Texas CDL Self-Certification Affidavit Instructions
This file contains essential information about the Texas Commercial Driver License Self-Certification Affidavit. It outlines the necessary categories for medical certification and submission instructions. Essential for CDL holders in Texas to ensure compliance with state regulations.
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How do I fill this out?
To fill out this form, start by reading the certification categories to determine which one applies to your circumstances. Next, complete the personal information section accurately, including your name, driver license number, and birth date. Finally, review your entries and sign the affidavit to submit it as instructed.

How to fill out the Texas CDL Self-Certification Affidavit Instructions?
1
Identify the appropriate category that applies to your commercial operation.
2
Fill in your personal information accurately.
3
Sign the document to certify your understanding.
4
Submit the affidavit and any required medical certificates.
5
Ensure that all submissions are completed by the designated deadlines.
Who needs the Texas CDL Self-Certification Affidavit Instructions?
1
Commercial truck drivers who operate interstate.
2
Local transportation drivers who need verification of medical status.
3
Individuals applying for a new commercial driving license.
4
Drivers needing to renew their existing commercial licenses.
5
Employers of commercial drivers who require compliance documentation.
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What are the instructions for submitting this form?
To submit the Texas CDL Self-Certification Affidavit, email your completed form in PDF format to CDLMedCert@dps.texas.gov. You may also fax the document to 512-424-2002, or alternatively, mail it to the Texas Department of Public Safety, Enforcement & Compliance Service, Attention: CDL Section, P.O. Box 4087, Austin, Texas 78773. Ensure you check for any additional requirements based on your selected certification category.
What are the important dates for this form in 2024 and 2025?
CDL holders are reminded of key dates for compliance: All applicants must adhere to the new certification rules effective from March 5, 2012. The deadline for self-certification submissions is January 30, 2014.

What is the purpose of this form?
The Texas Commercial Driver License Self-Certification Affidavit serves to establish the medical certification requirements for commercial drivers. By completing this form, drivers self-certify their operational category, ensuring compliance with federal and state regulations. It is crucial for maintaining public safety and regulatory compliance on Texas roadways.

Tell me about this form and its components and fields line-by-line.

- 1. Last Name: The last name of the applicant.
- 2. First Name: The first name of the applicant.
- 3. Middle Name: The middle name of the applicant.
- 4. Maiden Name: The maiden name of the applicant, if applicable.
- 5. Driver License Number: The unique driver license number assigned to the applicant.
- 6. Birth Date: The birth date of the applicant.
- 7. Social Security Number: The social security number of the applicant.
- 8. Certification Category: Selection of the applicable certification category based on operations.
What happens if I fail to submit this form?
Failure to submit the Texas CDL Self-Certification Affidavit can lead to serious consequences, including a potential downgrade of your commercial driver's license. Drivers may be subjected to penalties and may face legal challenges if operating without valid certification. It is crucial to adhere to submission deadlines to maintain eligibility.
- Loss of CDL: Not submitting the affidavit can result in losing your commercial driver's license.
- Legal Penalties: Failure to comply with state requirements may lead to legal repercussions.
- Increased Scrutiny: Drivers may face more scrutiny during inspections if certification is not submitted.
How do I know when to use this form?

- 1. Application for New CDL: Use this form to provide necessary certifications when applying for a new commercial driving license.
- 2. License Renewal: Submitting the form is essential during the renewal process for your CDL.
- 3. Operational Changes: Should your driving operations change, this form must be submitted to maintain compliance.
Frequently Asked Questions
What is the Texas CDL Self-Certification Affidavit?
This affidavit is a declaration that determines the type of operation a commercial driver engages in regarding medical certification.
Who needs to fill out this affidavit?
All commercial drivers in Texas who need to comply with medical certification regulations must complete this affidavit.
How do I fill out the affidavit?
Start by determining your category, complete your personal information, and sign the affidavit to submit.
Can I edit the PDF?
Yes, you can edit the PDF directly within the PrintFriendly platform.
How do I submit the completed form?
Submit via email, fax, or mail as provided in the instructions.
What if I fail to submit the affidavit?
Failure to submit may result in losing your commercial driving privileges.
Is there a deadline for submission?
Yes, the affidavit must be submitted by January 30, 2014.
How do I know which category to select?
Refer to the guidelines in the affidavit regarding your type of commerce.
Can I share this PDF?
Yes, you can share the PDF directly via email and other methods.
Will my details remain confidential?
The editing and sharing options ensure your document is tailored to your needs.
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