Login

Fillable Printable Commercial Driver License Self-Certification Affidavit - Texas

Fillable Printable Commercial Driver License Self-Certification Affidavit - Texas

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
FederalRegulations along with the State of Texas Administrative Rules require a commercial driverto
certify in oneof the 4 categories listed belowto determine ifa medical certificate is required. If you
select category one (1)or three (3), you must present a valid medical certificate.
Last NameFirst NameMiddle NameMaiden Name
Driver License NumberBirth DateSocial 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 meetthe qualification requirements under 49 CFR part 391, andamrequired to
obtain a medical examiner's certificate by § 391.45.(CDL-4, CDL-10 box 7,medical certificate is required)
Category 2.ExceptedInterstate. I operate or expectto operate in interstate commerce, but
engageexclusively 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. Ioperate or expectto operate in intrastate commerce, and
amsubject to the physical qualifications of 49 CFR Part 391. (CDL-5 partb, medical certificateis required)
Category4. Excepted Intrastate. I operate or expect to operate in intrastate commerce, and
engageexclusively 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.
_________________________________________________________
SignatureDate
Pleaseemail, fax, or mail the medical certificate (if applicable) and the Self-Certification affidavit to:
Email (pdf format only):
CDLMedCer[email protected]s.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 holdersoperating 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 youoperateand self-certify to one of the following four categories
(see list below).
Interstate non-excepted: You are an Interstate non-excepteddriver and must meet the Federal DOTmedical card
requirements (e.g. you are “not excepted”).
Interstate excepted: You are an Interstate excepted driverand do not have to meet the Federal DOTmedical card
requirements.
Intrastate non-excepted: You are an Intrastate non-excepteddriver 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 determinethetype of commerce in which you plan to operate? Read the informationfor DOT medical
certificate requirements locatedat
//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-Certificationaffidavits(CDL-7) and DOT medical certificate information can be submitted to the Department through one of
the following:
Mail:Texas Department of Public SafetyFax:
Enforcement & Compliance Service
512-424-2002/Attention: CDL Section
Attention: CDL Section
Email:CDL[email protected]dps.texas.gov(Must be in pdf format)
PO Box 4087
Austin, Texas 78773
Login to HandyPDF
Tips: Editig or filling the file you need via PC is much more easier!
By logging in, you indicate that you have read and agree our Terms and Privacy Policy.