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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. Please complete both sides of this application in full. To calculate the fees, take the total dollar amount of test(s) requested plus an additional $ fee for the instruction permit.

If adding an endorsement to a current CDL, add a Duplicate License fee to the total. All renewals, transfers, and new applicant’s for a CDL hazardous materials (HAZMAT) endorsement will be required to submit a ˜ngerprint and background check. This must be done 30 days before the expiration of your CDL.

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  Material, License, Hazardous, Hazardous materials

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