(1) The application for a CDL, limited-term CDL, or CDIP shall include the following information regarding the applicant:

1. (a) full legal name;
2. (b) current mailing address;
3. (c) Utah residential address, unless the application is for a temporary CDL issued under Subsection 53-3-407(2)(b);
4. (d) physical description, including sex, height, weight, and eye color;
5. (e) date of birth;
6. (f) documentary evidence of the applicant's valid Social Security number;
7. (g) a complete list of all states in which the applicant was issued a driver license in the previous 10 years;
8. (h) the applicant's signature;

9. (i) evidence of the applicant's lawful presence in the United States by providing documentary evidence:

   1. (i) that a person is:

      1. (A) a United States Citizen;
      2. (B) a United States national; or
      3. (C) a legal permanent resident alien; or

   2. (ii) of the applicant's:

      1. (A) unexpired immigrant or nonimmigrant visa status for admission into the United States;
      2. (B) pending or approved application for asylum in the United States;
      3. (C) admission into the United States as a refugee;
      4. (D) pending or approved application for temporary protected status in the United States;
      5. (E) approved deferred action status;
      6. (F) pending application for adjustment of status to legal permanent resident or conditional resident; or
      7. (G) conditional permanent resident alien status; and
10. (j) beginning on January 30, 2012, a medical certification status.