Follow the steps to successfully complete the certificate online.

1. Press the ‘Get Form’ button to access the document and open it in your editable format.
2. Begin by filling in the driver's name in the designated field. Make sure to spell the name correctly as it appears on official documents.
3. Enter the driver's Social Security Number (SSN). This information is crucial for identification purposes.
4. Provide the address of the driver, including the street address, city, state, and zip code. Ensure that the details are accurate to avoid any issues.
5. The driver should sign in the ‘Signature of Driver’ section, confirming that all provided information is accurate.
6. Certification: Confirm that the driver is regularly operating a vehicle for the named carrier and meets qualifications under Part 391 of the Federal Motor Carrier Safety Regulations.
7. State the expiration date of the driver's current medical examiner's certificate in the appropriate field.
8. Fill in the date that your certification will expire, ensuring it does not exceed the expiration date of the medical certificate.
9. Indicate the name of the carrier issuing the form and fill out the issuance date.
10. Complete the city, address, state, and zip code of the issuing carrier.
11. The authorized representative must sign in the specified area, officially certifying the document.
12. Once all sections are filled, review the document for accuracy. Save your changes, and choose to download, print, or share the completed form as needed.

Complete your documents online to ensure compliance and efficiency.