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Occupational and Business Licensing 555 Wright Way Carson (Department of Motor Vehicles )

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Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
OCCUPATIONAL (SALESPERSON) LICENSE INFORMATION
“Salesperson” defined. “Salesperson” means:
1. A person employed
by a vehicle dealer, under any form of contract or arrangement to sell, exchange, buy, or offer for
sale, or exchange an interest in a vehicle to any person, who receives or expects to receive a commission, fee or any
other consideration from the seller or purchaser of the vehicle; or
2. A person who exerci
ses managerial control within the business of a dealer or a long-term or short-term lessor, or who
supervises salespersons employed by a dealer or a long-term or short-term lessor, whether compensated by salary or by
commission, or who negotiates with or induces a customer to enter into a security agreement on behalf of a dealer or a
long-term or short-term lessor. NRS 482.107
LICENSING REQUIREMENTS
1. Certificate of Employment (OBL236) completed and signed by a principal or an authorized person of a licensed Nevada
Dealer.
2. Personal His
tory Questionnaire (OBL242) completed by applicant.
3. Applicant photograph, at least 2 inches x 2 inches (passport photo size) and show full face, shoulders and above.
4. One set of fingerpr
ints is required. Applicant must be fingerprinted by an authorized NV DMV representative or a law
enforcement agency. Check with your local law enforcement agency for any additional fees.
5. DPS Fingerprint
Background Waiver (OBL256) completed and signed by each applicant.
6. Occupational Li
cense (Salesperson) Disclaimer (OBL264). Disclaimer must be notarized or signature witnessed by an
authorized NV DMV representative.
APPLICATION FEES (Non-refundable)
Original License Fee: $75.00
Fingerprint Processing Fee: $40.25
Annual Renewal Fee: $40.00
Transfer Fee: $20.00
Technology Fee: $1.00
Occupational salesperson licenses expire on December 31 of each year. The cost for licenses issued throughout the year is the
same; fees will not be prorated. If your license has been expired for 6 months or more, you must submit a new application,
fingerprints, and pay the original license fee.
When a person holds a temporary permit or license from the Nevada DMV to act as a salesperson and ceases to be employed,
their permit/license is automatically terminated. The person may not engage in the activity of a salesperson until he or she has
paid the DMV a transfer fee of $20 and submitted a Certificate of Employment (OBL236), indicating re-employment by a licensed
and bonded dealer, lessor or rebuilder. Thereafter, a current temporary permit or license will be presented to the employer (NRS
482.362).
OBL255 (6-2019)
OBL337 (1/2020)
Page 1 of 9
OBL236 (5/2013)
OBL337(1/2020) Page 2 of 9
OCCUPATIONAL & BUSINESS LICENSING
555 WRIGHT WAY
CARSON CITY, NV 89711-0100
(775) 684-4690
www.dmvnv.com
CERTIFICATE OF EMPLOYMENT
SALESPERSON INSPECTOR FEES
Class: One Two Diesel Registration Renewal New $
Renewal $
DRIVE SCHOOL INSTRUCTOR: Behind the Wheel Transfer $
CDL Non CDL General Classroom
DUI SCHOOL INSTRUCTOR General Classroom Under 18
TRAFFIC SAFETY SCHOOL INSTRUCTOR Trainee
EMPLOYEE:
Full Legal Name DMV Occupational License #
NV Driver’s License # or Date of Birth Telephone Number ( ) -
Mailing Address
Street City State Zip
Physical Address
Street City State Zip
Nevada Revised Statute and Nevada Administrative Code Chapters:
I understand it
is my responsibility to review the aforementioned Nevada Revised Statute and Nevada Administrative
Code Chapters with respect to the license or registration I am applying for and agree to comply with the requirements
stated therein. I declare under penalty of perjury that the information contained in this form is true and correct.
Employee’s Signature Date
EMPLOYER:
Business Name DMV Business License #
Address ( ) -
Street City State Zip Telephone Number
Authorized Representative’s Name and Title (Print)
Authorized Representative’s Signature
NRS/NAC Chapters
445B & 482
NRS/NAC Chapters 482 &
490
NRS/NAC Chapter
483
NRS/NAC Chapters 487 & 597
(Body Shop & Garage only)
Station and Inspector
licensing.
Broker, Dealer, Distributor,
Long Term Lessor,
Manufacturer, Rebuilder,
Salesman, Short Term
Lessor and Transporter
licensing, including Off-
Highway Vehicle Industry
Licensing.
