Dl 11Cd Form PDF Details

Form DL-11CD (8-25) is the Pennsylvania Department of Transportation's Self-Certification Form. All Class A, B and C license holders and permit applicants check one driving type: NI (non-excepted interstate) or NA (non-excepted intrastate), where a Medical Examiner's Certificate is required and must reach PennDOT through the National Registry, or EI (excepted interstate) or EA (excepted intrastate), where it is not. NA and EA add a K restriction, which limits the driver to Pennsylvania. The form asks for the driver's license number, name, date of birth, phone and email, whether this is an initial self-certification or a change, and a signature in ink. A driver who stops driving commercially can keep the CDL by choosing EA or EI, and resubmits the form once a medical card is required again. The form is mailed to PennDOT's Bureau of Driver Licensing in Harrisburg.

QuestionAnswer
Form NameDl 11Cd Form
Form Length2 pages
Fillable?Yes
Fillable fields13
Avg. time to fill out2 min 15 sec
Other namespa dot medical card printable, dot physical form pa, dl 11cd form, dl 11cd form printable

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