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  • Cdl Holder Self Certification Affidavit

Get Cdl Holder Self Certification Affidavit

STATE OF TENNESSEEDepartment of Safety and Homeland Security Commercial Driver License Section CDL Holder SelfCertification Affidavit In order to comply with 49 CFR 383.71 and 49 CFR 383.73, the Tennessee.

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How to fill out the CDL Holder Self Certification Affidavit online

The CDL Holder Self Certification Affidavit is an essential document for commercial driver license holders in Tennessee. This guide will provide you with clear and detailed instructions on how to complete the affidavit online, ensuring compliance with federal and state regulations.

Follow the steps to accurately complete your affidavit.

  1. Click ‘Get Form’ button to obtain the CDL Holder Self Certification Affidavit and open it for editing.
  2. Begin by entering your personal information in the designated fields, including your full name and CDL number.
  3. Select the appropriate certification option by initialing one of the four statements regarding your driving operations, ensuring it accurately reflects your situation.
  4. Affirm the accuracy of the information provided by signing in the signature section and including the date of signing.
  5. Gather a copy of your medical examiner’s certificate, as you will need to submit it alongside the affidavit.
  6. Once you have completed the form and attached the necessary documents, you can save your changes, download the completed affidavit, print it out, or share it as needed.

Complete your CDL Holder Self Certification Affidavit online today to ensure compliance and maintain your driving privileges.

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An expired medical card means you are unqualified to drive a commercial vehicle. I do believe you have a one year grace period to get it done and not have to retake the tests. If you get your physical in the morning do the self certification and send it to DMV and nothing else will be needed on your part.

Commercial Driver License Self-Certification, form TC 94-169. Download the form here from Kentucky Transportation Cabinet Division of Driver Licensing. Copy of your valid DOT medical card (Medical card only, not the long form). Provide a legible copy of both front and back of the medical card.

Mail the completed form to the Division of Driver Licensing, CDL Section, 200 Mero St., Frankfort, KY 40622, or submit the form electronically via My CDL Document Portal at: http://mycdl.ky.gov.

If you select either the EA or EI box, you will be able to keep your CDL without submitting a current medical card. If/When you return to driving a commercial vehicle and you need to carry a medical card, you must resubmit a DL-11CD, Self-Certification Form, along with a copy of your valid medical card.

Excepted Intrastate (EA), you operate or expect to operate in a city, county state or federal vehicle ONLY and are exempt from the FMCSA driver qualification requirements. Federal Motor Carrier Safety Regulations require self-certification.

CDL Holder Self-Certification Affidavit §383.73, 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 examiner's certificate (form 5876) to the Department.

You will need to provide the CDL Section with a copy of your TWIC card. Upon verification of the card, it will be added to your Kentucky driving record. The email address for submission of a copy (front and back) of the TWIC document is kytc.twic@ky.gov and the fax number is 844-535-7272.

Go to the National Registry website: https://nationalregistry.fmcsa.dot.gov. Logon to your National Registry account. Select CMV Driver Exams from the blue bar at the top of the screen. Select Submit CMV Driver Exam Results

This category will NOT require a medical examiners certificate, but you are still required to meet Texas medical standards. This certification category is when you are operating a CMV only in intrastate commerce for excepted activities (oil/water well servicing and/or drilling or mobile crane operations).

Any driver with an updated certificate can submit it to DPS via email at CDLMedCert@dps.texas.gov or by fax at (512) 424-2002.

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Fill Cdl Holder Self Certification Affidavit

§383.73, the Tennessee Department of Safety and. Homeland Security requires all commercial driver license holders to certify the type of driving they engage in. NOTE: ALL DRIVERS LESS THAN 21 YEARS OF AGE ARE ONLY ALLOWED TO OPERATE IN. INTRA-STATE COMMERCE AND MUST CHECK EITHER BOX 3 OR 4. Please check only one of the following Self-Certification categories that apply to you. However, ALL Class A, B, or C drivers MUST submit this affidavit. I,. with Florida commercial driver license number of. Self-certify that I fall under the following category.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232