This is an example of a Full Individual Record. There are 3 types of driving records:

Full Individual Record: Shows current driving record status, and includes all convictions, license actions, and at-fault accidents on record; includes full medical certification details for commercial (CDL) drivers.
Insurance Record: Shows current driving record status, and 3 or 5 year history of convictions, license actions, and at-fault accidents required for vehicle insurance purposes; excludes any medical certification information on record. (3 or 5 year reporting requirement is based on the type of conviction or action.)
CDL Employment Record: Shows current driving record status; full medical certification information; and conviction, license action, and at-fault accident information as required by DOT regulations for commercial (CDL) drivers. CDL drivers must select this type of record when used for CDL employment purposes.

Personal Data
Full Name: IAMA SAMPLE CDL
AKA: IAMA TEST CDL
DOB: 01/01/1956	SSN Last 5 digits: 11111 Not displayed in the CDL Employer or Insurance record, the last 5 digits are displayed in the Full Individual record.
Height: 5 07	Weight: 130	Sex: F
Hair Color: BRO	Eye Color: BRO
Birth Place: WHEEL OF FORTUNE, AK	Organ Donor?: N	Organ Donor Date: 07/12/2005 The date the organ donor status was entered into the organ donor registry.
Guardian: The adult who signed for a minor’s instruction permit or driver’s license
Guardian ID:	State:	Country:
Mailing Address The address shown on the license, permit or ID card.	Change Date: 09/29/1992
PO BOX 87687
COLD FOOT, AK, 99701

Residence Address Shown only in the driving record unless mailing and residence address are the same or you opted to use the residence address in the “mailing address” line. You are responsible for notifying DMV of an address change within 30 days.	Change Date: 05/20/1994
1234 SESAME STREET
COLD FOOT, AK, 99701

License Data
							Road Test The date and location a successful road test was completed.
Class ID = Identification Card DRIVER LICENSE TYPES D = Non-Commercial A = Class A Commercial (CDL) B = Class B Commercial (CDL) C = Class C Commercial (CDL) M1 = Motorcycle ( greater than 50cc) M2 = Motor-scooter( less than 50cc) M3 = 3-wheeled motorcycle( greater than 50cc) INSTRUCTION PERMIT TYPES IP = Non-Commercial IE = Non-Commercial Driving School only IM = Motorcycle IA = Class A Instruction Commercial (CDL) IB = Class B Instruction Commercial (CDL) IC = Class C Instruction Commercial (CDL)	Origin Date Date the class was first issued.	Issue Date Most recent issue date.	Expiration Date Date the class expires.		Office The location where the class was last issued.	Duplicates The number of duplicates issued during the validity period. Resets to zero upon renewal.	Date The date a successful road test was completed.	Office The location a successful road test was completed.
D	01/04/1991	11/25/2011	07/23/2015		503	2	01/04/1991	503
M1		11/25/2011	07/23/2015		503	4
ID	07/06/1990	07/28/2011	07/23/2015		547	1
IM	02/15/1995	02/22/2008	05/18/2008		503	3	02/15/1995	503

