Schedule Your Road Exam If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required This information pertains to the person taking the Exam Test. First Name * Middle Initial Last Name * Email Address * Best Phone Number * Mailing Address Street Address * City * State * Alaska Alabama Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Driver’s License or Permit # * License or Permit Expiration Date * Date of Birth * Information regarding the person scheduling the test, and making payment. How best to reach you - Pick one * Phone Text / SMS Email Name of Emergency Contact * Relationship * Emergency Contact Phone # * Optional Ignition Interlock Some testers are required by the State of Alaska to have an Ignition Interlock installed on their vehicle to test their blood-alcohol content. If you have to have one of these, check this box. The total cost of a road exam with an ignition interlock is $125. Test requries Ignition Interlock alcohol breath test I have read and understand all the terms and conditions of the UMV Road Exam. * I agree that failure to appear, failure to appear on time, failure to pass the road exam or if an equipment violation prevents me from taking the road test, the program fee will not be refunded. * THE ROAD EXAM FEE IS NON-REFUNDABLE Terms and Conditions: Failure to appear, failure to appear on time, failure to pass the road exam or if an equipment violation prevents you from taking the road test, the program fee will not be refunded. The road test will not be conducted and the program fee will be forfeited if the applicant brings improper or incomplete documents. The road test will not be conducted and the program fee will be forfeited if the applicant arrives 5 minutes after scheduled appointment time. If the applicant is under the age of 18, I certify the Applicant has had an instruction permit for six months and The Applicant has not been convicted of a traffic law violation within the past six month I agree that failure to appear, failure to appear on time, failure to pass the road exam or if an equipment violation prevents you from taking the road test, the program fee will not be refunded. You must be able to speak and understand English. I agree the road test will not be conducted and the road exam fee will be forfeited if the applicant arrives 5 minutes after scheduled appointment time. I agree the road test will not be conducted and the program fee will be forfeited if the applicant brings improper or incomplete documents. INTERLOCK EXCLUSION We provide road exams for individuals required to have the Ignition Interlock Device. These road exams are charged at a higher rate. Contact our office to schedule an appointment. ITEMS REQUIRED FOR YOUR SCHEDULED ROAD EXAM: Current Registration. Current Insurance Card for Vehicle. Alaska Instruction Permit or Written Test Scores, Birth Certificate or Passport and Social Security Card. If under 18, Notarized Parental Consent (Form 433) or parent or legal guardian must accompany you. Inspect your vehicle prior to appointment day to ensure the vehicle meets VEHICLE REQUIREMENTS listed here. I certify that the information provided in this application is true and correct to the best of my knowledge. Our Current Test Availability Abbott Road - South Anchorage Tuesdays and select Saturdays Upcoming Saturdays in 2018: 12/15 Upcoming Saturdays in 2019: 1/5, 2/23, 3/23, 4/20 Wasilla Thursdays and select Saturdays Upcoming Saturdays in 2018: 12/8 Upcoming Saturdays in 2019: 1/19, 2/9, 3/9, 4/13 Fairbanks Tuesdays, Thursdays Please select an exam location * Choose Exam Date * Loading available slots. Please wait. Available time-slots * hidden-exam-location hidden-exam-date hidden-exam-time Please enter your credit card details here to pay the $75 Road Exam Fee. If your test requires an ignition interlock, the cost is $125. Card Number * Expiration Date MMYY * CVV *