Instructor and School
licensing.
Body Shop, Garage, Salvage
Pool and Wrecker licensing or
registration.
Clear Form
PERSONAL HISTORY QUESTIONNAIRE
New Update
This questionnaire is filed as part of the licensing application for:
Business License: Principal Registered Agent/Manager
Occupational License: Salesperson Drive School Instructor Traffic Safety School Instructor
Inspector DUI School Instructor
All lines and spaces must be completed in full. If not applicable enter (N/A).
Full Legal Name:
Last First Middle
Additional names you have been known by (maiden name, stage name, nickname):
Mailing Address
Street City State Zip
Physical Address
Street City State Zip
Home Phone Additional Phone
Driver’s License
No. State
City State
Social Security No. - -
Female
Male
Height
Weight
Hair
Eyes
Scars, marks, and/or tattoos
Employment His
tory for the past 5 years beginning with the most current (without gaps):
From
(month/year)
To
(month/year)
Employer
Complete Address/Telephone #
Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711 - 0100
(775) 684-4690
www.dmvnv.com
OBL242 (12/2012)
OBL337 (1/2020)
Page 3 of 9
OBL242 (12/2012)
OBL337 (1/2020)
Page 4 of 9
Applicant’s Name
Personal History Questionnaire
List names, complete address, and phone numbers of two personal references.
Name
Address
Phone Number
Drive, DUI o
r Traffic Safety applicants only:
Have you ever been arrested or convicted of a crime or offense, either felony, gross misdemeanor or misdemeanor,
including traffic misdemeanor offenses?
Yes No
All other applicants:
Have you ever been arrested or convicted of a crime or offense, either felony, gross misdemeanor or misdemeanor,
excluding traffic misdemeanor offenses?
Yes No
If “Yes,” list separate charge by date of arrest. Describe the offense, court, and disposition in the appropriate
columns. If additional space required, use a separate sheet of paper.
Date of Arrest
Nature of Offense
Court of Jurisdiction
Disposition of Offense
Are you current
ly, or have you ever been under supervision of a parole or probation agency of any state? If so, provide
name and address of the agency, name of supervising officer and phone number. Provide a copy of your discharge; if
appropriate (explain.)
Child Supp
ort Information:
Nevada Revised Statute 482.319 requires all professional and occupational licensing agencies to request statements
regarding child support from applicants for new licenses and for renewal of all occupational licenses. Please mark the
appropriate response and complete the remainder of the form. Failure to mark one of the three and completion of the
form will result in denial of the application.
I am not subject to a court order for the support of a child.
I am subject to a court order for the support of one or more children and am in compliance with a
plan approved by the district attorney or other public agency enforcing the order for the
repayment of the amount owed pursuant to the order; or
I am subject to a court order for the support of one or more children and am not in compliance
with the order or plan approved by the district attorney or other public agency enforcing the order
for the repayment of the amount owed pursuant to the order.
OBL242 (12/2012)
OBL337 (1/2020)
Page 5 of 9
Applicant’s Name
Personal History Questionnaire
Have you previously held or do you presently have a business or occupational license issued by the Department of Motor
Vehicles in this State or by any other State’s occupational licensing authority?
Yes No
If “Yes”, li
cense number State
Have you ever had a business or occupational license, in this state or any other state including a driver’s license, which
was denied, suspended, revoked, or had administrative sanction against it?
Yes No (if Yes, explain)
I hereby authoriz
e the Department of Motor Vehicles to make any background investigation necessary as it pertains to the
issuance of my license. In relation, I authorize any person or entity contacted by the Department of Motor Vehicles, its
agents or employees to furnish any information or opinions they may have during the course of my initial background
investigation. I release from liability and promise to hold harmless under any and all causes of legal action, the State of
Nevada, Department of Motor Vehicles, its agents or employees and all persons or entities furnishing information or
opinions to the Department of Motor Vehicles related to my background investigation. I understand providing false
information or the omission of the requested information in this questionnaire is grounds to deny, suspend, or revoke my
business or occupational license. Furthermore, I understand filing false information to obtain any license or permit is a
criminal act as defined in Nevada Revised Statutes and Nevada Administrative Codes in addition to being subject to the
administrative sanctions as prescribed by law.
__________________________
______________________________ Date
Signature of Applicant
Signatures must be original. Photocopies are not acceptable.