License Restrictions: L M 7 1 = CORRECTIVE LENSES - You may not drive without corrective lenses is less than 20/40 in one eye and 20/200 in the other eye. 2 = OUTSIDE REAR VIEW MIRROR - You may only drive with outside mirrors due to vision or hearing issues. 3 = AUTOMATIC TRANSMISSION ONLY - You may only drive a vehicle with and automatic transmission due to has a disability that would prevent them from driving a standard transmission vehicle 4 = DAYLIGHT DRIVING ONLY - You may not drive when a physician or eye specialist has determined that the you cannot see well enough during hours of darkness to drive safely. 5 = OTHER - You may only drive using for special equipment such as hand controls, steering knob, hand brakes, artificial limb, etc. 6 = Off-Highway - You may only drive in rural communities where road tests are not administered. 7 = OFF-HIGHWAY CDL- You may only drive in rural communities where road tests are not administered. C = IGNITION INTERLOCK DEVICE (IID) - You may only drive a vehicle with an approved IID installed E = AUTOMATIC TRANSMISSION - You may only drive Class A or B vehicles with manual transmission J = ALCOHOL RESTRICTION - You are restricted from purchasing alcohol due to court order K = INTRASTATE COMMERCE - You may only drive for intrastate commerce L = AIR BRAKES - You may not drive vehicles with air brakes M = PASSENGER - You may not drive a Class A bus N = PASSENGER - You may not drive a Class A or B bus O = TRACTOR/TRAILER - You may not drive a tractor-trailer combination. R = CLASS R – ATV /SNOWMACHINE LICENSE - You may drive only drive ATV’s or snow-machines on public roads in certain communities with a conforming ordinance. V = MEDICAL WAIVER - You have a Federal medical waiver or Skills Performance Evaluation (SPE) Z = NO FULL AIR BRAKE EQUIPPED CMV - You may not drive a CMV equipped with any braking system operating fully on the air brake principle.				Commercial Permit Restrictions: P = Passenger or School Bus - You may not drive with passengers in your bus X = Empty Tank - You may only drive with an empty tank (for N endorsement)
License Endorsements: T P H = Hazardous Materials - Vehicles transporting hazardous materials N = Tank vehicles - Required for drivers of vehicles designed to transport liquids or gaseous materials within a tank X = Combination Tank & Hazardous Material - Required for drivers of vehicles transporting tank vehicle used to transport hazardous materials P = Passenger - Required for drivers of vehicles designed to carry 16 or more passengers including the driver S = School Bus - Required for drivers of vehicles transporting preprimary, primary or secondary school students from home to school, from school to home, or to and from school- sponsored events T = Double/Triple - Required for drivers of vehicles pulling two or three trailers. (A dolly or load divider, sometimes referred to as a "jeep," is considered to be one trailer.)				Commercial Permit Endorsements: N = Tank vehicles = Required for drivers of vehicles designed to transport liquids or gaseous materials within a tank P = Passenger - Required for drivers of vehicles designed to carry 16 or more passengers including the driver S = School Bus - Required for drivers of vehicles transporting preprimary, primary or secondary school students from home to school, from school to home, or to and from school- sponsored events
License Status: Non-Commercial License Blank Status = no issues with driving priviledges ELG = Eligible NOT = Not eligible LIC=Licensed RPD=Reported Deceased				Commercial Status: DISQUALIFY CDL NOT=Not eligible DISQUALIFY CDL=Commercial revocation
Last Road Test Date: 02/15/1995 The date of the most recent successfully completed skills test.				Last Road Test Class: D The class of the most recent successfully completed skills test.
Points – 12 Month: 0 The number of demerit points based on traffic convictions assessed in a 12 month period. Suspension occurs when 12 points are accumulated in a 12 month period. A warning notice is sent when the total reaches 6 or more points.				Alcohol Restriction End Date: 0 The date the court ordered alcohol purchase (J) restriction may be removed.
Points – 24 Month: The number of demerit points based on traffic convictions assessed in the last 24 months. Suspension occurs when 18 points are accumulated in a 24 month period. A warning notice is sent when the total reaches 9 or more points.				IID Restriction End Date: The date the court ordered (IID) Ignition Interlock Device (C) restriction may be removed from the license and IID unit removed from a vehicle.
Hazmat End Date: 07/23/2009 The date the TSA Threat Assessment clearance required for a commercial license hazardous materials endorsement expires. A new clearance is required to retain the endorsement upon CDL renewal.
Previous License: 1234TEST License information from the out of state license surrendered at the time the Alaska license was issued.				State: AZ License information from the out of state license surrendered at the time the Alaska license was issued.			Country: License information from the out of state license surrendered at the time the Alaska license was issued.
Previous License Date: 07/19/1985 The date Alaska DMV was notified by another state that your Alaska license was surrendered when the out of state license was issued.				Returned License Date: The date Alaska DMV was notified by another state that your Alaska license was surrendered when the out of state license was issued.			Return State: The date Alaska DMV was notified by another state that your Alaska license was surrendered when the out of state license was issued.

Medical Data
Medical Certificate Data This area contains your DOT Medical Certificate and Driver Self-Certification Data
Medical Cert Status: This is Certified or Not Certified	Self Certification:This is the certification in which the driver chooses: • Non Excepted Interstate (NI) • Non Excepted Intrastate (NA) • Excepted Interstate (EI) • Excepted Intrastate (EA)
Certificate Issue Date: This is the date that the medical certificate was completed by the medical professional.	Certificate Expire Date:This is the date that the medical certificate Expires.
Medical Certificate Restrictions: These are the restrictions as determined by the medical professional from the medical certificate. Possible Restrictions are: • Wearing Corrective Lenses • Wearing Hearing Aid • Accompanied by a ________ waiver/exemption • Driving within an exempt intracity zone (49 CFR 391.62) • Accompanied by a Skill Performance Evaluation Certificate (SPE) • Qualified by operation of 49 CFR 391.64
Waiver Issue Date: If the medical card requires a waiver to accompany it, this field is for the issuance date of the Waiver issued.	Waiver Expire Date: This is the date that the medical waiver expires.
SPE Issue Date: If the medical card requires a skill performance evaluation (SPE) to accompany it, this field is for the issuance date from the SPE issued.	SPE Expire Date:This is the date that the medical SPE Expires.

