DE-36 Driver License and ID Card Request form - International Center

WRITTEN/ORAL TEST RESULTS
CDL WRITTEN/ORAL TEST RESULTS
General Knowledge
Air Brakes
Enter Date and Pass or Fail Test Score
Enter Test # for Chauffeur, Moped, Motorcycle,
____/____/____ P______ F______ ____/____/____ P______ F______
and Recreational Double tests.
____/____/____ P______ F______ ____/____/____ P______ F______
Operator Audio Test Audio Test
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______
Audio Test Combination Vehicle Passenger
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______
Road Sign Test Audio Test Audio Test
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______
_____/_____/_____ P______ F______ ____/____/____ P______ F______ ____/____/____ P______ F______
Moped Double Trailers School Bus
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______ ____/____/____ P______ F______
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______ ____/____/____ P______ F______
Motorcycle Audio Test Audio Test
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______ ____/____/____ P______ F______
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______ ____/____/____ P______ F______
Recreational Double
Tanker
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______
Chauffeur
Audio Test
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______
#______ _____/_____/_____ P____ F____ ____/____/____ P______ F______
Minor Restricted License
Hazardous Materials (No Oral Test or Foreign Language Test Allowed)
Segment 1 School # ______ Issued ___/___/____
____/____/____ P_____ F_____ ____/____/____ P_____ F_____
DA Letter dated
____/____/____
If necessary, attach an additional DE-36 to record more test scores.
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DE-36 (10/12)
Authority granted under Public Act 300 of 1949, as amended.