The Kentucky CDL Self Certification form, mandated by the Federal Motor Carriers Safety Regulations and localized Kentucky requirements, serves as an essential document for commercial driver's license (CDL) holders. It ensures that all CDL holders in Kentucky must self-certify the type of driving they perform and are medically certified regardless of the driving category they select. Knowing which category to choose and ensuring accuracy on this form is crucial for compliance and maintaining valid driving privileges. Ready to complete your Kentucky CDL Self Certification? Click the button below to get started.
In navigating the complexities of compliance within the commercial driving sector, the Kentucky CDL Self Certification form emerges as a crucial document, underscoring the interplay between federal mandates and state-specific regulations. Crafted by the Kentucky Transportation Cabinet's Division of Driver Licensing, this form is designed to align with the Federal Motor Carriers Safety Regulations, which dictate that all holders of a Commercial Driver's License (CDL) must self-certify the nature of their driving activities. Importantly, while the Federal Motor Carrier Safety Administration (FMCSA) mandates medical certification exclusively for drivers engaged in non-excepted, interstate operations, Kentucky extends this requirement to all its CDL holders, encapsulating a broader spectrum of driving categories. This comprehensive approach, detailed within the form, encompasses four distinct categories—non-excepted interstate, excepted interstate, non-excepted intrastate, and excepted intrastate—each with specific operational definitions and implications for medical certification and licensure restrictions. Furthermore, the form explicitly outlines the conditions under which drivers operate in either excepted or non-excepted capacities, whether crossing state lines or confining their operations within Kentucky, thus providing a structured pathway for drivers to ascertain their compliance obligations and ensure uninterrupted professional pursuits in the commercial driving realm.
Kentucky Transportation Cabinet
TC 94‐169
Division of Driver Licensing
05/2017
COMMERCIAL DRIVER LICENSE SELF‐CERTIFICATION
Page 1 of 2
The Federal Motor Carriers Safety Regulations require all CDL holders to self‐certify as to what type driving he/she performs or expects to perform.
While FMCSA only requires medical certification for drivers operating in non‐excepted, interstate operations, Kentucky requires all CDL holders to be medically certified (601 KAR 1:005) regardless of category selected.
NAME (last)
(first)
(MI)
SSN
DLN
DOB
PHONE
EMAIL
There are four categories from which to choose; please select only one.
Non‐excepted interstate‐I certify that I operate or expect to operate in Kentucky and other states (interstate commerce).
Excepted interstate‐I certify that I operate or expect to operate in Kentucky and other states (interstate commerce) but, engage exclusively in transportation or operations excepted under 49 CFR 390.3(f), 391.2, 391.68, or 398.3 from all or parts of the qualification requirements of 49 CFR part 391
Non‐excepted intrastate‐I certify that I operate or expect to operate in Kentucky only (intrastate commerce). (This category requires a “K” restriction to be printed on your
CDL/permit.)
Excepted intrastate‐I certify that I operate or expect to operate in Kentucky only (intrastate commerce) but, engage in transportation or operations excepted from all or parts of the State driver qualifications requirements. (This category requires a “K” restriction be printed on your CDL/permit.)
NOTE: All Kentucky CDL applicants/holders must be medically certified. Therefore, no CDL holder/applicant is excepted intrastate and should never mark this category.
______________________________
Print Name
Signature
Date
Page 2 of 2
INTERSTATE COMMERCE:
You operate in excepted interstate commerce when you drive a CMV in interstate commerce only for the following excepted activities:
To transport school children and/or school staff between home and school;
As Federal, State or local government employees;
To transport human corpses or sick or injured persons;
Fire truck or rescue vehicle drivers during emergencies and other related activities;
Primarily in the transportation of propane winter heating fuel when responding to an emergency condition requiring immediate response such as damage to a propane gas system after a storm or flooding;
In Response to a pipeline emergency condition requiring immediate response such as a pipeline leak or rupture;
In custom harvesting on a farm or to transport farm machinery and supplies used in the custom harvesting operation to and from a farm or to transport custom harvested crops to storage or market;
Beekeeper in the seasonal transportation of bees;
Controlled and operated by a farmer, but is not a combination vehicle (power unit and
towed unit), and is used to transport agricultural products, farm machinery or farm supplies (no placardable hazardous materials) to and from a farm and within 150 air‐ miles of the farm;
As a private motor carrier of passengers for non‐business purposes ; or
To transport migrant workers.
If you answered yes to one or more of the above activities as the only operation in which you drive, you operate in excepted interstate commerce.
If you answered no to all of the above activities, you operate in non‐excepted interstate commerce. Most CDL holders who drive CMVs in interstate commerce are non‐excepted interstate commerce drivers.
If you operate in both excepted interstate commerce and non‐excepted interstate commerce, you must choose non‐excepted interstate commerce to be qualified to
operate in both types of interstate commerce.
