Dl 8 - Commercial Driver'S License (Cdl) Self-Certification

Download a blank fillable Dl 8 - Commercial Driver'S License (Cdl) Self-Certification in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Dl 8 - Commercial Driver'S License (Cdl) Self-Certification with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

DL 8 (07/01/2015)
COMMERCIAL DRIVER'S LICENSE (CDL)
LOG NUMBER
SELF-CERTIFICATION
Purpose:
Use this form to record and/or change a CDL driver's self-certification category for the driver's type of
commercial motor vehicle operation as required by VA Code §46.2-341.12(G).
Instructions:
Complete the Self-Certification section and, if eligible, attach any required documents and if applicable,
submit a check or money order for the reissue fee with the completed form.
To submit ON-LINE, visit - under Important Notices, click on New CDL Medical
Certification Requirements. You will be required to scan this form and any applicable documents.
You may submit your information by MAIL to the above address, attention CDL/NDR Work Center or FAX to
804-367-6692 or by visiting any DMV customer service center.
DMV will process your information within 10 business days.
SELF-CERTIFICATION (Check the box for the category that applies to you.)
INTERSTATE DRIVER
INTRASTATE DRIVER
Requires an Intrastate Only restriction on the CDL (K)
NON-EXCEPTED - I meet the qualification requirements
NON-EXCEPTED - I meet the qualification requirements
under 49 CFR Part 391 of the Federal Motor Carrier
under Title 19 § 30-20-80 of the VA Administrative Code.
Safety Regulations.
(Medical examiner's certificate required)
(Medical examiner's certificate required)
EXCEPTED - I am exempt from the qualification
EXCEPTED - I am exempt from the qualification
requirements under 49 CFR Part 391 of the Federal Motor
requirements under Title 19 § 30-20-80 of the VA
Carrier Safety Regulations.
Administrative Code.
(No medical examiner's certificate required)
(No medical examiner's certificate required)
TO SUBMIT YOUR SELF-CERTIFICATION
If your current self-certification status is INTERSTATE and you are changing it to INTRASTATE, you must submit a $20.00
reissue fee so that DMV can issue you a new CDL with an INTRASTATE only restriction code (K).
If your current self-certification status is INTRASTATE and you are changing it to INTERSTATE and your current CDL has an
INSTRASTATE only restriction (K) on it, you must submit a $20.00 reissue fee by mail or in person so that DMV can issue
you a new CDL without the INTRASTATE only restriction code.
YOU CANNOT USE THIS FORM IF:
(A) - you checked NON-EXCEPTED Interstate/Intrastate Driver, you have been granted a federal medical variance/
waiver/Skill Performance Evaluation Certificate (SPE) and your current license does NOT display a "V" restriction,
or
(B) - you checked EXCEPTED Interstate/Intrastate Driver and your current license displays a "V" restriction.
You must go to a DMV customer service center to submit your self-certification with a completed form DL 1P, "Driver License
and Identification Card Application" and any necessary documentation. You will be issued a new license.
If neither A nor B applies to you, complete the Commercial Driver Information below, sign and date the Certification and
submit completed form with any necessary documentation according to the instructions shown at the top of this form.
COMMERCIAL DRIVER INFORMATION
APPLICANT FULL LEGAL NAME (print) (last)
(first)
(middle)
(suffix)
CDL NUMBER
STREET ADDRESS
CITY
STATE
ZIP CODE
VA
BIRTHDATE (mm/dd/yyyy) DAYTIME TELEPHONE NUMBER
EMAIL ADDRESS (print clearly)
CERTIFICATION
I certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV
are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification
and affirmation under penalty of perjury and I understand that knowingly making a false statement on this form is a criminal
violation.
DATE (mm/dd/yyyy)
APPLICANT SIGNATURE

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go