unit at least _________________________ to clear a single

track and more than _______________________ to clear a double track. Page # _________

112. Escape ramps save _____________________, _________________________ and

________________________. Page # ______________

113. The steeper the grade, the longer the grade, and/or the heavier the load—the more you

will have to ________________________________________________ to climb hills or

mountains. Page # _________

114. If for any reason you get stuck on the tracks, get _____________________________ and

away from ______________________________________. Page # ____________

115. Remember, you can almost always ____________________________ miss an obstacle

more quickly than you can ___________________. Page # ___________

116. You should brake in a way that will keep your vehicle in a _________________________

and allow you to turn if it becomes necessary. Page # __________

117. If no escape ramp is available, take the least hazardous escape route you can—such as

_______________________________________ or a ________________________ that

flattens out or turns uphill. Page # _____________


118. If possible, avoid using the brakes until your speed has dropped to about

_________________. Page # ________________

119. If an oncoming driver has drifted into your lane, a move to your ______________ is

best. Page # __________

120. In order to turn quickly, you must have a firm grip on the steering wheel with

________________________________. Page # __________

121. Emergency braking does not mean ________________________________ on the brake

pedal as hard as you can. Page # ___________

122. Sometimes ____________________ the brake pedal will generate enough hydraulic

pressure to ________________ the vehicle. Page # _______________

123. The major signs of tire failure are: ____________________, __________________,

________________________________. Page # _______________

124. ____________________ is a computerized system that keeps your wheels from locking

up during hard brake application. Page # _____________

125. Tractors, trucks, and buses will have yellow _________________________ lamps on the

instrument panel if it is equipped with ________________. Page # _____________

126. By far the most common skid is one in which the rear wheels lose traction through

excessive braking or acceleration. Skids caused by ____________________ usually happen

on ice or snow. Taking your foot off the _____________________ can easily stop them.

Page # ______________

127. When only the tractor has ABS, you should be able to maintain __________________

_____________________ and there is less chance of ________________________. Page #

____________

128. When you drive a vehicle with ABS, you should brake as you always have. There is only

one exception to this procedure. If you drive a straight truck or combination with working

ABS on all axles, in an emergency stop, you can _________________________________.

Page # ____________


129. If your ABS malfunctions, you __________________ have regular brakes. Page #

_____________

130. Most serious skids result from ______________________ for ___________________

conditions. Page # ________________

131. A drive wheel skid can let the ____________________ the _____________________

sideways, causing a sudden ___________________________. Page # ____________

132. To correct a drive-wheel braking skid: _______________________ and

____________________________________. Page # ____________

133. In a front-wheel skid, the ________________________ tends to go in a straight line

regardless of how much you ___________________ the steering wheel. Page # _________

134. Know how the fire extinguisher works. Study the instructions printed on the

extinguisher before you __________________ it. Page # ___________

135. The first thing to do at an accident scene is to keep another ______________

___________________ happening in the same spot. Page # _____________

136. The following are some of the causes of cargo fires: ______________________ cargo,

_________________________ sealed or ___________________ cargo,

______________________________. Page # ______________

137. As part of fire prevention, during the pre trip inspection make a complete inspection of

the _____________________________, _______________________, and ______________

___________________, __________________ and _____________________. Page #

__________________

138. Use the right fire extinguisher. __________________ can be used on wood, paper, or

cloth, but don’t use ________________ on an electrical fire or a gasoline fire. Page #

________________

139. Alcohol also affects the parts of the brain that control ______________________ and

_________________________________. Page # ______________


140. BAC is determined by the ___________________ of alcohol you drink, how __________

you drink, and your __________________. Page # ____________

141. Alcohol affects more and more of the brain as ____________________ builds up. Page

# _______________

142. Possession and use of a drug given to a driver by a doctor is permitted if the doctor

informs the driver that it will _______________________ safe driving ability. Page #

___________

143. The only cure for fatigue is ____________________. Page # ____________

144. Try to arrange your schedule so you are not in _____________________________

before a long trip. Page # _____________

145. Short _____________ can keep you alert. But the time to take them is before you feel

really ____________________ or __________________. Page # _______________

146. Danger signals of drowsy driving: your eyes close or go out of focus by themselves; you

have trouble keeping your head up; you can’t stop yawning; you have wondering,

disconnected thoughts; you don’t remember driving the last few miles; you drift between

the lanes, tailgate, or miss traffic signs; you keep jerking the truck back into the lane; you

have drifted off the road and narrowly missed crashing. If you have ___________________

_______________ of these symptoms, you may be in danger of falling asleep. Page #

_______________

147. The GCW is the total weight of a _____________________________, plus

________________________, plus the ____________________. Page # __________

148. Poor weight balance can make vehicle handling ________________. Too much weight

on the steering axle can cause _________________________ steering. Under-loaded front

axles can make the steering axle weight ______________________ to steer safely. Too

little weight on the driving axles can cause poor ________________________. Page #