State of Nevada
County of
Subscribed and sworn before me this day of , 20 by
Notary Public or Authorized Nevada DMV Representative (Notary Seal)
For Department Use Only
Case No
Application completed and signed Fingerprints Background Investigation Total Fees $
Recommendation: Approved Denied
Date
Signature of Employee
Date
Signature of Supervisor (if applicable)
Date
Signature of Investigator (if applicable)
OBL337 (1/2020)
0505RCCD-003(09/2019rev)
Fingerprint Background Waiver
Page 6 of 9
Fingerprint
Background Waiver
As an applicant who is the subject of a Federal Bureau of Investigation (FBI) fingerprint-based
criminal history record check for a noncriminal justice purpose you have certain rights which are
discussed below.
1. You must be notified by Nevada Department of Motor Vehicles Compliance
Enforcement Division (name of requesting agency) that your fingerprints will be used to
check the criminal history records of the FBI and the State of Nevada.
2. Authority: The FBI’s acquisition, preservation, and exchange of fingerprints and associated
information is generally authorized under 28 U.S.C. 534. Depending on the nature of your
application, supplemental authorities include Federal statutes, State statutes pursuant to
Pub. L. 92-544, Presidential Executive Orders, and federal regulations. Providing your
fingerprints and associated information is voluntary; however, failure to do so may affect
completion or approval of your application.
3. Principal Purpose: Certain determinations, such as employment, licensing, and security
clearances, may be predicated on fingerprint-based background checks. Your fingerprints
and associated information/biometrics may be provided to the employing, investigating, or
otherwise responsible agency, and/or the FBI for the purpose of comparing your fingerprints
to other fingerprints in the FBI’s Next Generation Identification (NGI) system or its successor
systems (including civil, criminal, and latent fingerprint repositories) or other available
records of the employing, investigating, or otherwise responsible agency. The FBI may retain
your fingerprints and associated information/biometrics in NGI after the completion of this
application and, while retained, your fingerprints may continue to be compared against other
fingerprints submitted to or retained by NGI.
4. Routine Uses: During the processing of this application and for as long thereafter as your
fingerprints and associated information/biometrics are retained in NGI, your information
may be disclosed pursuant to your consent, and may be disclosed without your consent as
permitted by the Privacy Act of 1974 and all applicable Routine Uses as may be published at
any time in the Federal Register, including the Routine Uses for the NGI system and the FBI’s
Blanket Routine Uses. Routine uses include, but are not limited to, disclosures to: employing,
governmental or authorized non-governmental agencies responsible for
employment, contracting, licensing, security clearances, and other suitability
determinations; local, state, tribal, or federal law enforcement agencies; criminal
justice agencies; and agencies responsible for national security or public safety.
Applicant:
__________________ ___________________
Initial Date
OBL337 (1/2020)
0505RCCD-003(09/2019rev)
Fingerprint Background Waiver
Page 7 of 9
5. If you have a criminal history record, the officials making a determination of your suitability
for the job, license or other benefit for which you are applying must provide you the
opportunity to complete or challenge the accuracy of the information in the record. You may
review and challenge the accuracy of any and all criminal history records which are returned
to the submitting agency. The proper forms and procedures will be furnished to you by the
Nevada Department of Public Safety, Records Bureau upon request. If you decide to challenge
the accuracy or completeness of you FBI criminal history record, Title 28 of the Code of
Federal Regulations Section 16.34 provides for the proper procedure to do so:
16.34 - Procedure to obtain change, correction or updating of identification
records. If, after reviewing his/her identification record, the subject thereof
believes that it is incorrect or incomplete in any respect and wishes changes,
corrections or updating of the alleged deficiency, he/she should make application
directly to the agency which contributed the questioned information. The subject of
a record may also direct his/her challenge as to the accuracy or completeness of any
entry on his/her record to the FBI, Criminal Justice Information Services (CJIS)
Division ATTN: SCU, Mod. D-2, 1000 Custer Hollow Road, Clarksburg, WV 26306.
The FBI will then forward the challenge to the agency which submitted the data
requesting that agency to verify or correct the challenged entry. Upon the receipt of
an official communication directly from the agency which contributed the original
information, the FBI CJIS Division will make any changes necessary in accordance
with the information supplied by that agency.
6. Based on 28 CFR § 50.12 (b), officials making such determinations should not deny the
license or employment based on information in the record until the applicant has been
afforded a reasonable time to correct or complete the record or has declined to do so.
