TC 94-169, Commercial Driver License Self Certification - Kentucky ... - transportation ky 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields. Fill in your last name, first name, middle initial, Social Security Number (SSN), Driver's License Number (DLN), date of birth (DOB), phone number, and email address.
3. Select one of the four certification categories that best describes your driving operations. Ensure you only mark one option: Non-excepted interstate, Excepted interstate, Non-excepted intrastate, or Excepted intrastate.
4. Print your name clearly in the provided space and sign the form. Don’t forget to include the date of signing.
5. Once completed, save your document and choose to either mail it to the Division of Driver Licensing or send it via fax or email as specified.

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