______________

149. States have maximums for GVWs, GCWs, and axle weights. Often, maximum axle

weights are set by a bridge formula. A bridge formula permits _____________ maximum

axle weight for axles that are closer together. Page # _______________


150. ________________ is used in the front, back, and/or sides of a piece of ____________

to keep it from sliding. Page # _____________

151. Over-length, over-width, and/or overweight loads require special _______________

____________________. Page # ____________

152. Hanging meat in a refrigerated truck can be a very unstable load with a ____________

__________________ of gravity. Particular caution is needed on sharp _______________

such as ________________________ and _________________________. Page # ________

153. Containerized loads generally are used when freight is carried part way by ___________

or ___________________. Page # _____________

154. Dry bulk tanks require _________________________________ because they have a

___________________________________ of gravity, and the load can shift. Page #

_______________

155. Federal, state, and local regulations for commercial vehicle weight, securing cargo,

covering loads, and where you can drive large vehicles _______________ from place to

place. Page # ____________

156. Hazardous materials are products that pose a __________________________________

________________________________________________ during transportation. Page #

_________

157. The shipper uses a shipping paper and ________________________________ labels to

warn dockworkers and drivers of the risk. Page # ________

158. You must also keep shipping papers: _______________________________________, or

______________________________________________________________, or __________

__________________________________________________________. Page # __________

159. A placarded vehicle must have at least _______________ identical placards. They are

put on the _______________________________________________________________.

Page # ______________


160. Never drive a vehicle needing placards unless you have the hazardous materials

___________________________. Page # ___________


Section 3: Air Brakes

1. Air brakes are really three different braking systems: _________________

______________________, _______________________________, and

____________________________________. Page # __________

2. The ______________ controls when the air compressor will pump air into the air storage

tanks. When air tank pressure rises to the ‘cut-out’ level (around ____________ pounds

per square inch or ‘psi’), the _________________ stops the compressor from pumping air.

Page # ___________

3. The ______________________________ system applies and releases the brakes when you

use the brake pedal during normal driving. Page # __________

4. If the ______________________ has its own oil supply, check the oil level before driving.

Page # _________

5. All vehicles with air brakes have a _______________________ connected to the air tank.

Page # _________

6. Some air brake systems have an ___________________________ to put alcohol into the air

system. This helps to reduce the risk of ice in the air brake valves and other parts during

cold weather. Ice inside the system can make the brakes stop working. Page # _______

7. Compressed air usually has some ____________ and some compressor ______________ in

it, which is bad for the air brake system. For example, the ________________ can freeze in

cold weather and cause brake failure. Page # ____________

8. Each air tank is equipped with a drain valve in the bottom. There are two types: Manually

operated by turning a quarter turn or by pulling a cable. You must drain the tanks yourself

at the end of each _____________________. Page # ____________ Automatic air tanks

are available with ______________ ____________ devices. These help prevent freezing of

the automatic drain in cold weather. Page # ______________

9. A safety relief valve is installed in the first tank the air compressor pumps air to. The valve

is usually set to open at ______________. Page # ________


10. Increasing application pressure to hold the same speed means the

______________________________. Page # _____________

11. Foundation brakes are used at each wheel. The most common type is the

____________________ drum brake. Page # _________

12. To stop, the brake shoes and linings are _______________ against the

_______________________ of the ______________________. Page # ___________

13. Pushing the pedal ___________________________ applies more air pressure. Page #

_________

14. Pressing and releasing the pedal unnecessarily can let air out faster than the

____________________________ can replace it. Page # _____________

15. The ____________________ forces the brake shoes away from one another and presses

them against the inside of the brake drum. Page # ___________

16. In newer vehicles with air brakes, you put on the parking brakes using a

________________________, ___________________, ___________________

______________. Page # __________

17. Drivers behind you must be warned when you put your brakes on. The air brake system

does this with an _________________________ that works by air pressure. Page #

__________

18. All trucks, truck tractors, and buses must be equipped with _______________ brakes and

__________________ brakes. Page # _____________

19. Tractor and straight truck ____________________ brakes will come full on when

____________________________ drops to a range of 20 to 45 psi (typically 20 to 30 psi).

Page # __________

20. The braking power of _____________________ depends on the brakes being in

_______________________. Page # __________

21. Never push the brake pedal ____________________ when the

_________________________________________. Page # __________


22. In some vehicles a control handle on the dash board may be used to apply the

_______________ brakes gradually. This is called a ______________________

_________________. Page # ____________

23. Before driving a vehicle with a dual air system, allow time for the air compressor to build up

a minimum of ______________ pressure in ________________ the primary _____________

secondary systems. Page # _________

24. When main air pressure is lost, the spring brakes come on. Some vehicles, such as buses,

have a separate air tank which can be used to _________________ the spring brakes. Page

# ___________

25. With dual air brakes, if one air system is very low on pressure, either the front or the rear

brakes will not be operating fully this means it will take you ____________ to

_____________. Page # _____________

26. To check slack adjuster on S-cam brakes: Park on ______________ ground and chock the

wheels to prevent the vehicle from moving. Release the parking brakes so you can move

the slack adjuster that you can reach. If a slack adjuster moves more than about

____________________ where the push rod attaches to it, it probably needs adjustment.

Page # _________

27. When the engine is at operating rpms, the pressure should build from ________ to

____________ within _________________ in dual air systems. Page # _______

28. If air pressure does not build up fast enough, your pressure may drop too low during

driving, requiring an ____________________________. Page # ________

29. Brake drums or (discs) must not have cracks longer than ________________ the width of

the _____________________. Page # ________________

30. The air leakage rate for a fully charged air system (typically 125 psi) should be less than

__________________ in one minute for __________________ vehicles and less than

______________ in one minute for ___________________ vehicles. Page # _________

31. Pumping by the air compressor should start at about _______________ and stop at about

_______________. Page # ____________


32. To test the service brake wait for normal air pressure, release the __________ brake, move

the vehicle forward slowly (about five MPH), and apply the brakes firmly using the brake

pedal. Page # ___________

33. To check that the spring brakes come on automatically, continue to fan off the air pressure

by stepping ________________ the brake pedal to reduce _______________ pressure. The

