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CDL SELF-CERTIFICATION AUTHORIZATION

BMV 2159 6/19 [760-1498] Page 1 of 2 ohio DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES CDL SELF-CERTIFICATION AUTHORIZATION New federal regulations require ALL Commercial Driver License (CDL) holders to self-certify their type of commercial driving. All CDL holders must submit a SELF-CERTIFICATION in order to be issued and maintain their CDL. NAME OF DRIVER ohio DRIVER LICENSE NUMBER Please mark only one of the following SELF-CERTIFICATION categories that apply to you. (see page 2 for category detail) I certify my commercial driving is: Category 1: Non-Excepted Interstate: CDL holders who drive across state lines or transport freight that has or will cross state lines and must meet federal medical requirements subject to 49 CFR part 391.

Category 3: Non-Excepted Intrastate: CDL holders who drive exclusively in Ohio and do not drive across state lines, but are required to meet state medical requirements. Category 4: Excepted Intrastate: CDL holders who do not use the CDL for business purposes and are not required to meet state medical requirements.

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