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Directory Results for Michigan Department of State CDL Self Certification Full Name: (Please Print) Drivers License Number: Date of Birth: CERTIFYING TO THE TYPE OF COMMERCIAL MOTOR VEHICLE (CMV) DRIVING I WILL DO AS REQUIRED IN 49 CFR PARTS 383 AND 391 to Michigan Department of State Clear APPOINTMENT OF AGENT For a Vehicle, Watercraft, or Mobile Home All Information Must be Completed in Ink I appoint (agents name) Agents address: Agents Driver License Number or ID Card Number: as my agent to sig

Michigan Department of State CDL Self Certification Full Name: (Please Print) Drivers License Number: Date of Birth: CERTIFYING TO THE TYPE OF COMMERCIAL MOTOR VEHICLE (CMV) DRIVING I WILL DO AS REQUIRED IN 49 CFR PARTS 383 AND 391
Michigan Department of State Clear APPOINTMENT OF AGENT For a Vehicle, Watercraft, or Mobile Home All Information Must be Completed in Ink I appoint (agents name) Agents address: Agents Driver License Number or ID Card Number: as my agent to sig