The Self Certification Affidavit and medical certificate, may be submitted to the state at any Arkansas Revenue Office ( ) or may be mailed or faxed to: Safety Responsibility Ragland Building, Room 1120 P.O. Arkansas: Self Certification Form FAQs.Fax number is (803) 896-2676 A list of office locations and hours can be found on our website Please contact the CDL Help Desk at (803) 896-2673 if you have any questions regarding this form. Mail this form and copies of medical documents to: SCDMV – CDL Help Desk PO Box 1498 Blythewood, SC 29016-0028 Scan the documents and then email them to: Fax this form and medical documents to the CDL Help Desk.
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