_________________ protection valve and __________________________ valve should

close (pop out) on a tractor-trailer combination vehicle and the

________________________ valve should close (pop out) on other combination and single

vehicle types when the air pressure falls to the manufacturer’s specification

(_______________). This will cause the spring brakes to come on. Page # __________

34. You may not be able to stop faster with _______________ but you should be able to steer

around an obstacle while braking, and avoid skids caused by over braking. Page # ________

35. The use of brakes on a long and/or steep downgrade is only a supplement to the braking

effect of the ______________. Page # ________

36. The proper braking technique is: (1) apply the brakes just hard enough to feel a definite

slowdown. (2)When your speed has been reduced to approximately

___________________ below your “safe” speed, release the brakes. When your speed has

increased to your “safe” speed, repeat steps one and two. Page # ____________

37. Stab braking is when you apply your brakes ________________________. Release brakes

when wheels ____________________. As soon as the wheels _____________________,

apply the brakes ______________________ again. Page # ____________

38. There is an added delay in stopping distance with air brakes. It takes a little time

(___________________________) for the air to flow through the lines to the brakes. Page

# __________

39. The total stopping distance for vehicles with air brakes systems are made up of four

different factors: __________________________ distance +

________________________distance + _________________________ distance +

__________________ distance = total stopping distance. Page # _______


40. So at 55 mph for an average driver under good traction and brake conditions, the total

stopping distance is over _______________. Page # _____________

41. ______________________ braking. With this method you apply the brakes as hard as you

can without locking the wheels. Page # __________

42. Any time that you park, use the ___________________ except; don’t use the

____________________ brake when the brakes are very hot, or if the brakes are very wet

in freezing temperatures. Page # ___________

43. Never leave your vehicle ____________________ without applying the

____________________ brakes or ___________________ the wheels. Page #

_____________


Section 4: Combination Vehicles

1. Combination vehicles are usually _________________, _________________, and require

more _________________________ than single commercial vehicles. Page # __________

2. Steer gently and smoothly when you are pulling trailers. If you make a sudden movement

with your steering wheel, your trailer could tip over. Follow far enough behind other

vehicles (at least ________________ for each _________________ of your vehicle

____________________, plus another _____________________ if going over

__________________). Page # ____________

3. The following two things will help you prevent rollover-–keep the cargo as close to the

_______________________ as possible, and drive slowly _________________________.

Page #______________

4. Large combination vehicles take longer to stop when they are ________________ than

when they are __________________________. Page # ______________

5. When ________________________________, the very stiff suspension springs and strong

brakes give poor traction and make it very easy to lock up the wheels. Your trailer can

swing out and strike other vehicles. Your tractor can jackknife very quickly. Page #

________

6. When more cargo is piled up in a truck, the ‘center of gravity’ moves higher up from the

_____________________. The truck becomes easier to _______________________. Page

# __________________

7. Tests have shown that ___________________ can be very hard to stop smoothly. It takes

them longer to stop than a tractor-semitrailer loaded to maximum gross weight. Page #

__________

8. The earliest and best way to recognize that the trailer has started to skid is by seeing it

_________________________________________. Page # ____________

9. When the wheels of a trailer lock up, the trailer will tend to swing around. This is more

likely to happen when the trailer is ______________________________ loaded. This type

of jackknife is called a ____________________________ jackknife. Page # ____________


10. With a trailer jackknife, _____________________________ to get the traction back. Page #

______________

11. When a vehicle goes around a corner, the rear wheels follow a different path than the front

wheels. The rear wheels of the powered unit (truck or tractor) will offtrack

______________, and the rear wheels of the trailer will offtrack even ________________.

If there is more than one trailer, the rear wheels of the last trailer will offtrack the

_______________. Page # ____________

12. Whenever you back up with a trailer, try to position your vehicle so that you can back in a

_______________________________. If you must back on a _______________________,

back to the _________________________ side so you can see. Page # ____________

13. If you cannot complete your turn without entering another traffic lane, turn

_________________ as you ______________________ the turn. Page # _____________

14. Never use the _________________________ for parking because all the air might leak out

unlocking the brakes (in trailers that don’t have spring brakes). Page # ________

15. The ______________________ should be used only to test the trailer brakes. Page #

_____________

16. The trailer protection valve will close automatically if air pressure is low (in the range of

_________________________). Page # ___________

17. The trailer air supply control on newer vehicles is a _______________________________,

which you use to control the tractor protection valve. You push it in to supply the

_____________ with air, and pull it out to shut the air off and put on the ______________

emergency brakes. Page # ____________

18. Every combination vehicle has two air lines, the ___________________ line and the

__________________________ line. They run between each vehicle (tractor to trailer,

trailer to dolly, dolly to second trailer, etc.). Page # ________

19. The ___________________ line (also called the control line or signal line) carries air, which

is controlled by the foot brake or the trailer _____________ brake. Page # ______________


20. The ____________________ line (also called the supply line) has two purposes. First, it

supplies air to the trailer ______________________. Second, the emergency line controls

the emergency brakes on the _______________________________. Loss of air pressure in

the emergency line causes the ____________________ emergency brakes to come on.

