CERTIFICATE OF DRIVER’S ROAD TEST
Instructions: If the road test is successfully
completed, the person who gave it shall complete a certificate of the driver’s
road test. The original or copy of the certificate shall be retained in the
employing motor carrier’s driver qualification file of the person examined
and a copy given to the person who
CERTIFICATION OF ROAD TEST
Driver’s Name
Social Security Number
Operator’s or Chauffeur’s
License Number
State
Type of Power Unit
Type of Trailer(s)
If passenger carrier,
type of bus
This is to certify that
the above-named driver was given a road test under my supervision on _______________,
20____, consisting of approximately ______ miles of driving.
It is my considered opinion
that this driver possesses sufficient driving shill to operate safely the
type of commercial motor vehicle listed above.
(Signature
of Examiner)
(Title)
(Organization
& Address of Examiner)