Schedule Your Road Exam If you are a human and are seeing this field, please leave it blank. Fields marked with an * are requiredThis 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 * AlaskaAlabamaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming 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 * PhoneText / SMSEmail Name of Emergency Contact * Relationship * Emergency Contact Phone # * Optional Ignition InterlockSome 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-REFUNDABLETerms 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 certifythe Applicant has had an instruction permit for six months andThe Applicant has not been convicted of a traffic law violation within the past six monthI 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 EXCLUSIONWe 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 Upcoming Testing DatesNorthern Lights - Midtown Anchorage Select Days in August: 8/5, 8/10, 8/17, 8/24, 8/31 September / October: Thursdays and select Saturdays Upcoming Saturdays in 2019: 9/14, 10/12Wasilla Thursdays and select Saturdays Upcoming Saturdays in 2019: 9/21, 10/5Fairbanks Tuesdays and select Saturdays Upcoming Saturdays in 2019: 9/28, 10/26 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 *
