Form LIC103 template
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CDL Self-Certification Form
Complete this form to certify type of commerce in which you operate (interstate or intrastate), and whether or not you are required to hold a US DOT Medical Examiner’s Certificate.
This document provides instructions on how to complete and submit a medical examiner certificate form to the Massachusetts Registry of Motor Vehicles (RMV) for commercial drivers. The form can be completed online or by mail, and requires the driver to provide their personal information, medical certificate information, and authorization for the RMV to process any necessary overrides. It is important that the form is filled out accurately and completely to ensure timely processing.
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