Page # ______________

21. ______________________ are coupling devises used to connect the service and emergency

air lines from the truck or tractor to the trailer. Page # _____________

22. When connecting the _________________________, press the ____________________

together with the couplers at a 90 degree angle to each other. A turn of the ____________

_____________ attached to the hose will join and lock the couplers. Page # ____________

23. When coupling, make sure to couple the proper ___________________ together. To help

avoid mistakes, colors are sometimes used. _________________ is used for the service line

and ________________ is for the emergency (supply) lines. Sometimes, _______________

________________ are attached to the lines with the words ‘service’ and ‘emergency’

______________________ on them. Page # ___________

24. Some vehicles have ‘dead end’ or dummy couplers to which the hoses may be attached

when they are not in use. This will prevent _________________ and _____________ from

getting into the _________________ and the ____________________________. Page #

____________

25. If you cross the air lines, you could drive away but you ____________________ have

_________________________ brakes. Page # _________

26. If the ___________________________ don’t release when you push the trailer air supply

control, check the _______________________________ connections. Page # __________

27. Newer trailers have _______________ brakes just like trucks and truck tractors. However,

converter dollies and trailers built before _____________ are not required to have

_____________ brakes. Page # ____________

28. Trailers will have yellow ABS malfunction lamps on the _______________ side, either on the

_____________________ or __________________ corner. Page # _______________


29. Having ABS on only the _______________, or even on only _______________________, still

gives you more control over the vehicle during braking. Page # ____________

30. You may not notice a major leak in the __________________ line until you put the brakes

on. Then, the air loss from the leak will lower the air tank pressure quickly. If it goes low

enough, the trailer ________________________ brakes will come on. Page # _________

31. But the brakes will only hold as long as there is air pressure in the trailer air tank.

Eventually, the air will leak away and then there will be no brakes. Therefore, it is very

important for safety that you use _____________________ when you park trailers without

________________________________. Page # ______________

32. Failure to keep the fifth wheel plate ______________________ could cause

_________________ problems because of ___________________ between the tractor and

trailer. Page # ____________

33. When coupling, check to see if the fifth wheel is in proper position for coupling. Wheel

tilted down toward _______________ of tractor. Page # ___________

34. Make sure area around the vehicle is clear. Be sure trailer wheels are _____________ or

_____________________are on. Page # ___________

35. When coupling the tractor to the trailer you must check the trailer height. The trailer

should be low enough that it is _________________________________ by the tractor when

the tractor is backed under it. Page # __________

36. Check glad hand _________________ and connect tractor _______________air line to

trailer __________________________ glad hand. Check glad hand _______________ and

connect tractor _________________ air line to trailer ___________________ glad hand.

Page # ___________

37. To supply air to the trailer. From the cab, push in ______________________ knob or move

tractor _____________________________ control from the _____________________ to

the _______________________ position to supply air to the trailer brake system. Page #

_____________


38. To lock the trailer brakes. Pull out the ___________________________ knob or move the

tractor _______________________ valve control from ______________________ to

____________________________. Page # ______________

39. When backing under the trailer use the ___________________ reverse gear. Page #

_____________

40. To check connection for security, raise the trailer landing gear ___________________ off

the ground. Pull tractor gently forward while the trailer brakes are __________________

___________________ to check that the trailer is locked onto the tractor. Page #

_________

41. Inspect coupling. Make sure there is ________________ space between the

______________ and ____________________ fifth wheel. Make sure the fifth wheel

________________ have closed around the _________________ of the ______________.

Check that the _______________________ lever is in the _______________ position.

Check that the _______________________ latch is in position over the _______________

lever. Page # ______________

42. Use _______________ gear range (if so equipped) to begin raising the _________________.

Once free of weight, switch to the _____________gear range. Raise the _______________

______________ all the way up. After raising ___________________________, secure the

crank handle safely. When full weight of trailer is resting on tractor, check for enough

clearance between ______________ of tractor ________________ and ________________

________________. Page # ____________

43. When uncoupling, have tractor lined up with the ___________________. Page # ________

44. If trailer is loaded, after the landing gear makes _____________ contact with the ground,

turn crank in ______________ gear a few extra turns. This will lift some weight off the

tractor. Page # ___________

45. To unlock fifth wheel, raise the _________________ lock. Pull the ________________

handle to the ___________________ position. Page # ____________

46. Pull tractor forward until fifth wheel comes out from under the trailer. Stop with tractor

________________ under trailer (prevents trailer from falling to ground if landing gear

should _____________________ or _______________). Page # ____________


47. Secure tractor. Apply _________________ brake. Place _____________________ in

__________________________. Inspect trailer supports. Make sure ground is supporting

trailer. Make sure landing gear is not _______________________. Pull tractor clear of

trailer. Release ___________________ brakes. Check the area and drive tractor

___________________ until it clears. Page # _____________

48. During a walk around inspection you need to check the air and electrical lines to the trailer.

Electrical cord firmly plugged in and secured. Air lines properly connected to

_______________________, no air leaks, properly secured with enough ________________

for ____________________. All lines free from ______________________. Page #

____________

Secure ID Driver’s License and ID Card

ACCEPTABLE DOCUMENTS FOR U.S. CITIZENS

PROOF OF IDENTITY

Bring one of the following documents as proof of your identity:

q Original or certified copy of U.S. Birth Certificate/Amended Birth Certificate (Includes U.S territories and

the District of Columbia). Note – ‘Keepsake’ birth certificates issued by hospitals are not acceptable.

