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Get and Sign 413 State of Alaska 2020-2022 Form
19)
2.
3.
Phone
YES
NO
Are you required to have a federal or state waiver to meet the medical requirements for a Commercial Driver License?
(, vision or skills performance evaluation certificate) If you answered YES, you must provide a copy of the waiver.
YES
NO
Are you domiciled (permanent residence) in the State of Alaska?
YES
NO
PLEASE CHECK THE APPROPRIATE BOX FOR THE TYPE OF OPERATION THAT APPLIES TO
YOU. SEE THE BACK OF THIS FORM FOR GUIDANCE AND...
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