Fillable Driver Certification of Eligibility for Non-Commercial Drivers License (Department of Motor Vehicles )

Fill Online, Printable, Fillable, Blank Driver Certification of Eligibility for Non-Commercial Drivers License (Department of Motor Vehicles ) Form

Use Fill to complete blank online DEPARTMENT OF MOTOR VEHICLES pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Driver Certification of Eligibility for Non-Commercial Drivers License (Department of Motor Vehicles )

On average this form takes 5 minutes to complete

The Driver Certification of Eligibility for Non-Commercial Drivers License (Department of Motor Vehicles ) form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 19 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Department of Motor Vehicles forms online.

BROWSE DEPARTMENT OF MOTOR VEHICLES FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Fax: (775) 684-4992
dmvnv.com
DLD-121 (Revised 4/2016)
Driver Certification of Eligibility for Non-Commercial Driver’s License
Farm/Military
(Original & Renewal)
Applicant Information
DLN:
Name:
DOB:
Address:
Last
First
Middle
Phone:
City:
Zip:
I hereby certify that I am exempt from Federal Commercial Driver License regulations for one of the following
reason(s):
☐
Operate farm vehicles as specified in 49 CFR 383.3
☐
Member of the Armed Forces, including National Guard and U.S. Coast Guard
This Section to be completed by Farm or Military Applicants
Farm / Duty Station:
Supervisor Name:
Phone:
Address:
City:
State:
Zip:
I hereby certify that all statements made on this application are true and correct. I agree and understand any
misstatement of material facts may cause cancellation and/or denial of my driver’s license under NRS 483.420
and NRS 483.530, respectively. I further understand any misstatement of facts may be a misdemeanor or
felony under NRS 483.530, and may be punishable pursuant to NRS 193.130.
Signature of Applicant
Date (must be dated in the last 60 days)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Driver Certification of Eligibility for Non-Commercial Drivers License (Department of Motor Vehicles )

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 24 December 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document