q Valid, unexpired U.S. Passport

q Consular Report of Birth Abroad issued by U.S. Department of State (FS-240, FS-545 or DS-1350)

q Certificate of Naturalization (N-550, N-570)

q Certificate of Citizenship (N-560, N-561)

q Original U.S. Military Discharge Papers (For customers born prior to 01/01/1940)

q Social Security Administration Numident Record (For customers born prior to 01/01/1940)

LEGAL CHANGE OF NAME

IF the name on your identity document differs from your current legal name, please provide document(s) from

the following list to show your name change history [For example, the name on Birth Certificate does not match

to current legal name due to a marriage].

q Valid, unexpired U.S. Passport

q Original or certified copy of Marriage Certificate/License

Note - Photocopy is acceptable for those customers who hold a valid GA Driver’s License or ID Card

q Marriage License Application

q Original or certified copy of Divorce Decree

q Original or certified copy of Court Petition for Legal Name Change

q Original or certified copy of Court Adoption document

q For existing customers, a Social Security Administration document showing married name plus one of

the following listed documents showing the married name IF a marriage document cannot be provided OR

IF the marriage document is a Church-issued certificate:

IMPORTANT

Customers who hold a valid GA Driver’s License or ID Card are to present the original or certified

document which supports the most recent name change.

Customers who are new to Georgia must provide the complete trail of original or certified documents

which support ALL name changes.

q Bank Account/Financial Statement

q Death Certificate for Spouse

q W-2 Form

q Federal/State Tax Return

q Medicare Card

q Medicaid Card

q Property Deed

q Property Tax Bill

q Military Dependent ID Card

q Military ID Card

rev 07232012 CONTINUED ON REVERSE SIDE

SOCIAL SECURITY NUMBER

Bring one of the following documents as proof of your SSN:

q Original or copy of Social Security card

q Print-out from SSA with your name, SSN and SSA office stamp (With SSA representative’s signature)

q W-2 form showing your name and full or partial SSN

q Paycheck stub showing your name and full or partial SSN

q SSA-1099 or Non-SSA-1099 form showing your name and full or partial SSN

q SSN Denial Letter [SSA Refusal Letter] from the Social Security Administration

q Federal/State Tax Return with Applicant’s name & SSN **Also acceptable for proof of SSN for Dependents**

q Medicare / Medicaid card with Applicant’s name & SSN

q Annual Social Security Statement available at http://www.ssa.gov/mystatement/

q Selective Service Notice with Applicant’s name and SSN

RESIDENTIAL ADDRESS

Bring two documents from any of the following document categories for proof of your current residential address:

q Mortgage, payment coupon, deed, escrow statement, or property tax bill for current or preceding calendar year.

q Homeowners insurance policy or premium bill for the current or preceding calendar year.

q Health insurance statement, explanation of benefits (EOB) for a claim, or a health care bill/invoice.

q Social Security documentation including Annual Benefits statement (current or preceding calendar year), Numident record, or Social Security check.

q Statements for Federal, State and Local assistance programs including Medicare, Medicaid, unemployment insurance claims and WIC.

q Employer verification including paycheck, paycheck stub, letter from employer on company letterhead, W-2 form for current or preceding calendar year, or military orders.

q School record/transcript for the current or prior school year, report card, student loan documentation, or form DS-1.

q Georgia or Federal Income Tax Return or refund check for the current or previous tax year.

q For minors and dependents, unexpired GA driver’s license, permit or ID card issued to parent, guardian or spouse residing in same household. For dependent parents, unexpired GA driver’s license, permit or ID card issued to a relative residing in the same household.

q Utility bill issued within the previous 60 days for services installed at your residential address (water, sewer, gas, electricity, cable/satellite TV, Internet, telephone/cell phone, or garbage collection).

q Current, valid rental contract/agreement and/or rent payment receipts issued within the previous 60 days (Includes rental agreement/leases for a home, apartment, mobile home, dorm, extended stay motel, retirement/assisted living homes, and letter from a shelter).

q Financial statement for bank/credit union account, investment account, credit card account or loan/credit financing issued within the previous 60 days.

q Other accepted documents: Voter Registration card, unexpired firearms license, unexpired Merchant Marine license, I-797A, I-797C, correspondence from DDS, and other documents issued by Federal/State/Municipal government.

q Dept of Corrections Residency Verification Form (DS-752). **Accepted as stand-alone proof of residency**

q Refugee Address Verification Affidavit (DS-20). **Accepted as stand-alone proof of residency**

IMPORTANT:

The two documents must be from separate/independent sources. For example, a bank account statement for two differing statement periods is not acceptable.

In addition to the document showing your current residential address, it is to also show your name

FOR DEPARTMENTAL USE ONLY

DRIVER'S LICENSE/PERMIT/ID NUMBER NAME

SECTION A - LICENSING HISTORY LIST THE NAMES OF ALL STATES IN WHICH YOU HELD A COMMERCIAL OR NON-COMMERCIAL DRIVER'S LICENSE OF INSTRUCTIONAL PERMIT DURING THE PAST TEN (10) YEARS.

