Limousine Road Test Certification

Driver Name
Driver License #
Vehicle Make/Model
Registration #
Date of Test
Location

Road Test Checklist

Skill/Item Pass Fail Comments
Pre-trip Inspection
Start / Stop Procedures
Use of Mirrors & Signals
Turns & Lane Changes
Obey Traffic Laws
Passenger Safety Procedures
Parking / Backing
Examiner Comments
Driver Signature
Date
Examiner Signature
Date