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Ma cdl self certification form 2026

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The CDL Self-Certification Form is a mandatory document for Commercial Driver’s License (CDL) holders to declare their type of commerce (interstate or intrastate) and medical certification status. Drivers must self-certify at specific intervals, depending on their category, to avoid downgrading their license. The form requires personal information and the selection of a self-certification category, with instructions for submission and additional requirements for those needing a medical certificate.

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Click ‘Get Form’ to open the ma cdl self certification form in our editor.
Begin by entering your personal information in the 'Commercial Driver Information' section. Fill in your name, address, license/permit number, daytime telephone number, birthdate, and email address clearly.
Select one of the self-certification categories that best describes your commercial driving. Ensure you understand each category's requirements as outlined on page two of the form.
If applicable, complete the 'Medical Examiner’s Certificate Information' section by entering details from your medical certificate. This includes the medical examiner's name and national registry number.
Review all entered information for accuracy before signing and dating the form at the bottom to certify its completeness.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (145 Votes)
2014	4 Satisfied (33 Votes)
2012	4.2 Satisfied (59 Votes)

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