CACC License Change Request

The CACC License Change Request form allows current CACC Competition or Officials license-holders to request changes to a current and active CACC license. License holders may upgrade a license from novice to senior, remove an observation restriction or add additional endorsements providing all qualifications are met.

Please provide all information requested as incomplete forms will delay your application. Refer to the appropriate CACC regulatory document for applicable licensing requirements.

Note that applications related to licenses that are expired or nearing expiration will be rejected. In those cases, the license holder should simply wait until the following year license application is available and request a new license.

Please note that by proceeding with this application, you agree that any and all applicable charges will be calculated based on current licensing fees and payment will be taken from the credit card on file with your motorsportreg.com account.

Applicant Information

Applicant Name(Required)

First Last

Email Address(Required)

Phone Number(Required)

CACC License Information

CACC License Type(Required)

Identify the type of CACC license to be changed.

CACC License Number(Required)

Enter the number of the license to be modified.

Attach an Image of your CACC License(Required)

Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.

License Change Request Type

Type of Change Requested(Required)

Discipline(Required)

Identify the discipline for which the license change is sought.

Required Documentation

Before submitting your supplemental endorsement request, please gather digital copies of the documentation required for your discipline as indicated below. Attach your files to this application in the “Attach Supporting Documentation” field provided below.

Documentation provided in your original license application does not need to be resubmitted here.

Required Documentation	Autoslalom	Ice Race	Karting	Officials	Race	Time Attack	Vintage
Proof of Club Membership	X	X	X	X	X	X	X
Recent Passport-style Photo	X	X	X	X	X	X	X
Previous Year’s CACC License	X	X	X	X	X	X	X
Copy of Driver’s License	X	X				X
Proof of Most Recent Race Experience (Returning drivers only)		X			X	X	X
ASN Medical Self-declaration		X	X		X		X
ASN Medical Examination Form			50 years and older		Based on Age		Based on Age
Proof of Age (First-time applicants only)			X	X		X
Racing School Certificate (New novices only)					X		X
Race Group					X		X
Car/Kart Numbers	X	X	X		X	X	X
Marshal Logbook				Senior Marshals Only

Select Endorsements

Select Additional Officials License Endorsements(Required)

Chief of Communications

Chief Instructor

Chief Organizer

Clerk of the Course

Course Marshal

Instructor

Medical Advisor

Pre-grid Marshal

Pace Car Driver

Paddock Marshal

Registrar

Scrutineer

Steward

Starter

Timekeeper

Track Marshal

Select Additional Competition License Endorsements(Required)

Autoslalom License

Karting License

Novice Ice Race License

Novice Race License

Novice Time Attack License

Novice Vintage License

Senior Ice Race License

Senior Race License

Senior Time Attack License

Senior Vintage License

Attach Supporting Documentation

Attach Documents(Required)

Requests to add a discipline license endorsement must be accompanied with all required information as indicated in the table above. Gather your documentation and attach all files as necessary. You are not required to submit documents already provided with your original license application.

Requests to upgrade your novice license or to remove an observation restriction must be accompanied by signed authorization from a CACC official. Certification is normally provided by the discipline or novice director, often in the form of a notation in your driver’s logbook. If you have an alternate form of authorization, please attach that.

Drop files here or

Accepted file types: jpg, gif, png, pdf, zip, Max. file size: 30 MB, Max. files: 6.

Other Supporting Information

Please provide any further information that will help expedite your application. This can include your race run group (closed or open wheel), preferred car number (provide up to five for each car and/or discipline in order of preference) and any other information you may consider useful.

Confirm and Submit

Billing Consent(Required)

I understand that upon approval of my license change request, the CACC will calculate all applicable fees for the changes requested and will charge the credit card on file with my motorsportreg.com account for said fees.

Privacy Agreement(Required)

I agree to be bound by the applicable regulations of the Confederation of Autosport Car Clubs and agrees to permit the CACC to retain all information provided within this report for the administration of CACC rules, regulations, policies, procedures or any other purpose related to the provision of its services. I futher consent to the CACC Privacy Policy and to the processing of the information provided therein as required.

Security Verification