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How do I fill this out?
To fill out this form, begin by providing your name and Alabama License number. Next, select the applicable self-certification category for your commercial operation. Finally, sign and date the affidavit before submission.
How to fill out the Self-Certification Medical Card Submission?
1
Print the self-certification affidavit.
2
Fill in your personal details.
3
Select the appropriate self-certification category.
4
Sign and date the document.
5
Mail the form to the provided address.
Who needs the Self-Certification Medical Card Submission?
1
Commercial drivers who operate across state lines require this form.
2
Drivers with a K restriction on their CDL must submit this form.
3
Individuals applying for a new commercial driver license must complete this affidavit.
4
Drivers seeking to maintain compliance with federal regulations need this form.
5
Any transport personnel who fall under the defined categories should fill out this affidavit.
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What are the instructions for submitting this form?
To submit the self-certification form, mail it to the Alabama Law Enforcement Agency at P.O. Box 1471, Montgomery, AL 36102-1471. Ensure you include your medical card if applicable with the submission. It is recommended to send it at least 10 days before the renewal of your commercial driver license.
What are the important dates for this form in 2024 and 2025?
Important dates for filing the self-certification form will generally coincide with your CDL renewal dates. Ensure to check for specific dates regarding CDL requirements in 2024 and 2025. Stay updated on Alabama Law Enforcement Agency's regulations to avoid compliance issues.
What is the purpose of this form?
The purpose of this form is to certify the medical fitness of commercial drivers. It is required by federal regulations to ensure that all commercial drivers are qualified to operate their vehicles safely. By completing this form, drivers affirm their understanding of and compliance with medical standards.
Tell me about this form and its components and fields line-by-line.
- 1. Name of Driver: The full legal name of the individual filling out the form.
- 2. Alabama License No.: The driver's Alabama license number needed for identification.
- 3. Self-Certification Categories: Choices that indicate the type of operation the driver engages in.
- 4. Driver's Signature: A space for the driver to sign, confirming the information is accurate.
- 5. Date: The date on which the form is signed and submitted.
What happens if I fail to submit this form?
Failing to submit this form may lead to the suspension or cancellation of your commercial driver license. It's crucial that the form is sent in within the specified timeframe to avoid any potential legal repercussions. Compliance with this requirement is essential for all commercial drivers.
- License Suspension: Your commercial driving privileges may be suspended until compliance is achieved.
- Legal Penalties: Non-compliance may result in potential fines or penalties.
- Operational Delays: Failure to submit in time can cause delays in your ability to work.
How do I know when to use this form?
- 1. New CDL Applications: Required for individuals applying for a commercial driver license for the first time.
- 2. Medical Certification Updates: Necessary when there's a change in medical status that needs to be certified.
- 3. License Renewals: Must be submitted prior to renewing your commercial driver license.
Frequently Asked Questions
How do I submit this self-certification form?
You can submit the form by mailing it to the Alabama Law Enforcement Agency.
Can I edit this PDF file before submission?
Yes, PrintFriendly allows you to edit the PDF file easily before downloading it.
What happens if I don't submit this form?
Failure to submit may result in the cancellation of your commercial driver license.
Is there a deadline for submission?
Yes, submit your form at least 10 days before renewing your CDL.
Do I need a medical card to apply?
Depending on your selected self-certification category, a medical card may be required.
Where can I find the form?
The form is available online at the Alabama Law Enforcement Agency's website.
What information do I need to fill out?
You need to provide your name, license number, and select a certification category.
Can I submit the form online?
Yes, you can submit the form and your medical documents online.
What if I need assistance with the form?
You can contact the driver license division for help with the form.
Is there a fee for submitting this form?
There may be a fee associated with your CDL application or renewal.
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