Request A Test

Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Company (if applicable)
Phone*
Email*
Your Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Permit Issue Date*
MM slash DD slash YYYY
Permit Expiration Date*
MM slash DD slash YYYY
Permit Class*
Endorsements (check all that apply)
- N – Tank
- P – Passenger Bus
- S – School Bus
Restrictions (check all that apply)
- B – Glasses or Contacts
- K – Intrastate Only
- L – No Air Brakes
- M – No Class A Passenger Vehicle
- P – No Passengers in CMV Bus
- X – No Cargo in CMV Tank Vehicle
Driver's License Number*
State*

CDL Testing Vehicle*
Will you need a rental vehicle?*
Transmission*
Brake System*
Note: The date and time you desire may not be available. Once we receive your request, you will be contacted back by one of our staff members to finalize your appointment. Federal law requires that tests must be scheduled at least two (2) days in advance.
Desired Test Date*
MM slash DD slash YYYY
Desired Test Time*
Reason for Testing*
Additional Notes
Please be aware that all tests booked must be prepaid. We must receive a 72 hour advance notice if you need to cancel or reschedule your test. If not, you may risk forfeiting some of your testing and rental fees.*
- I Agree

Request a CDL Test – Automedon CDL Testing