Doctor Information
Doctor Name:This is the name of the doctor on your medical card.	Specialty:This is the specialty of the doctor on your medical card.
Phone:This is the phone number of the doctor on your medical card.	Jurisdiction:This is the jurisdiction the doctor is licensed to practice.
NRCME License:This is the National Registry of Certified Medical Examiner number of the doctor on your medical card.	State License:This is the state the doctor is licensed to practice in.

License Actions These are the actions that could be taken on your license: "Revoked" means the termination, of a license or permit and may not be reissued, renewed, or restored during the time for which revoked; however, after that time, an application for a new license, permit, or privilege may be made. "Suspended" means the temporary withdrawal license or permit for a period of time which must be specifically designated by the appropriate department or by the court. "Canceled" means to annul or terminate license or permit because of an error or defect in the document issued or the application for issuance or because the person holding the document is no longer entitled to it. "Disqualified - CMV" means you are disqualified from driving Commercial Motor Vehicles.
Reason for Action: POINT SYSTEM SUSPEND This is a suspension based on accumulating too many points.	Action Detail: 750 Nationwide uniform code for each action type
Arresting Agency: DIVISION OF MOTOR VEHICLES This is agency issuing the action	Violation Date: 11/30/2008 This is the date the violation happened
Convicting Court: This is the court that issued the conviction	Conviction Date: This is the date the court issued the conviction
Action Performed: SUSPENDED This is the type of action – revocation, suspension, etc.	Effective Date: 12/01/2008 This is the date the action begins
Docket Number: This is the court docket number	Termination Date: 01/01/2009 This is the date the action ends

Reason for Action: DUI .08 OR MORE BAC .12 Court Revocation for Driving Under the Influence with a BAC of .08 OR MORE At time of arrest BAC was .12	Action Detail: 132
Arresting Agency: PALMER AST	Violation Date: 06/30/2015
Convicting Court: ANCHORAGE MUNICIPAL COURT	Conviction Date: 08/22/2015
Action Performed: REVOKED "Revoked" means the termination, of a license or permit and may not be reissued, renewed, or restored during the time for which revoked; however, after that time, an application for a new license, permit, or privilege may be made.	Effective Date: 08/22/2015
Docket Number: 3PA-15-SAMPLE	Termination Date: 11/22/2015

Reason for Action: REFUSAL/IMP CONSENT This is an court revocation for refusal to submit to a chemical test as required by the Implied Consent Law.	Action Detail: 132
Arresting Agency: PALMER AST	Violation Date: 06/30/2015
Convicting Court: ANCHORAGE MUNICIPAL COURT	Conviction Date: 08/22/2015
Action Performed: REVOKED	Effective Date: 08/22/2015
Docket Number: 3PA-15-SAMPLE	Termination Date: 11/22/2015

Reason for Action: ADMIN PER SE .08 This is an administrative license revocation for a breath test result of .08 or more	Action Detail: 630
Arresting Agency: JUNEAU POLICE DEPARTMENT	Violation Date: 05/30/2008
Convicting Court:	Conviction Date:
Action Performed:DISQUALIFIED - CMV "Disqualified - CMV" means you are disqualified from driving Commercial Motor Vehicles.	Effective Date: 06/07/2008
Docket Number:	Termination Date: 06/06/2009

License Actions


Reason for Action: DUI ALCOHOL OR DRUG This is the Court ordered revocation for driving while under the influence.	Action Detail: 110
Arresting Agency: ALASKA STATE TROOPERS	Violation Date: 09/01/1994
Convicting Court:	Conviction Date: 09/02/1994
Action Performed: REVOKED	Effective Date: 09/01/1994
Docket Number:	Termination Date: 11/20/1994

Reason for Action: FT MAINT LIABILI INS This is a Mandatory Insurance suspension – Failure to maintain liability insurance.	Action Detail: 330
Arresting Agency: DIVISION OF MOTOR VEHICLES	Violation Date: 12/02/1992
Convicting Court: ANCHORAGE POLICE DEPARTMENT	Conviction Date:
Action Performed:SUSPENDED"Suspended" means the temporary withdrawal license or permit for a period of time which must be specifically designated by the appropriate department or by the court.	Effective Date: 01/02/1993
Docket Number:	Termination Date: 04/01/1993

