If items on the form are missing or incomplete, additional information will be requested from you. Your medical examiner must initial and date all changes.
Note: Any request for restrictions to be added must be done at an MVD CDL office. A duplicate license fee will apply.
If you do not submit the requested information in a timely manner, your CDL privilege will be suspended, revoked or both. If your license becomes suspended, revoked or both, the requested information can be faxed to 602.239.6288 or emailed to [email protected]. You will be required to visit an MVD CDL office to reinstate your license and pay any applicable fees.
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