1 South Station, 5
th
Floor • Boston, MA 02110 • Tel: (617) 305-3559 • Fax: (617) 478-2598 • Email: DPU.Transportation@mass.gov
Bus Driver Certificate Application - New and Renew
Please note: a fee is required to process this application. See the list below.
The Department now accepts payments online. Please visit our website for more information:
mass.gov/how-to/pay-transportation-oversight-division-fees
Please select which item you wish to apply for from the list below:
Motor Bus Driver Certificate: $40
Motor Bus Driver Certificate - Duplicate: $20
Motor Bus Certificate & Road Test - 14 Passenger Restricted: $60
Motor Bus Driver Certificate - Age 70+: $40
Motor Bus Driver Certificate - Age 70+ Renewal: $20
1. Massachusetts License Number:
2. First and Last Name:
3. Maiden/Alias(es):
4. Mailing Address:
5. Date of Birth:
6. Phone Number:
7. Has your privilege/license to operate intrastate been
suspended or
revoked during the past 5 years?
Yes No
8. Check any and all restrictions:Hearing Appliance
Restricted to Carrying Less than 14 Passengers
DPU-specific restrictions
9. Bus Company Name and Phone Number:
Department of Public Utilities
Transportation Oversight Division
For 14 passenger restricted bus driver certificate
applicants, a legible copy of a DOT Medical Examination
REPORT (NOT certificate) must be attached.
I hereby certify that the statements contained in this
application herein made are full, just and true to the
best of my knowledge and belief. This statement is
made under the penalties of perjury.
Signature:
Date:
DATE APP. RECIEVED: PHYSICAL FORM CLEARED?:
DRIVING RECORD CLEARED?: TEMP CERT. ISSUED?:
Y N
ASSIGNED TO INSPECTOR: DATE: DATE TESTED: INSPECTOR SIGNATURE: DPU CERTIFICATE ISSUED: DATE:
PASSED FAILED
Y N
Please note: a fee is required to process this application.
Applications will not be processed without payment.
The Transportation Oversight Division now accepts payments
online. You can also submit a check or money order by mail.
Please see our website for more information:
mass.gov/how-to/pay-transportation-oversight-division-fees
Using Adobe Acrobat or Reader to fill out this application? Click the
red button below to submit your application by email. You can also
save this PDF and submit it as an email attachment to:
DPU.Transportation@mass.gov
You can also print and submit this application by mail to the
Transportation Oversight Division. The Division’s mailing address
can be found at the top of this form. Please be sure to pay online
or submit a check/money order with your application.
Looking to apply for or renew a school bus
certificate? The Registry of Motor Vehicles (RMV) now
processes school bus certificates:
mass.gov/how-to/apply-for-a-school-bus-driver-certificate
DO NOT MARK BELOW THIS LINE: FOR DPU USE ONLY
Y N
Y N
I'm sending a check/money order
I'm paying online
(Type full, legal name)
Attach Documents Using Adobe
Submit Application by Email