INTRASTATE COMMERCE:
You operate in non‐excepted intrastate commerce when you drive a CMV only in intrastate commerce and are required to meet your State of licensure’s medical certification requirements. (This category requires a “K” restriction to be printed on your CDL/permit.)
After receiving the Kentucky CDL Self-Certification form, it's important to understand that you're engaging in a requirement that helps categorize the type of commercial driving you perform. This categorization impacts your medical certification requirements. Kentucky mandates that all CDL holders, regardless of their interstate or intrastate classification, maintain medical certification. This step is essential for ensuring that all drivers meet the health standards necessary for the safety of themselves and others on the road. Following, you'll find a clear breakdown of the steps needed to correctly fill out this form.
After completing the Kentucky CDL Self-Certification form, you should review it for accuracy. Ensure that all the information you provided is correct and that you have chosen the category that best fits your driving activities. The accurate completion of this form is crucial as it directly impacts your licensing and your ability to operate a commercial vehicle legally within or across the state of Kentucky. Once the form is filled out, follow the Kentucky Transportation Cabinet's instructions for submission, which may involve returning it to a specific office or submitting it online, if available. This process is integral to maintaining your CDL status and ensuring that you comply with both state and federal regulations for commercial drivers.
What is the Kentucky CDL Self-Certification form?
The Kentucky CDL Self-Certification form is a document required by the Kentucky Transportation Cabinet and the Federal Motor Carriers Safety Regulations (FMCSA). It mandates all CDL holders to self-certify the type of driving they perform or expect to perform. The form helps distinguish between drivers who operate in interstate or intrastate commerce and whether they participate in excepted or non-excepted transportation activities, according to specific categories defined by federal and state regulations.
Why do I need to complete the Kentucky CDL Self-Certification form?
Completion of the Kentucky CDL Self-Certification form is necessary for all CDL holders in Kentucky. This requirement ensures that drivers meet the medical certification standards set by Kentucky law (601 KAR 1:005), regardless of the type of commercial driving they engage in. It is a legal requirement for maintaining a valid Commercial Driver's License in the state of Kentucky.
What are the categories of driving I can certify to on the form?
What happens if I do not select the correct category or fail to self-certify?
Failure to accurately self-certify or not self-certifying at all can result in the suspension of your Commercial Driver’s License. It is critical to select the correct category that truly reflects the type of commercial driving you are or will be performing. The accuracy of this information ensures that you are in compliance with both federal and state regulations regarding medical certification and licensing requirements.
Can I change my self-certification category if my type of driving changes?
Yes, if your type of driving changes, you should update your self-certification category accordingly. This can be done by completing a new Kentucky CDL Self-Certification form with the updated information and submitting it to the Kentucky Transportation Cabinet. It is important to keep your self-certification status current to reflect your actual driving activities accurately.
What documents are needed in addition to the self-certification form for medical certification?
In addition to the self-certification form, CDL holders required to meet non-excepted medical standards must also provide a current medical examiner’s certificate. The medical certification must demonstrate that the driver meets the physical qualifications in accordance with FMCSA standards or Kentucky state requirements, depending on their self-certified driving category.
How do I submit my Kentucky CDL Self-Certification form and any required medical documents?
The completed Kentucky CDL Self-Certification form along with any necessary medical documents can be submitted to the Kentucky Transportation Cabinet via mail, fax, or in person at a Driver Licensing Regional Office. Ensure that all provided information is accurate and that the documents are complete to avoid delays in the processing of your certification.
Filling out the Kentucky CDL Self-Certification form requires careful attention to detail and an understanding of the categories. However, people often make mistakes that can lead to incorrect certification or even delay their licensing process. Here are five common errors to avoid:
Choosing the Wrong Category: One common mistake is selecting the wrong certification category. The form outlines four different categories based on the type of commerce (interstate or intrastate) and whether the operation is excepted or non-expected from certain federal or state regulations. It's crucial to understand these distinctions to ensure you're correctly certified for the type of driving you plan to do.
Not Providing Complete Personal Information: Skipping fields or not providing complete personal information can cause processing delays. Every field from your name, social security number, driver's license number, date of birth, phone number, and email is essential for the Kentucky Transportation Cabinet to process your certification accurately.
Overlooking the Medical Certification Requirement: With Kentucky requiring medical certification for all CDL holders, regardless of the selected category, a significant mistake is failing to understand this requirement. Applicants sometimes assume that selecting an "excepted" category exempts them from needing a medical certificate, which is not the case, leading to incomplete applications.
Marking the Excepted Intrastate Category: An explicit note on the form indicates that no CDL holder or applicant should select the "excepted intrastate" category. Despite this clear instruction, some applicants mistakenly choose this category, which can invalidate their self-certification process.
