I have the in cab release and I love it. I have two bad shoulders, one of which I injured pulling the fifth wheel release in CDL school!
So yeah, I love mine. I've never had to pull it manually. Tow truck driver did the first time Teddy broke down but he used one of those long handled pull bars.
A CDL is required to drive any of the following vehicles:
On our cascadia its a side to side switch you flip, just above the air bag release switch which are both. Hidden by our Qualcomm.
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I use the button on my International exclusively and LOVE IT!