Form PS30372 template
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Notification of Conviction in another state or jurisdiction by commercial driver
This form is for Minnesota Commercial Driver's License (CDL) holders to report convictions and serious traffic violations within 30 days. The required information includes: date of birth, today's date, violation occurrence date, city and state, vehicle type, conviction date, specific offense details, placarding status, driver's license number, and signature. The Department of Public Safety collects this data for record keeping purposes as required by law. Failure to provide the information may result in violating federal regulations. Personal information will be disclosed for vehicle operation or public safety concerns.
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