Utah Self-Certification Form template
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The document outlines medical certification requirements for Commercial Driver License (CDL) holders operating or intending to operate commercial motor vehicles (CMV) in Utah, as mandated by 49 CFR Part 383.71 and U.C.A. 53-3-410.1. CDL applicants or holders must submit this form during the initial issuance, upgrade, renewal, transfer, or status change. The document lists various certification categories: Federal Interstate (Non-Excepted and Excepted), State Intrastate (Restricted - Non-Excepted and Excepted), and Under 21 years old. Each category has specific qualifications and requirements, such as holding a valid DOT card, meeting age restrictions, having a valid medical certification or waiver, and adhering to certain exemptions. Penalties for providing false information apply.
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