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Self-Certification Affidavit - North Dakota Department of Transportation - dot nd 2026

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  1. Click ‘Get Form’ to open the Self-Certification Affidavit in the editor.
  2. Begin by entering your name in the 'Name of Driver' field. Ensure that it matches your official identification.
  3. Next, input your North Dakota Drivers License Number in the designated field for accurate identification.
  4. Provide your phone number in the 'Driver’s Phone Number' section to facilitate communication if necessary.
  5. Select only ONE self-certification category that applies to you by checking the appropriate box. Remember, if you choose Category 1, you will need to attach a copy of your medical certificate.
  6. Sign and date the affidavit at the bottom of the form to validate your submission.
  7. Finally, mail, fax, or email the completed affidavit to the Drivers License Division using the provided contact information.

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