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Blank Texas Cdl 7 PDF Template

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Form Example

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)

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 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 5 March 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 FAQ’s for DOT medical certificate requirements located at www.txdps.state.tx.us/driverlicense.

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: 512-424-2002/Attention: CDL Section

 

Enforcement & Compliance Service

 

 

Attention: CDL Section

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

 

PO Box 4087

 

 

Austin, Texas 78773

 

CDL-7 (00-0112)

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Common mistakes

  1. Not Understanding the Categories: Many individuals fail to fully grasp the four categories listed on the form. Each category has specific requirements and implications for medical certification. Without understanding these distinctions, you may inadvertently select the wrong category, which could lead to complications later on.

  2. Forgetting to Provide a Medical Certificate: If you select Category 1 or Category 3, a valid medical certificate is mandatory. Some people forget to attach this document, thinking it’s optional. This oversight can result in delays or even denial of your application.

  3. Incorrect Personal Information: Errors in personal details such as your name, driver license number, or birth date can create significant issues. Double-checking this information is crucial to ensure that your application is processed smoothly.

  4. Failing to Sign and Date the Form: It might seem trivial, but neglecting to sign and date the affidavit can lead to your application being rejected. This simple step is essential to validate your submission.

  5. Not Submitting on Time: The deadline for submitting the Self-Certification affidavit is critical. Waiting until the last minute can lead to stress and potential errors. Make sure to send it well in advance of any deadlines.

  6. Ignoring the Submission Guidelines: Different methods exist for submitting your CDL-7 form, whether by email, fax, or mail. Failing to follow the specified guidelines can result in your documents not being received or processed correctly.

Key takeaways

Here are some key takeaways regarding the Texas CDL 7 form, which is essential for commercial driver license holders:

  • Self-Certification Requirement: All CDL holders must complete the CDL 7 form to self-certify their commercial transportation category.
  • Four Categories: There are four categories to choose from: Non-excepted Interstate, Excepted Interstate, Non-Excepted Intrastate, and Excepted Intrastate.
  • Medical Certificate Necessity: If you select Category 1 or 3, you are required to present a valid medical certificate.
  • Submission Methods: You can submit the CDL 7 form and any required medical certificates via email, fax, or mail.
  • Deadline: The self-certification affidavit must be submitted by January 30, 2014, for compliance.
  • Impact of Non-Compliance: Failing to maintain a current medical certificate may result in the loss of your CDL.
  • Keeping Records Updated: If you renew your DOT medical certificate, send the updated copy to the Department within 15 days to avoid downgrading your license.
⇓ Texas Cdl 7 PDF

Steps to Using Texas Cdl 7

Filling out the Texas CDL 7 form is an important step for commercial drivers. This form helps you certify the type of commercial transportation you engage in, which determines if a medical certificate is necessary. Follow these steps to complete the form accurately.

  1. Begin by writing your Last Name in the designated space.
  2. Next, enter your First Name and Middle Name as they appear on your identification.
  3. If applicable, include your Maiden Name in the appropriate section.
  4. Fill in your Driver License Number in the provided area.
  5. Enter your Birth Date in the format requested.
  6. Provide your Social Security Number in the specified space.
  7. Choose one of the four categories that best describes your commercial transportation:
    • Category 1: Non-excepted Interstate
    • Category 2: Excepted Interstate
    • Category 3: Non-Excepted Intrastate
    • Category 4: Excepted Intrastate
  8. After selecting a category, sign the form where it states Signature.
  9. Write the Date next to your signature.
  10. If you are in Categories 1 or 3, make sure to gather your valid medical certificate.
  11. Finally, submit the completed form along with any required medical certificates via email, fax, or mail to the Texas Department of Public Safety.