SECTION B - REQUEST FOR TRANSFER OF VALID CDL LICENSE FROM ANOTHER STATE Do you wish to transfer a valid out-of-state CDL to Georgia? Yes No If Yes, indicate the state, class, and number of the license you wish to transfer to Georgia:

SECTION C - COMMERCIAL DRIVING PRIVILEGE DISQUALIFICATIONS Convictions for certain offenses in Georgia or in any other state or country may result in the disqualification of commercial driving privileges in Georgia by DDS. If you currently hold a CDL license or permit in Georgia when the commercial disqualification becomes effective, you may not operate a commercial motor vehicle under any circumstances during the disqualification period. If you do not currently hold a CDL license or permit in Georgia, you will not be allowed to obtain a CDL license or permit during the disqualification period. An accumulation of certain convictions can lead to permanent revocation of commercial driving privileges. IMPORTANT: Disqualifications are imposed by DDS pursuant to Georgia statutes. In certain cases, disqualifications imposed pursuant to Georgia statutes may be more severe than the qualifications required by regulations of the Federal Motor Carrier Safety Administration (FMCSA). In these situations, DDS imposes the disqualification required by Georgia law.

1. Have you ever been convicted of or pled nolo contendere to any disqualifying offense? Yes No

2. Have you been convicted of or pled nolo contendere to more than one serious traffic violation Yes No (in any vehicle) in the past three years?

SECTION D - FMCSA CERTIFICATIONS (INITIAL BESIDE APPLICABLE STATEMENTS) - See Self-Certification Guidelines

Self-Certification Categories (Initial One) A, B – Medical Certificate needed. C,D – No Medical Certificate needed

A. ______ Non-Excepted Interstate - I certify that I meet the FMCSA driver qualification requirements for operating a commercial motor vehicle in interstate or foreign commerce defined in 49 CFR 391, et seq., including, but not limited to physical and medical requirements. I also certify that I do not have an impairment of an arm, foot, or leg that interferes with the normal tasks associated with operation of a CMV. (Medical Certificate needed)

B. ______ Non-Excepted Intrastate -- I certify that I will operate entirely in intrastate commerce only and that I meet the FMCSA driver qualification requirements as defined in 49 CFR 391. I also certify that I do not have an impairment of an arm, foot, or leg that interferes with the normal tasks associated with operation of a CMV. . (Medical Certificate needed)

C. ______ Excepted Interstate - I certify that I will operate or expect to operate in interstate commerce, but engage exclusively in transportation or operations excepted under 49 CFR §§390.3(f), 391.2, 391.68 or 398.3 from all or parts of the qualification requirements of 49 CFR part 391, and I am therefore not required to obtain a medical examiner’s certificate by 49 CFR §391.45. (Medical Certificate not needed)

D. ______ Excepted Intrastate -. I certify that I will operate a city, county, state, or federal vehicle only, and I am exempt from the FMCSA driver qualification requirements defined in 49CFR 391.41 (Medical Certificate not needed)

Testing Vehicle Initial if taking skills test:

_______ I certify that the commercial motor vehicle in which I am taking the commercial driving skills test is representative of the type of vehicle I operate or expect to operate.

Licenses, Disqualifications, and Withdrawals Initial if Transfer From Another State or First Issuance

________ I certify that I am not subject to any disqualification defined in 49 CFR §383.51or any license suspension, revocation, or cancellation pursuant to the laws of any State. ________ I certify that I do not have a driver’s license from more than one State or jurisdiction.

SECTION E - HAZARDOUS MATERIALS ENDORSEMENT (INITIAL BESIDE APPLICABLE STATEMENTS)

Proof of Lawful Presence in the U.S. for Non-U.S. Citizens: _________ My application includes a request for issuance of a Hazardous Material Endorsement. I understand that my proof of lawful presence in the United States must be one of the following to obtain a hazardous material endorsement: I-551, Temporary I-551 stamp in foreign passport, Temporary I-551 stamp on I-94 with photograph of bearer, or I-327. Hazardous Materials Endorsement Extension: _________My application includes a request for issuance of a Hazardous Materials Endorsement (HME) extension. I hereby swear or affirm that I have made application with the U.S. Transportation Security Administration (TSA) for a Security Threat Assessment, but as of the date of this application I have yet to receive a NO DETERMINATION OF THREAT Assessment or a FINAL DETERMINATION OF THREAT Assessment. I fully understand that upon expiration of the Georgia CDL with HME extension, I will not be eligible for any further extensions of my HME.

DDS-23C 8/5/2011

COMMERCIAL DRIVER’S LICENSE OR PERMIT

SUPPLEMENTAL APPLICATION

SECTION F - REQUIRED ACKNOWLEDGEMENT AND SIGNATURES (INITIAL BESIDE ALL STATEMENTS) __________Under penalty of law, I swear or affirm that I am a resident of the State of Georgia or that I qualify for a Nonresident CDL, and the information provided on this application is true and correct. I understand that it is illegal to make false, fictitious, or fraudulent statements on this application. I grant permission to the Department of Driver Services (DDS) to verify information furnished to the Department through the release of any and all applicant information to third parties which shall include, but not be limited to the U.S. Department of Homeland Security, the Federal Motor Carrier Safety Administration or other public or private entities wherein such disclosure of the information by the Department is not prohibited by law.

