Fillable Printable Commercial Driver License Self-Certification Affidavit - Texas

Commercial Driver License Self-Certification Affidavit - Texas

CDL-7 (00-0112)

Texas Commercial Driver License

Self-Certification Affidavit

Federal Regulations along with the State of Texas Administrative Rules require a commercial driver to

certify in one of the 4 categories listed below to determine if a medical certificate is required. If you

select category one (1) or three (3), you must present a valid medical certificate.

Last Name First Name Middle Name Maiden Name

Driver License Number Birth Date Social Security Number

I certify my commercial transportation is:

Category 1. Non-excepted Interstate. I operate or expect to operate in interstate commerce, am

both subject to and meet the qualification requirements under 49 CFR part 391, and am required to

obtain a medical examiner's certificate by § 391.45.(CDL-4, CDL-10 box 7, medical certificate is required)

Category 2. Excepted Interstate. I operate or expect to operate in interstate commerce, but

engage exclusively in transportation or operations excepted under 49 CFR 390.3(f), 391.2, 391.68 or

398.3 from all or parts of the qualification requirements of 49 CFR part 391. (CDL-10)

Category 3. Non-Excepted Intrastate. I operate or expect to operate in intrastate commerce, and

am subject to the physical qualifications of 49 CFR Part 391. (CDL-5 part b, medical certificate is required)

Category 4. Excepted Intrastate. I operate or expect to operate in intrastate commerce, and

engage exclusively in transportation or operations that exempt me from meeting the medical standards

of 49 CFR Part 391. (CDL-5 part a, CDL-10 box 10 or box 11)

I certify that I have read, understand and meet the above checked categories for a commercial driver

license.

__________________________________ _______________________

Signature Date

Please email, fax, or mail the medical certificate (if applicable) and the Self-Certification affidavit to:

Email (pdf format only):

CDLMedCert@dps.texas.gov

Fax: 512-424-2002

Mail: Texas Department of Public Safety

Enforcement & Compliance Service

Attention: CDL Section

P.O. Box 4087

Austin, Texas 78773

CDL-7 (00-0112)

General Information

A Guide for Commercial Driver’s License (CDL) Holders

New Medical Certification Requirements

All CDL holders must provide a Self-Certification affidavit (CDL-7) no later than January 30, 2014 to the Department identifying

the type of commercial motor vehicle operation in which they plan to operate. CDL holders operating in non-excepted

interstate and non-excepted intrastate will be required to submit a current medical examiner’s certificate and any variance they

may have to the Department. Drivers who are required to have a medical examiners certificate and fail to maintain a current

medical certificate with the Department may lose their CDL.

1) What is changing? Texas will now collect your medical certificate information at the time of your commercial driver license

transaction.

2) What is not changing? The driver physical qualification requirements will not change.

3) When does this change start? This change begins March 5, 2012.

4) What are CDL holders required to do?

1. You must determine the type of commerce in which you operate and self-certify to one of the following four categories

(see list below).

• Interstate non-excepted: You are an Interstate non-excepted driver and must meet the Federal DOT medical card

requirements (e.g. – you are “not excepted”).

• Interstate excepted: You are an Interstate excepted driver and do not have to meet the Federal DOT medical card

requirements.

• Intrastate non-excepted: You are an Intrastate non-excepted driver and are required to meet the DOT medical

requirements.

• Intrastate excepted: You are an Intrastate excepted driver and do not have to meet the DOT medical requirements.

2. If you are subject to the Department of Transportation (DOT) medical card requirements, provide a copy of each new DOT

medical card to the Department prior to the expiration of the current DOT medical card.

5) How do you determine the type of commerce in which you plan to operate? Read the information for DOT medical

certificate requirements located at

http://www.txdps.state.tx.us/DriverLicense/medCertReq.htm

6) How can you comply with the new requirements? If you are applying for a new commercial driver license, or plan on

renewing or obtaining a replacement before January 30, 2014, be sure to bring your DOT medical card if you have one, when

you come to your local driver license office.

If you are a current commercial driver license holder and do not need to renew or obtain a replacement before January 30,

2014, print and complete a copy of the self-certification form (CDL-7) located on our website, and mail, fax, or email the self-

certification form to the contact information below. If you are required to maintain a DOT medical certificate, be sure to send a

copy of that and any variance you may have along with the Self-Certification affidavit.

7) What if you have renewed your DOT medical certificate since the last time you sent one in to the Department? To prevent

your commercial driver license from being downgraded, you will need to send a copy of the new DOT medical certificate to the

Department within 15 days of the DOT medical certificate issuance date.

8) How to submit your medical certificates?

Self-Certification affidavits (CDL-7) and DOT medical certificate information can be submitted to the Department through one of

the following:

Mail: Texas Department of Public Safety Fax:

Enforcement & Compliance Service

512-424-2002/Attention: CDL Section

Attention: CDL Section

Email: CDLMedCert@dps.texas.gov (Must be in pdf format)

PO Box 4087

Austin, Texas 78773