Form DLD-121 "Driver Certification of Eligibility for Non-commercial Driver's License - Farm/Military" - Nevada

What Is Form DLD-121?

This is a legal form that was released by the Nevada Department of Motor Vehicles - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2016;
  • The latest edition provided by the Nevada Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DLD-121 by clicking the link below or browse more documents and templates provided by the Nevada Department of Motor Vehicles.

ADVERTISEMENT
ADVERTISEMENT

Download Form DLD-121 "Driver Certification of Eligibility for Non-commercial Driver's License - Farm/Military" - Nevada

1230 times
Rate (4.8 / 5) 74 votes
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Rural Nevada (877) 368-7828
Fax: (775) 684-4992
Driver Certification of Eligibility for Non-Commercial Driver’s License
Farm/Military
(Original & Renewal)
Applicant Information
DLN:
Name:
DOB:
Last
First
Middle
Address:
Phone:
City:
State:
Zip:
I hereby certify that I am exempt from Federal Commercial Driver License regulations for one of the following
reason(s):
Operate farm vehicles as specified in 49 CFR 383.3
Member of the Armed Forces, including National Guard and U.S. Coast Guard
This Section to be completed by Farm or Military Applicants
Farm / Duty Station:
Supervisor Name:
Phone:
Address:
City:
State:
Zip:
I hereby certify that all statements made on this application are true and correct. I agree and understand any
misstatement of material facts may cause cancellation and/or denial of my driver’s license under NRS 483.420
and NRS 483.530, respectively. I further understand any misstatement of facts may be a misdemeanor or
felony under NRS 483.530, and may be punishable pursuant to NRS 193.130.
Signature of Applicant
Date
(must be dated in the last 60 days)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed
DLD-121 (Revised 4/2016)
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Rural Nevada (877) 368-7828
Fax: (775) 684-4992
Driver Certification of Eligibility for Non-Commercial Driver’s License
Farm/Military
(Original & Renewal)
Applicant Information
DLN:
Name:
DOB:
Last
First
Middle
Address:
Phone:
City:
State:
Zip:
I hereby certify that I am exempt from Federal Commercial Driver License regulations for one of the following
reason(s):
Operate farm vehicles as specified in 49 CFR 383.3
Member of the Armed Forces, including National Guard and U.S. Coast Guard
This Section to be completed by Farm or Military Applicants
Farm / Duty Station:
Supervisor Name:
Phone:
Address:
City:
State:
Zip:
I hereby certify that all statements made on this application are true and correct. I agree and understand any
misstatement of material facts may cause cancellation and/or denial of my driver’s license under NRS 483.420
and NRS 483.530, respectively. I further understand any misstatement of facts may be a misdemeanor or
felony under NRS 483.530, and may be punishable pursuant to NRS 193.130.
Signature of Applicant
Date
(must be dated in the last 60 days)
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed
DLD-121 (Revised 4/2016)