Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Fax: (775) 684-4992
DP-046 (Revised 4/2016)
Driver Certification of Eligibility for Non-Commercial Driver’s License
Firefighters
NAC 483
(Original & Renewal)
Applicant information:
Phone #:
Name:
DOB:
Address:
Last
First
Middle
DL #:
City:
Zip:
I hereby certify that I am exempt from the Federal Commercial Driver License regulations because I am a
firefighter or other operator of emergency vehicles necessary to the preservation of life or property as specified
in 49 CFR 383.3.
This section to be completed by Fire Chief or Designated Chief Officer:
Department:
Name:
Phone:
Address:
Email:
City:
State:
Zip:
I certify that the applicant is receiving or has received training to operate emergency equipment described in
NAC 483.850(2), meets the requirements of NAC 483.110 and NFPA 1002 Chapter 4 or an approved
driver/operator program adopted by the AHJ, and is therefore authorized to add an F endorsement to their
license.
Signature of Battalion Chief or Designated Chief Officer
Date (must be dated within the previous 60 days)
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 within the previous 60 days)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed