Use this form to notify Wyoming of a change in your commercial driving status (also referred to as self-certifying or declaring your CMV driving status). Please use the "What is my CDL Certification?" document if you need assistance determining which category to choose. DO NOT use this form if you are applying for or renewing your commercial driver license.
A person is requesting a change in their commercial driving status and certifying the accuracy of their information. They indicate their certification type: Non-excepted Interstate (NI) requiring a current medical certificate, Non-excepted Intrastate (NA) not meeting requirements or under 21 years old, Excepted Interstate (EI) exempt from qualification requirements, or Excepted Intrastate (EA) not meeting requirements. They also provide their personal information: last name, first name, middle initial or suffix, mailing address city, state, zip code, contact phone number including area code, driver license number, and email address. A reminder is given to keep a current Medical Examiner's Certificate on file.
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