CDL Self-Certification Form

CDL Medical Self-Certification Form to identify where you are driving a commercial vehicle. This form must be filled out completely and must be submitted in-person at a CSC location only.

Based on your answers above you must certify one of the four (4) following categories:

  1. Non-excepted Interstate (NI) - I operate or expect to operate in interstate commerce and am required to maintain federal medical certification. (Medical Certificate/Card Required)
  2. Non-excepted Intrastate (NA) - I operate or expect to operate only in intrastate commerce and am required to meet FMCSA driver qualification requirements. (Medical Certificate/Card Required)
  3. Excepted Interstate (EI) - I operate or expect to operate in interstate commerce, but engage exclusively in operations that qualify me for exception from the requirement to maintain federal medical certification.
  4. Excepted Intrastate (EA) - I operate or expect to operate only in a city, county, state or federal vehicle only, and I am exempt from the FMCSA driver qualification requirements.