Medical Self-Certification Affidavit

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Oklahoma Commercial Driver License Medical Self …

https://oklahoma.gov/content/dam/ok/en/dps/docs/cdlmedicalaffidavit.pdf

reporting your “medical self-certification” and do not need a driver license issued (or if you are reporting your medical status ... Please mail, fax, or email the medical certificate (if applicable) and the Self-Certification affidavit to: Oklahoma Department of Public …

Tennessee Department of Safety and Homeland …

https://www.tn.gov/content/dam/tn/safety/documents/commercial-driver-license/Affidavit%20Self-Certification.pdf

CDL Holder Self-Certification Affidavit In order to comply with 49 C.F.R. §383.71 and 49 C.F.R. §383.73, the Tennessee Department of Safety and Homeland Security requires …

Texas Commercial Driver License Self-Certification …

https://www.esc11.net/cms/lib3/TX21000259/Centricity/Domain/497/CDL-7.pdf

Self-Certification Affidavit . Federal Regulations along with the State of Texas Administrative Rules require a commercial driver to certify in one of the 4 categories …

Commercial Driver License - Tennessee

https://www.tn.gov/safety/driver-services/commercial-driver-license.html

The Medical Card & Self-Certification Affidavit should be submitted using the Driver Services Online Portal: To Submit Med Cert Info: Click Here. In order for the CDL office to …

Failure to return this form to the Alabama Law …

https://www.alea.gov/sites/default/files/dl-forms/CDLSelfCertificationAffidavit.pdf

(only this affidavit must be submitted) Driver’s Signature Date . Please mail or fax the medical card/certificate (if applicable) and this Self-Certification affidavit no later than …

Oklahoma Commercial Driver Licensee Medical Self …

https://sde.ok.gov/sites/default/files/documents/files/OSDE_Medical_Self-Cert_Affidavit_Mar13.pdf

you are reporting your “medical self-certification” and do not need a driver license issued (or if you are reporting ... and the Self-Certification affidavit to: Oklahoma Department …

Self Certification Category Guide - Division of Motor …

https://www.dmv.de.gov/forms/driver_serv_forms/pdfs/cdlMedCert/SelfCertificationAffidavitCategoryGuide.pdf

Please select only ONE of the following Self-Certification categories below. I certify my commercial transportation is: Category 1-Non-Excepted Interstate; Interstate commerce …

Commercial Driver License (CDL) Medical Certification …

https://www.dps.texas.gov/section/driver-license/commercial-driver-license-cdl-medical-certification-requirement

Category 1: Non-Excepted-Interstate Commerce ( CDL-4) Most CDL holders who drive CMV's in interstate commerce are non-excepted interstate commerce drivers. This …

SELF-CERTIFICATION AFFIDAVIT (PLEASE …

https://www.dfa.arkansas.gov/images/uploads/driverServicesOffice/selfCertficationRE.pdf

Title: Microsoft Word - Medical Certification Self Certification Affidavit.doc Author: anna.owens Created Date: 11/28/2011 4:02:15 PM

Self-Certification Affidavit (please print) - North …

https://www.dot.nd.gov/divisions/driverslicense/docs/Self-Certification%20Affidavit.pdf

Note: 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. Category 2, 3, …

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