140 IAC 7-3-4 Application

Sec. 4. (a) The application for a CDL or commercial learner's permit must include the applicant's: (1) full legal name, current residential address, and out-of-state address if the applicant is in Indiana to attend a truck driving training school; (2) physical description, including gender, height, weight, eye color, and hair color; (3) date of birth; (4) Social Security number, or verification of the applicant's ineligibility to receive a valid Social Security number with verification of identity and lawful status in the United States; (5) signature; (6) medical and physical qualification information that this article requires; (7) out-of-state driver history, including, but not limited to, any operator, chauffeur, public passenger chauffeur, and commercial driver's licenses and permits, including the: (A) dates of the licenses and permits; and (B) state or states that issued them; (8) complete criminal history, based on fingerprint analysis, including arrests and disposition for applicants applying for a hazardous materials endorsement; and (9) certification that the information provided is true and accurate. (b) A CDL holder must immediately submit an application to the bureau for an amended CDL after changing their name or residential address. (c) No person who has been a resident of this state for more than thirty (30) days may drive a CMV under the authority of a CDL that an authority outside this state issued, except an individual with a CDL issued by Canada or Mexico. (d) A person who knowingly provides the bureau with falsified information or certifications required under this article is subject to the suspension, disqualification, or cancellation of the person's CDL for a period to be determined by the bureau. (e) An individual certified as a program participant in the address confidentiality program under IC 5-26.5 is not required to provide the individual's principal address and mailing address, but may provide an address that the office of the attorney general designates under IC 5-26.5 as the individual's principal address and mailing address.