Application for School Bus Road Test
Registry of Motor Vehicles ● Vehicle Safety & Compliance Services
P.O. Box 55892 ● Boston MA 02205-5892
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IMPORTANT: There is no fee required with this application. The fee will be collected at the Service Center after completion of the Road Test.
A. Applicant Information
Last Name First Name Middle Name Suffix
Date of Birth (MM/DD/YYYY) Driver’s License # Social Security Number Gender
M
F
Residential Address (Where you actually reside)
Email Phone Type Phone #
Cell
Home
Work
Employer Information
Employer Name Address
Employer Email Phone Type Phone #
Cell
Home
Work
Instructor Name
Email Phone #
B. Type of Road Exam
School Bus Re-Test
Airbrake Test
CDL Upgrade Test
Restricted Test
C. Certification and Signature of Applicant
I have reviewed this completed Application and 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.
Applicant’s Signature _____________________________________________ Date _________________________
Street
Apt. #
City
State
Zip
Code
-
Street
City State
Zip
Code
-
