Pdf view link permanent link bookmark this location view toggle go to top of document. This document has been published in the federal register. Information provided will be verified by carrier as required under various parts of 49 cfr, including part 382 and part 391. Failure to complete required areas can place both the applicant and carrier in violation of federal law.
Refer to title 17 of the new york codes, rules and regulations nycrr part 820 for specific requirements. The e cfr is an editorial compilation of cfr material and federal register amendments produced by the national archives and records administrations office of the federal. Part 391 federal motor carrier safety administration. Medical certificate and affidavit must be submitted. Do you have a written process to identify drivers that should be disqualified, and a process for reinstatement. I acknowledge, that i have the right to due process as identified in 49cfr 391. Applicants must meet the eligibility requirements listed in federal regulations 49 cfr part 391 qualifications of drivers or state regulations 540 cmr 2. Use the pdf linked in the document sidebar for the official electronic format. I also certify that i do not have a drivers license from any other state or licensing jurisdiction, nor am i subject to any disqualification, suspension, revocation, cancellation or other sanction of my driving privilege. All class a, b, and c drivers who do not fall under any of the other categories. The following persons must be medically examined and certified in accordance with 391. Chief, medical programs division, federal motor carrier safety. Links to sources outside the legislatures site are provided for the convenience of the user and no representation is made regarding correctness or accuracy.
All class a, b, and c drivers granted a federal vision exemption. Some of those exceptions are discussed in the following pages. All drivers of articulated motor vehicles with a gcwr of 10,001 pounds or more are required to possess a current medical certificate as required in 391. The electronic code of federal regulations e cfr is a currently updated version of the code of federal regulations cfr. All class a, b, and c drivers granted a federal vision or diabetes exemption. A copy of the medical certificate must be mailed, faxed, or emailed to the north dakota drivers license division. Procedures for transportation workplace drug and alcohol.
I acknowledge, that i have the right to due process as identified in 49cfr. The department of transportations dot rule, 49 cfr part 40, describes required procedures for conducting workplace drug and alcohol testing for the federally regulated transportation industry. Carriers do not need to use this exact form, but must have a completed and signed employment application for all drivers that contains the information listed in 49 cfr 391. Therefore, the performance evaluation certification program pursuant collapse, or congestive cardiac failure. Links to sources outside the legislatures site are provided for the convenience of the user and no representation is. There are specific exceptions to some of these regulations for vehicles operated strictly within new york state.
All class a, b, and c drivers who do not fall under any of the other categories all class a, b, and c drivers granted a medical variance, federal vision or diabetes exemptions, or skill performance evaluation certificate spe v restriction. Medical certificate and selfcertification must be submitted all class a, b, and c drivers who do not fall under any of the other categories. Federal motor carrier safety administration fmcsa skill. In addition, if you have driven a commercial vehicle previously, you must provide employment history for an additional seven 7 years for a total of ten 10 years. The federal motor carrier safety regulations 49 cfr 391. I authorize release of the information contained on this form as required under 49 cfr 40. Oklahoma commercial driver license medical selfcertification. Am exempt from the physical provisions of 49 cfr, part 391 390 as i will operate a commercial motor vehicle only in the capacities i have checked below. Drivers meeting the definition of farm vehicle driver who operate straight trucks are exempted from all driver qualification requirements of part 391. The rules in this part do not apply to drivers of pipeline welding trucks, as defined in 49 cfr 390. This release is in accordance with dot regulation 49 cfr part 40, section 40. I further certify that i am exempt from the physical provisions of 49 cfr, part 391 390, and will operate a commercial motor vehicle only in the following capacity. I understand that information to be released in section iia by my previous employer, is limited to the following dot regulated testing items.
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