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  • Massdot Form T21893 2012

Get Massdot Form T21893 2012

Ision of MassDOT of the type of commerce in which they operate (interstate or intrastate), and whether or not they are required to hold a medical certificate. Failure to provide this information, known as self-certifying, prior to January 30, 2014 will result in the loss of the holder’s CDL. COMMERCIAL DRIVER INFORMATION DRIVER NAME (print) (last) ADDRESS (street) LICENSE/PERMIT NUMBER (first) (middle) (city) DAYTIME TELEPHONE NUMBER ( ) (state) BIRTHDATE (mm/dd/yyyy) (zip code) EMAI.

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How to fill out the massDOT Form T21893 online

Filling out the massDOT Form T21893 online is an important step for all holders of a Commercial Driver’s License (CDL) to self-certify their driving status. This guide provides a clear and user-friendly walkthrough of each section of the form to ensure compliance and accuracy.

Follow the steps to complete the form accurately.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor. This allows you to start filling out the necessary information.
  2. Fill in your driver information, including your name, address, license or permit number, daytime telephone number, birthdate, and email address. Ensure the information is clear and accurate.
  3. Select one self-certification category that applies to your commercial driving. The options include Non-Excepted Interstate, Non-Excepted Intrastate, Excepted Interstate, or Excepted Intrastate. Review the definitions provided in the form to understand what each category entails.
  4. If you are certifying under the Non-Excepted Interstate or Non-Excepted Intrastate categories and do not have a W restriction, complete the medical certificate section on page two and provide a copy of your medical certificate.
  5. If applicable, include any federal medical variance or Skill Performance Evaluation Certificate documentation by checking the appropriate option and providing copies as required.
  6. Review your form for completeness and accuracy, ensuring all required sections are filled out correctly.
  7. Once all fields are completed, you can save changes, download the form, print it, or share it as needed.

Complete your massDOT Form T21893 online today to ensure your driving status is properly certified.

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The Massachusetts Department of Transportation is led by a Secretary who plays a crucial role in the administration of transportation projects and policies. This individual's efforts include overseeing the application processes for forms like massDOT Form T21893. They work with various stakeholders to ensure that all transportation needs are met across the state.

You can contact MassDOT through multiple channels, including their official website, phone lines, and social media platforms. For matters related to massDOT Form T21893 or other concerns, their customer service representatives are available to assist you. They also provide resources and guidance for navigating transportation-related questions.

The Massachusetts Bay Transportation Authority (MBTA) is led by a General Manager who oversees the public transit system's operations. This leader is dedicated to improving service and ensuring user satisfaction, which includes managing the processes that involve massDOT Form T21893. They focus on enhancing the overall public transit experience for commuters.

The head of the Department of Transportation, often referred to as the Secretary of Transportation, is the main authority responsible for transportation policies and initiatives. This individual manages important projects, including those related to massDOT Form T21893. Their goal is to improve transportation accessibility and maintain infrastructure across Massachusetts.

The Department of Transportation in Massachusetts is currently under the leadership of an appointed official who ensures the effective operation of the state's transportation systems. This role involves overseeing various divisions and initiatives, including the implementation of the massDOT Form T21893. The leader prioritizes enhancing transportation safety and efficiency for all residents.

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massDOT Form T21893
This form is available in several versions.
Select the version you need from the drop-down list below.
2015 Massachusetts Form T21893
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  • 2015 Massachusetts Form T21893
  • 2014 massDOT Form T21893
  • 2012 massDOT Form T21893
  • Cdl Self Certification Form
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