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DMV-CDL-1 - 2-color for-print - West Virginia

For Federal Identi cation Federally Compliant Card*(In addition to any other fee) (CDL)* You will be issued a receipt that can be used as proof of renewal or issuance until your permanent card arrives in the REVISED 04/2021 Email Address (optional)Daytime Phone (optional)Cellular Phone (optional) Medical Examiner s Certi cate (MEC) must be presented with each transaction for a CDL (valid not less than 30 days) the MEC must be completed by a certi ed medical examiner listed on FMCSA s National Registry website, apply for a CDL knowledge test, the applicant must provide proof of citizenship in the form of a birth certi cate, valid Passport, or valid Permanent Resident card and the required fees via mail to the address above with this application.

Males age 18 - 25 only: I understand that I am required to register for the military draft. By submitting this application and answering “yes” to the relevant questions, I am consenting to the release of my personal information to the Selective Service System for draft registration, as

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  Services, Virginia, Military

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