__________I understand that the DDS will check my driving record through available national databases, including, but not limited to, the Commercial Driver License Information System (CDLIS), for the purpose of determining my eligibility for issuance of the requested licenses or permits. Print Name ______________________________________________________________ Applicant’s Signature ______________________________________________________ Date _______ /______/_______ Examiner Signature ________________________________________________________ Date ________ /_____ /_______

Submitting Documentation by Fax. - Fax a copy of your medical certificate, medical waiver, self-certification form and notice to (770) 918-6251. Submitting Documentation by Mail - Send copies of your medical certificate, medical waiver, self-certification form and notice to: - DDS, Attn: RM-CDL P.O. Box 80447, Conyers, GA 30013. Submitting Documentation in Person

- Visit the DDS website, at www.dds.ga.gov to find your nearest DDS Customer Service Center.

- Bring copy of medical certificate, medical waiver, self-certification form and notice when visiting our office.

If you have any additional questions regarding this matter please feel free to contact the DDS’ Customer Contact Center at (678) 413-8400 or toll

free outside metro Atlanta area: (866) 754-3687.

DDS-23C 8/5/2011

NOTARY SEAL

DDS-23 1/1/2010

DRIVER’S LICENSE/PERMIT/ID NUMBER RESTRICTIONS CLASSE(S) APPLIED FOR

PLEASE PRINT CLEARLY

SECTION A *Response is optional LAST NAME SUFFIX FIRST NAME MIDDLE NAME (MAIDEN)

COMPLETE MAILING ADDRESS (STREET ADDRESS OR PO BOX, APT #, CITY, STATE, ZIP CODE)

COMPLETE RESIDENCE ADDRESS, IF DIFFERENT (STREET ADDRESS, APT #, CITY, STATE, ZIP CODE)

PRIMARY TELEPHONE NUMBER* SECONDARY TELEPHONE NUMBER* EMAIL ADDRESS*

DATE OF BIRTH

MALE

FEMALE

HEIGHT WEIGHT EYE COLOR SOCIAL SECURITY NUMBER

MONTH DAY YEAR

Are you a U.S. citizen? Yes No

If No, what is your Alien Registration Number or I-94 Number?

SECTION B (check appropriate boxes and answer applicable questions) 1. List the names of all states or countries, including Georgia, in which you have ever been issued or currently hold a driver’s license, instructional

permit, or identification card. For each state or country, list the number, name, and date of birth on the card.

2. List the names of all states or countries, including Georgia, in which your driver’s license, instructional permit, or identification card, or privilege to drive is currently revoked, suspended, canceled, or denied. For each state or country, list the reason and when the action was taken.

3. Is your driver’s license being held by a police officer, law enforcement agency, or court in this state or any other Yes No

state or country? If Yes, explain:

If applying for a driver’s license or instructional permit, do you wear glasses or contact lenses for driving? Yes No

Vision Screening Results Field of Vision With Lenses Without Lenses

FOR DEPARTMENTAL USE ONLY Sight Screener Right 20/ 20/

DO NOT WRITE IN THIS SPACE Doctor Certificate Left 20/ 20/

Bioptics Both 20/ 20/

5. Are you a habitual user of alcohol or any drug to a degree which renders you incapable of safely driving a motor vehicle? Yes No

6. Have you ever had seizures, fainting, heart trouble, hearing problems, musculoskeletal performance problems, or respiratory Yes No

function problems? If Yes, date of last incident: ____ /____ /____

Please describe and provide physician name and city:

7. Have you ever been diagnosed with any mental disability or disease? Yes No If yes, have ever been rendered incompetent? Yes No

If so, are you currently restored to competency by the methods provided by law? Yes No 8. Do you have any identical brother(s) or sister(s)? Yes No If Yes, list full name(s):

9. Do you wish to have “Organ Donor” displayed on your license or ID? Yes No

10. If applying for a driver’s license or instructional permit, do you want to donate $1 for the prevention of blindness? N/A Yes No

11. If you are a male U.S. citizen under the age of 26, have you registered with the Selective Service System? N/A Yes No

The Georgia Department of Driver Services is required to ask all males under the age of 26 who are U.S. citizens whether they have registered with the U.S. Selective Service System, and to report the responses to the U.S. Selective Service System. Your response today does not initiate registration with the U.S. Selective Service System, however, you may be contacted by that agency as a result of your response. Your signature on this application serves as an indication that you have already registered with the U.S.

Selective Service System or that you are authorizing the department to forward the necessary information to that agency for such registration. Your signature on this application constitutes consent to be registered with the U.S. Selective System if you are not already so registered. O.C.G.A. §40-5-8.

APPLICATION FOR DRIVER’S LICENSE, PERMIT,

OR IDENTIFICATION CARD

DDS-23 1/1/2010

SECTION C – Lost/Stolen License

If you cannot surrender your license for any reason, please check the appropriate box below:

I am unable to surrender my SUSPENDED or REVOKED driver’s license to DDS because it is lost, or for some other reason, surrender is not possible.

I am seeking renewal or replacement of my lost Georgia driver’s license, permit, or identification card. I hereby swear or affirm that my Georgia driver’s license/permit/ID card is not currently revoked, suspended, cancelled, or denied; nor is it being held by a police officer, law enforcement agency, licensing jurisdiction, or court in this or any other state.

