New Hampshire Code of Administrative Rules
Saf - Department of Safety
Subtitle Saf-C - Commissioner, Department of Safety
Chapter Saf-C 900 - MOTOR CARRIER SAFETY RULES
Part Saf-C 909 - INTRASTATE MEDICAL WAIVER
Section Saf-C 909.04 - Information Required

Universal Citation: NH Admin Rules Saf-C 909.04

Current through Register No. 40, October 3, 2024

(a) All persons seeking a medical waiver shall complete and submit DSMV 558, "Application for Waiver of Physical Deficiency", (rev. 04/23).

(b) By signing and dating the medical waiver form, each driver-applicant, official of the employing motor carrier, and medical examiner shall certify that they are signing the form under the penalties of unsworn falsification pursuant to RSA 641:3.

#8404, eff 8-2-05 (from Saf-C 908.04); ss by #10215, eff 10-25-12

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