Carboxymethyl chitosan (CMCS), acrylamide, and methacryloxyethyltrimethyl ammonium chloride were used as co-monomers to produce a sludge dewatering agent carboxymethyl chitosan-graft-poly(acrylamide-methacryloxyethyltrimethyl ammonium chloride) (CCPAD) by UV-induced graft polymerization. Single-factor experiments and response surface methodology were employed to investigate and optimize the grafting rate, grafting efficiency, and intrinsic viscosity influenced by the total monomer concentration, CMCS concentration, cationic degree, pH value, and illumination time. The structure, surface morphology, and thermal stability of CCPAD were characterized by infrared spectroscopy, hydrogen nuclear magnetic resonance, X-ray diffraction, scanning electron microscopy, and differential thermal-thermogravimetry. The raw sludge with 97.9% water content was sourced from the concentrated tank of a sewage treatment plant and used in the sludge condition experiments. In addition, CCPAD was applied as the sludge conditioner to investigate the effects of cationic degree, intrinsic viscosity, and pH on the supernatant turbidity, moisture content, specific resistance to filtration, and sludge settling ratio. Moreover, the mechanism of sludge conditioning by CCPAD was discussed by examining the zeta potential and extracellular polymeric substance (EPS) content of the supernatant. The sludge dewatering results confirmed that CCPAD had excellent performance for improving sludge dewaterability.