SECTION D – Emergency Contact Information

Name Telephone Number Relationship Relative Friend Other

SECTION E – Voter Registration Application

1. Do you want to register to vote? Yes No

2. If you are requesting a change of address on this application, is the change of address for voter registration purposes also? Yes No

3. Race (optional): Asian/Pacific Islander Black Hispanic/Latino White Other

Your signature in this section serves as an attestation under penalty of perjury that all of the following requirements have been met: √ I am a citizen of the United States, and I am a resident of the State of Georgia and of the county or municipality in which I seek to vote. √ I am 18 years of age or older or will be 18 years of age within six months of the date of my application. √ I am not serving a sentence for having been convicted of a felony involving moral turpitude. √ I have not been judicially determined to be mentally incompetent, or if such determination has been made, the disability has been removed. WARNING: Any person who registers to vote knowing that such person does not possess the qualifications required by law, who registers under any name other than such person’s own legal name, or who knowingly gives false information in registering, shall be guilty of a felony. Signature Date / /

SECTION F – Required Signatures Under penalty of law, I swear or affirm that I am a resident of the State of Georgia, and the information provided on this application is true and correct. I understand that it is illegal to make false, fictitious, or fraudulent statements on this application. I grant permission to the Department of Driver Services to verify information furnished to the Department through the release of any and all applicant information to third parties which shall include, but not be limited to the U.S. Department of Homeland Security or other public or private entities wherein such disclosure of the information by the Department is not prohibited by law. Applicant’s Signature Date / / Examiner Signature Date / / The section below must be completed if applicant is under 18 years of age: I, , hereby certify that I am the parent, guardian, or responsible adult approving the issuance of this driver’s license or instructional permit. I further certify that I have reviewed the information contained in this application, and that the information provided here is true and correct. Signature (Parent, Guardian, or Authorized Person) Date / / Date of Birth / / Driver’s License/Identification/Social Security Number

FOR DEPARTMENTAL USE ONLY

Non-Commercial Exam Results General Observations / Retake Reason:

Date

Class

Law

Road Signs

Motorcycle RT

Road Test

NOTARY

SEAL

CDL-ST WVR (05/2012)

APPLICATION FOR MILITARY SKILLS TEST WAIVER

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 90 days 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 (written) test(s) cannot be waived. The transfer of School Bus(S) and/or Passenger (P) endorsements under this Waiver Program are prohibited. APPLICANT INFORMATION

NAME (Last, First, Middle) STATE /DRIVER LICENSE NUMBER (required) APPLICATION DATE

RESIDENCE ADDRESS (STREET) CITY STATE ZIP CODE COUNTY

MAILING ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE COUNTY

DRIVER RECORD CERTIFICATION

During the 2-year period immediately preceding this date:

• Have you had more than one license (except for a military license)? …………………………………………………………….

• Has your license been suspended, revoked, cancelled or disqualified in this or any state? ……………………………………

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES NO

YES

NO

YES NO

YES NO

YES NO

Have you been convicted of any violations described below in any type of motor vehicle?

• Being under the influence of alcohol as prescribed by state law …………………………………………………………………

• Being under the influence of a controlled substance ………………………………………………………………………………

• Having an alcohol concentration of 0.04 or greater while operating a CMV …………………………………………………….

• 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 ………………………………………………………………………………………………………………………

• Leaving the scene of an accident …………………………………………………………………………………………………….

• Using the vehicle to commit a felony (other than manufacturing, distributing or dispensing a controlled substance) ………

• Driving a CMV while your CDL is revoked, suspended, cancelled; or you are disqualified from operating a CMV …………

• Causing a fatality through the negligent operation of a CMV (including motor vehicle manslaughter, homicide by motor vehicle, or negligent homicide) ……………………………………………………………………………………………………….

• 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?

• Speeding in excess of 15 mph or more above the posted speed limit …………………………………………………………..

• 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) …………………………………………………………………………..

• Making improper or erratic lane changes …………………………………………………………………………………………..

• Following the vehicle ahead too closely ……………………………………………………………………………………………

• Violating State or local law relating to motor vehicle traffic control (other than a parking violation) arising in connection with a fatal accident …………………………………………………………………………………………………………………………

• Driving a CMV without obtaining a CDL …………………………………………………………………………………………….

• Driving a CMV without a CDL in the driver’s possession …………………………………………………………………………

• 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 ……………………………………………………………………………………

• Violating a State or local law or ordinance on motor vehicle traffic control prohibiting texting while driving …………………

• 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 ………. ……………………………………………………………………………………………..

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? …………………………………………………………………………………………………………..

CERTIFICATION OF DRIVING EXPERIENCE

Have you been regularly employed or were you regularly employed within the last 90 days in a military position requiring the operation of a military motor vehicle that was representative of a commercial motor vehicle (CMV)?………………………….

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)? ……………………………………………………………………………………………………

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

COMMANDING OFFICER’S CERTIFICATION OF COMMERCIAL DRIVING EXPERIENCE

COMMANDING OFFICER’S NAME (LAST, FIRST, MIDDLE) TELEPHONE NUMBER

STREET ADDRESS

CITY STATE ZIP CODE 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.

* PINTLE HOOK - Truck Trailer Combination

A 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:

The vehicle the service member operates is equipped with an air-over-hydraulic braking system:

YES NO

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 DATE

SIGNATURE DATE

Authority of Article 136, Uniform Code of Military Justice or 10 U.S.C. 1044A

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