Form PS30372 "Notification of Violation by Commercial Driver" - Minnesota

What Is Form PS30372?

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

Form Details:

  • Released on April 1, 2015;
  • The latest edition provided by the Minnesota Department of Public Safety;
  • 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 PS30372 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Public Safety.

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Download Form PS30372 "Notification of Violation by Commercial Driver" - Minnesota

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Print Form
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
N otific a tion of Viola t ion by Com me rc ial D river
Print and mail this completed application to:
Driver and Vehicle Services, 445 Minnesota Street, St. Paul, Minnesota 55101-5180
Under Minnesota Statute 171.168, the holder of a Minnesota Commercial Driver's License (CDL) shall notify the Department of
Public Safety within 30 days upon conviction of:
- Any criminal offense
- A serious traffic violation as defined in Code of Federal Regulations, title 49, section 383.5
- Violating any other state or local law relating to a motor vehicle traffic control (other than a parking violation) in any type of
motor vehicle in another state or jurisdiction.
If you have questions or need additional information, please contact DVS at (651) 297-5029 or (651) 282-6555 (TTY).
PLEASE PRINT OR TYPE
First Name
Middle Name
Last Name
DL Number (
)
Date of Birth
OMIT DASHES
(mm/dd/yy)
Daytime Phone (
)
Today's Date
TYPE NO DASHES
(mm/dd/yy)
Did the violation(s) occur in a commercial motor vehicle?
Yes
No
Was this a placarded vehicle?
Yes
No
Conviction
City, State
Date Occurred
(m
m/dd/yy)
Conviction
City, State
Date Occurred
(
mm/dd/yy)
Conviction
City, State
Date Occurred
(
mm/dd/yy)
Specific Details Pertaining to the Offense:
Date
(mm/dd/yy)
Signature of Driver
PS30372 (04/15)
Print Form
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
N otific a tion of Viola t ion by Com me rc ial D river
Print and mail this completed application to:
Driver and Vehicle Services, 445 Minnesota Street, St. Paul, Minnesota 55101-5180
Under Minnesota Statute 171.168, the holder of a Minnesota Commercial Driver's License (CDL) shall notify the Department of
Public Safety within 30 days upon conviction of:
- Any criminal offense
- A serious traffic violation as defined in Code of Federal Regulations, title 49, section 383.5
- Violating any other state or local law relating to a motor vehicle traffic control (other than a parking violation) in any type of
motor vehicle in another state or jurisdiction.
If you have questions or need additional information, please contact DVS at (651) 297-5029 or (651) 282-6555 (TTY).
PLEASE PRINT OR TYPE
First Name
Middle Name
Last Name
DL Number (
)
Date of Birth
OMIT DASHES
(mm/dd/yy)
Daytime Phone (
)
Today's Date
TYPE NO DASHES
(mm/dd/yy)
Did the violation(s) occur in a commercial motor vehicle?
Yes
No
Was this a placarded vehicle?
Yes
No
Conviction
City, State
Date Occurred
(m
m/dd/yy)
Conviction
City, State
Date Occurred
(
mm/dd/yy)
Conviction
City, State
Date Occurred
(
mm/dd/yy)
Specific Details Pertaining to the Offense:
Date
(mm/dd/yy)
Signature of Driver
PS30372 (04/15)