7. You have the right to expect that officials receiving the results of the fingerprint-based
criminal history record check will use it only for authorized purposes and will not retain or
disseminate it in violation of federal or state statute, regulation or executive order, or rule,
procedure or standard established by the National Crime Prevention and Privacy Compact
Council.
8. I hereby authorize Nevada Department of Motor Vehicles Compliance Enforcement
Division (name of requesting agency), to submit a set of my fingerprints to the Nevada
Department Public Safety, Records Bureau for the purpose of accessing and reviewing State
of Nevada and FBI criminal history records that may pertain to me.
In giving this authorization, I expressly understand that the records may include information
pertaining to notations of arrest, detainments, indictments, information or other charges for
which the final court disposition is pending or is unknown to the above referenced agency.
For records containing final court disposition information, I understand that the release may
include information pertaining to dismissals, acquittals, convictions, sentences, correctional
supervision information and information concerning the status of my parole or probation
when applicable.
Applicant:
__________________ ___________________
Initial Date
Page 8 of 9
9. I hereby release from liability and promise to hold harmless under any and all causes of legal
action, the State of Nevada, its officer(s), agent(s) and/or employee(s) who conducted my
criminal history records search and provided information to the submitting agency for any
statement(s), omission(s), or infringement(s) upon my current legal rights. I further release
and promise to hold harmless and covenant not to sue any persons, firms, institutions or
agencies providing such information to the State of Nevada on the basis of their disclosures. I
have signed this release voluntarily and of my own free will.
A reproduction of this authorization for release of information by photocopy, facsimile or similar
process, shall for all purposes be as valid as the original.
In consideration for processing my application I, the undersigned, whose name and signature
voluntarily appears below; do hereby and irrevocably agree to the above.
Last Name
First Name
Middle
Last Name
First Name
Middle
Applicant’s Name:
PLEASE PRINT
ADDRESS:
PLEASE PRINT
Applicant’s Signature:
Date:
Submitting Agency:
Address:
Agency Representative:
PLEASE PRINT
Agency Representative Signature:
Date:
OBL337 (1/2020)
0505RCCD-003(09/2019rev)
Fingerprint Background Waiver
Nevada Department of Motor Vehicles
555 Wright Way Carson City, Nevada 89711
Occupational and Business Licensing
555 Wright Way
Carson City, NV 89711
(775) 684-4690
www.dmvnv.com
OBL264 (6/2019)
OBL337 (1/2020)
Page 9 of 9
OCCUPATIONAL LICENSE (SALESPERSON) DISCLAIMER
I, (print name) , as an applicant for a State of Nevada,
Department of Motor Vehicles occupational (salesperson) license, acknowledge the following Nevada
Revised Statutes:
482.362.1 Payment of a non-refundable license fee of $75 plus a $1 technology fee. The license
expires on December 31 of each calendar year and may be renewed annually upon the
payment of a fee of $40 plus a $1 technology fee. A non-refundable fee of
$40.25, for fingerprint processing.
482.362.4 An application for a salesperson’s license may be denied and a salesperson’s license may
be suspended or revoked upon the following grounds:
1. Failure of an applicant to establish by proof satisfactory to the department that he is
employed by a licensed and bonded vehicle dealer, trailer dealer or semitrailer dealer,
lessor or rebuilder.
2. Conviction of a class A or B felony.
3. Conviction of a class C, D, or E felony within the immediately preceding 10 years
4. Conviction of a gross misdemeanor within the immediately preceding 10 years.
5. Conviction of a misdemeanor within the immediately preceding 20 years for violation of
any of the provisions of this chapter.
6. Falsification of the application.
7. Evidence of unfitness as described in NRS 482.3255
8. Failure of the applicant to provide any information deemed necessary by the Department
to process the application.
9. Any reason determined by the director to be in the best interest of the public.
I am a resident of the State of
Driver’s License No. State
483.245.1 When a person becomes a resident of Nevada as defined in Chapters 482 and
483 of the NRS he must, within 30 days, obtain a Nevada driver’s license as a
prerequisite to driving any motor vehicle in the State of Nevada.
Signatures must be original. Photocopies are not acceptable.
Signature of Applicant Date
State of Nevada, County of
Subscribed and sworn before me this day of ,
Notary Public or Authorized Nevada DMV Representative (Notary Seal)
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Completed 24 December 2020

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