Self Certification Affidavit

38371 and 49 cfr.

Self certification affidavit. If you select category one 1 or three 3 you must present a valid medical certificate. Category 1 non excepted interstate. Includes federal skills performance evaluation spe diabetes and vision variances. Type 1 ni non excepted interstate federal medical card is required.

Cdl holder self certification affidavit in order to comply with 49 cfr. Federal regulations along with the state of texas administrative rules require a commercial driver to certify in one of the 4 categories listed below to determine if a medical certificate is required. Self certification affidavit please print name of driver. Engaged in interstate commerce.

View submitted cdl dot medical self certification affidavit please enter your driver license number and last 4 digits of your social security number and click continue. I certify my commercial transportation is. Is a certificate of occupancy involved. Electrical self certification affidavit.

Only class a b or c drivers that check the first category 1 self certification box below must submit a copy of their medical certificate with this affidavit. Please check one box. Txdps form cld 7 used to self certify medical certificate requirements. 38373 the tennessee department of safety and homeland security requires all commercial driver license holders to certify the type of driving they engage in and provide a copy of their medical examiners certificate form 5876 to the department.

Medical certificate and affidavit must be submitted. Interstate commerce driver and subject to 49 cfr 391 and required to obtain certificate by 49 cfr 39145. North dakota drivers license number.