Get De Self-certification Affidavit 2017

This guide provides clear instructions on how to fill out the DE Self-Certification Affidavit online. Whether you are a first-time user or familiar with the form, this comprehensive guide will help you complete the affidavit accurately and efficiently.

Follow the steps to successfully complete the DE Self-Certification Affidavit.

1. Click the ‘Get Form’ button to download the DE Self-Certification Affidavit and open it in your PDF editor.
2. Begin by filling in your name, date of birth, and Delaware Driver License Number at the top of the form.
3. Enter your home phone number and cell phone number as prompted.
4. Indicate whether you are submitting a copy of your medical certificate by circling either 'YES' or 'NO'. Note that only Class A, B, or C CDL holders who select Category 1 must attach a medical certificate.
5. Choose one Self-Certification category that applies to your situation: Category 1 for Non-Excepted Interstate, Category 2 for Excepted Interstate, Category 3 for Non-Excepted Intrastate, or Category 4 for Excepted Intrastate. Ensure that you review the descriptions for each category carefully before making your selection.
6. Affix your signature at the bottom of the form where indicated, and enter the date of signing.
7. Once all fields are successfully completed, save your changes, then download, print, or share the form as needed. Ensure all information is clear and legible before submission.
8. Email, mail, or fax your completed Self-Certification Affidavit along with your Medical Examiner Certificate, if applicable, to the provided contacts.

Complete your DE Self-Certification Affidavit online today to ensure compliance and avoid delays.