Forgetting to Sign and Date the Form: Finally, a surprisingly common oversight is failing to sign and date the form at the bottom. This simple misstep can render the form invalid, as it's necessary for legal acknowledgment of the self-certification.
To ensure a smooth certification process, applicants are encouraged to:
By avoiding these common mistakes, Kentucky CDL applicants can ensure their self-certification is completed correctly, helping to avoid any unnecessary delays or complications in their licensing process.
When a commercial driver in Kentucky completes the CDL Self Certification form, it's often just one step in a series of necessary actions to ensure legal compliance and operational readiness for the road. Alongside this crucial form, there are several other documents and forms that drivers might need to complete or have on hand, depending on their specific type of commercial driving activity.
Understanding and managing the paperwork is crucial for compliance and safety in commercial driving. Whether a driver is renewing their CDL, certifying their medical fitness, or ensuring their vehicle is properly registered and inspected, each form plays a significant role in the commercial driving landscape. Staying abreast of the requirements and maintaining organized records helps facilitate a smoother operation and minimizes the risk of non-compliance.
The Medical Examination Report Form (MER) for Commercial Driver License (CDL) holders is a document that, like the Kentucky CDL Self Certification form, is integral to ensuring the safety of commercial driving operations. Both documents require information about the driver’s medical fitness to operate commercial motor vehicles (CMVs) safely. However, while the self-certification form allows drivers to indicate the type of commercial driving they perform, the MER requires a detailed examination by a medical examiner to determine the driver's physical qualification to drive a CMV based on federal regulations.
The Commercial Driver’s License Application is another document similar to the Kentucky CDL Self Certification form. Both are necessary steps in the process of obtaining or renewing a CDL, and each requires the driver to provide personal information and details about their driving category. However, the application form is broader, encompassing various legal and personal qualification questions, while the self-certification specifically addresses the driver’s medical status and the nature of their intended commercial driving operations.
The Driver’s Consent for Release of Medical Information form shares similarities with the Kentucky document, as it also plays a role in the medical certification process for CDL holders. This consent form allows medical practitioners to share the driver’s health information with licensing authorities, ensuring compliance with safety regulations. Unlike self-certification, which is filled out by the driver, this form facilitates the sharing of medical examination results conducted by a healthcare professional. emphasize>
The Department of Transportation (DOT) Physical Examination Form is closely related to the Kentucky CDL Self Certification form in its purpose to ensure that drivers are medically able to operate CMVs. While the Self Certification offers a declaration of the driving category, the DOT Physical is an in-depth health assessment performed by a certified medical examiner. It evaluates the physical and mental fitness of a driver, which affects their certification status.
The Hazardous Materials Endorsement (HME) Application is also connected to the Kentucky Self Certification due to its role in the certification process for CDL holders who transport hazardous materials. While the Self Certification form helps determine the nature of a driver’s commercial operations in general terms, the HME Application is specific to drivers needing endorsement to haul hazardous materials. Both are critical for assessing the qualification and eligibility of drivers under federal and state regulations.
The Vehicle Inspection Report, although not a driver-centric document, is similar to the Kentucky CDL Self Certification form in its focus on safety compliance. While the Self Certification form assesses the driver's medical fitness and type of driving, the Vehicle Inspection Report evaluates the condition of the commercial vehicle itself. Both forms are essential for maintaining high safety standards within the commercial driving industry.
Lastly, the Motor Carrier Identification Report (Form MCS-150) resembles the Kentucky CDL Self Certification in that it involves regulatory compliance for commercial driving operations. The MCS-150 provides the Federal Motor Carrier Safety Administration (FMCSA) with information about a carrier’s operations, whereas the Self Certification form provides information about an individual driver’s medical certification and type of commercial driving. Both are integral to the oversight of commercial transportation safety.
When filling out the Kentucky CDL Self-Certification form, it's important to pay close attention to the details to ensure that your submission is accurate and compliant with state regulations. Below are some essential dos and don'ts to guide you through the process.
Dos:
Don'ts:
When it comes to the Kentucky CDL Self Certification form, misunderstandings can easily arise. Let's clear up four common misconceptions:
By understanding these key points, commercial drivers in Kentucky can better navigate the self-certification process. Knowing the requirements ensures compliance with the Kentucky Transportation Cabinet and contributes to safer roadways for everyone.
Filling out the Kentucky CDL Self-Certification form is a crucial step for drivers to comply with both federal and state regulations. Here are ten key takeaways to ensure you complete this process correctly:
Ultimately, the Kentucky CDL Self-Certification form is a vital document that ensures drivers operate within legal parameters. By accurately completing this form, drivers affirm their commitment to adhering to safety and health standards essential for maintaining the integrity of Kentucky's roadways.
Tc 96 - Getting your rebuilt vehicle legally on the road in Kentucky starts with form TC 96-215.
Ky Highway Use Tax - Instructions for elevator license renewal, including submission of a recent passport-sized photo.