Reason for Action: DRV W LIC REVOKED This is a revocation for driving while the license was revoked.	Action Detail: 330
Arresting Agency: DIVISION OF MOTOR VEHICLES	Violation Date: 12/02/1992
Convicting Court:	Conviction Date:
Action Performed: SUSPENDED	Effective Date: 01/02/1993
Docket Number:	Termination Date: 04/01/1993

Reason for Action: FT POST SECUR/RELEAS This is another type of Financial Responsibility suspension - failure to post security or provide releases.	Action Detail: 330
Arresting Agency: DIVISION OF MOTOR VEHICLES	Violation Date: 01/01/1992
Convicting Court:	Conviction Date:
Action Performed: SUSPENDED	Effective Date: 01/01/1992
Docket Number:	Termination Date: 12/31/1992

Reason for Action: MISREP ID/FACT DL False identification or facts were presented at time of violation	Action Detail: 630
Arresting Agency: ANCHORAGE POLICE DEPARTMENT	Violation Date: 12/15/1991
Convicting Court:DISTRICT COURT ANCHORAGE	Conviction Date: 12/31/1991
Action Performed:DISQUALIFIED - CMV	Effective Date: 01/01/1992
Docket Number:	Termination Date: 06/30/1992

Violations
Citation Number: AST 12345 This is the issuing agency's ticket number	Docket Number: T0075892 This is the court docket number
Violation Description: SPEED-SCHOOL ZONE Speeding in a posted school zone	Commercial?: N Did the violation happen in a commercial vehicle?
Arresting Agency: ALASKA STATE TROOPERS This is the issuing or arresting agency	Violation Date: 09/01/1993 This is the date the violation occurred
Convicting Court: DISTRICT COURT ANCHORAGE This is the convicting court.	Conviction Date: 09/10/1993 This is the date of conviction.

Citation Number: AST 12345	Docket Number: T0075892
Violation Description: OPER W/O PROPER LIC Operating a motor vehicle without a proper license	Commercial?: N
Arresting Agency: ALASKA STATE TROOPERS	Violation Date: 09/01/1993
Convicting Court: DISTRICT COURT ANCHORAGE	Conviction Date: 09/10/1993

Citation Number: AST 12345	Docket Number: T0075892
Violation Description: FT FILE INSURAN CERT Failure to file Insurance Certificate	Commercial?: N
Arresting Agency: ALASKA STATE TROOPERS	Violation Date: 09/01/1993
Convicting Court: DISTRICT COURT ANCHORAGE	Conviction Date: 09/10/1993

At Fault Accidents Listed below are all accidents you were involved where you were at fault.
StateState where the accident occurred.	DateThe date the accident occurred.	SeverityThis is the severity the accident. Fatal Accident Incapacitating Injury Accident Non-Incapacitating Injury Accident Possible Injury Accident Non-Injury Accident Unknown	CDLWas the accident in a commercial vehicle.	HAZMATWas the accident in a commercial vehicle carrying hazardous material.
AK	12/30/2008	NON-INJURY ACCIDENT	N	N

In conformance with
Alaska Statute 28.05.061 Sec. 28.05.061. Records of department and certified copies of records. (a) The department shall file, maintain, and appropriately index records of (1) vehicle registrations under AS 28.10.071 (a) - (c); (2) stolen, converted, recovered, and unclaimed vehicles under AS 28.10.071(d); (3) titles and documents creating and evidencing liens or encumbrances under AS 28.10.381 ; (4) abandoned vehicles under AS 28.11.030 (c); and (5) driver's license and driving records under AS 28.15.151 . (b) The department may file and maintain any other records considered necessary for the administration of this title and regulations adopted under it. (c) Records maintained by the department under this title or regulations adopted under this title may be stored in any reasonable manner, including electronic data storage. The commissioner and officers and employees of the department designated by the commissioner shall, upon request, prepare under the seal of the department and deliver, unless otherwise prohibited by law, a certified copy of any record of the department maintained under this title or regulations adopted under this title, charging a fee for each certified copy. A certified copy of the record stored under this section is admissible in an administrative proceeding or in a court in the same manner as the original document. this
document is a true copy of the
original or imaged record held
by the Alaska Division of Motor
Vehicles.
State of Alaska
Department of Administration
Division of Motor Vehicles


License/ID: 6554046	Full Driver History 1 of 5	1/8/2016


License/ID: 6554046	Full Driver History 2 of 5	1/8/2016


License/ID: 6554046	Full Driver History 3 of 5	1/8/2016


License/ID: 6554046	Full Driver History 4 of 5	1/8/2016