p.3 PDS100_0418
D. Additional Required Documentation
Professional Driving Schools/CDL Training Schools/Driver Skills Development Programs
New Application
If incorporated: Articles of Corporation (issued by the Office of the Secretary of State)
Current Business Certificate (issued by local municipality)
Current Certificate of Occupancy (issued by local municipality) for the business office and classroom if located at a different location than the
business office
*If not issued by local municipality a letter on official letterhead indicating that no such certificate is issued.
If a high school classroom, branch location, or off-road training site: A copy of a rental agreement or contract from the appropriate authority
authorizing your school to teach driver education at that site.
Original Performance Bond (copies will not be accepted)
If any proprietor, partner, officer, or director listed on the application resides out of state, they must provide an original or certified copy of their
criminal history background from their home state or residence that is no more than 30 days old from the date of issuance
Copy of Proposed Curriculum
CORI Form for all persons on application
CDL Training Schools
Division of Professional Licensure Authorization
Renewal application:
Current Certificate of Occupancy (issued by local municipality) for the business office and classroom if located at a different location than the
business office
*If not issued by local municipality a letter on official letterhead indicating that no such certificate is issued.
If a high school classroom, branch location, or off-road training site: A copy of a rental agreement or contract from the appropriate authority
authorizing your school to teach driver education at that site.
Current Performance Bond or Continuation Certificate
If any proprietor, partner, officer, or director listed on the application resides out-of-state, they must provide an original or certified copy of their
criminal history background from their home state or residence that is no more than 30 days old from the date of issuance
E. Certification and Signature of Applicant
(application not complete without signature)
I agree to ensure that the licensed driving school will comply with all provisions of Massachusetts General Laws (MGL), and all Regulations, policies,
and guidelines established by the Registry of Motor Vehicles for the operation of driving schools and the employment of driving instructors, and
specifically, MGL Chapter 90, Section 32G Licensing for Driver Instruction, MGL Chapter 90, Section 32G½ Advanced Driver Training
Program Certification, 540 CMR 23.00 Licensing, Certification and Operating Requirements for Driving Instructors and Driving Schools,
and the Registry of Motor Vehicles Guidelines for Professional Driving Schools and Driving School Instructors, all as amended from time to
time.
I, the undersigned, hereby certify that I am _____________________________ (Title) of the above driving school and that the information contained
in this application is true to the best of my knowledge and belief.
Applicant Name: __________________________________________ Signature of Applicant: __________________________________________
(Proprietor, Partner or Officer)
False statements are punishable by fine, imprisonment, or both (Chapter 90, Section 24) Date: __________________________
F. Certification and Signature of Insurance Company or Its Agent
The following is to be executed by your insurance company or its agent:
The company Signatory hereto, hereby certifies that, it has issued to the Motor Vehicle Registrant, herein before indicated, a Policy Bond or Binder, in
conformity with the provisions of Massachusetts General laws, C. 90, Section 1A, C. 175, Section 113A, covering the above described commercially
registered vehicles and that the premium charged thereon is at the rate fixed and established for automobiles used for driving instructions.
Authorized Signature: ______________________________________________________________ Date Issued: __________________________
Insurance Company Stamp: _______________________________________________________________________________________________
Submit completed application to: Registry of Motor Vehicles, Driver Licensing, P.O. Box 55889, Boston, MA 02205-5889
For Office Use Only
Date Received: _________________ Site Assessment ____________________ Approved: ____________________________________________
