Form 403D template
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TERMINATION OF CDL DISQUALIFICATION
This document outlines the process for a person with a permanently revoked Commercial Driver License (CDL) under Alaska Statute 28.33.140(e) to apply for reinstatement after serving ten years of the disqualification period and completing an appropriate rehabilitation program. Applicants must provide their printed name, birthdate, driver's license number, mailing address, and sign the application. Required documents include an Alaska criminal record obtained from the Alaska State Troopers. The rehabilitation program responsible for the applicant's screening, evaluation, referral, and completion must fill out a separate section.
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