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California Department of Motor Vehicles
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Health Questionnaire (DL 546)

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This form may be used by individuals to self-certify for a Noncommercial Fire Fighter restricted Class A or B license or a Noncommercial Class A trailer endorsement. You self-certify that you are medically able to safely drive or tow the vehicle for which you are requesting a license or endorsement. (VC �12804.12[b])

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