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- Click ‘Get Form’ to open the CDL Holder Self-Certification Affidavit in the editor.
- Begin by entering your name and CDL number in the designated fields at the top of the form.
- Next, review the certification options provided. You must initial next to one of the four certifications that accurately describes your driving status: Non-Excepted Interstate, Excepted Interstate, Non-Excepted Intrastate, or Excepted Intrastate.
- After selecting your certification, ensure you read the statement regarding accuracy and consent. Then, sign and date the form in the appropriate fields.
- Finally, save your completed affidavit and attach a copy of your medical examiner’s certificate before submitting it via fax or email as instructed.
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