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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.
CDL holders must comply Now, CDL drivers need to repeat the process every time their DOT physical is renewed. Failure to comply will result in the driver's CDL status being reduced to Non-CDL. There will likely be a 30-day grace period in which to reclaim your CDL through certification.
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 the CDL is ever expired for one (1) year or more, the written/vision tests must be taken prior to a new license being issued. An application fee will be charged. If applying for a CDL reinstatement, and the commercial privilege has been suspended for one (1) year or more, all tests are required.
As of January 30, 2015, Class A, B, or C commercial drivers which certify as \u201cnon-exempted interstate\u201d drivers are no longer required to carry their Medical Examiner Certificate in their possession.
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A medical examiner's certificate, which is commonly known as a DOT medical card, provides proof the driver has meet the medical requirements to hold a CDL. In most states, a perspective CDL driver must hold a valid DOT medical card before a CDL learner's permit can be issued.
Self-Certification Process Submit the following two documents: State of Arkansas Self-Certification Affidavit \u2013 download the form here from Arkansas DFA. Copy of your valid DOT medical certificate (Medical card only, not the long form.) Enlarge the copy to ensure that all information is legible.
The $85.00 charge includes the DOT physical examination, visual acuity, basic hearing test, urinalysis (blood, sugar and protein) and a laminated medical certificate. The urinalysis test is not a drug test. The DOT medical certificate will be completed at the end of your DOT physical exam.
Drivers who have an updated medical certificate may still submit it to the department by email CDLMedCert@dps.texas.gov or by fax 512-424-2002. The Department continues to process medical certificates and limb/vision waiver applications.
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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