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Commercial Driver's License (CDL) Medical Certification Requirements

Certification Categories

Federal regulations require all CDL and CDL instruction permit holders and new applicants for these credentials to certify to one of the four following categories of commercial motor vehicle (CMV) operation: (1) excepted interstate; (2) excepted intrastate; (3) non-excepted interstate; and (4) non-excepted intrastate.

To help you determine which category best fits your commercial vehicle operation, please refer to CDL Medical Requirements Frequently Asked Questions (FAQs).

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New Medical Examiner Requirement

Effective May 21, 2014, CDL drivers who certify to one of the non-excepted categories of commercial motor vehicle (CMV) operation (i.e., non-excepted interstate or non-excepted intrastate) will be required to have their physical examination completed by a medical examiner who is listed on the Federal Motor Carrier Safety Administration’s (FMCSA's) National Registry of Medical Examiners.

If you have a medical examination certificate that was completed prior to the May 21, 2014 deadline by an examiner not listed on the National Registry of Medical Examiners, it will be valid until its expiration date. The Department of Motor Vehicles (DMV) will not accept any medical examination certificates completed on or after May 21, 2014, unless it was completed by a medical examiner listed on the National Registry and the certificate displays the medical examiner’s registry number.

For more information on how to locate a medical examiner who is on the Registry, refer to https://nationalregistry.fmcsa.dot.gov/NRPublicUI/home.seam. Please remember that you are required to carry a paper copy of your medical examiner’s certificate with you until January 30, 2015.

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For Existing CDL and CDL Instruction Permit Holders

If you hold a CDL or a CDL instruction permit that was issued prior to January 29, 2012 , you must provide DMV with your Commercial Driver's License (CDL) Self Certification form (DL 8) and if applicable, any medical documentation (i.e. medical examiner's certificate, also known as a DOT Medical Card, medical variance/waiver/skill performance evaluation certificate (SPE)).

Existing CDL and CDL instruction permit holders will be notified by mail of the new CDL certification and medical requirements. Included in the letter is a FAQ sheet and a Commercial Driver's License (CDL) Self Certification form (DL 8).

  • If you certify to one of the excepted categories (i.e. excepted interstate or excepted intrastate), you must submit the Commercial Driver's License (CDL) Self Certification form ((DL 8)). You will not have to submit any medical documentation.
  • If you certify to one of the non-excepted categories (i.e., non-excepted interstate or non-excepted intrastate), you must submit:
    • The CDL Self Certification form (DL 8), AND;
    • Either a copy of your medical examiner's certificate (also known as a DOT Medical Card) OR your state approved medical variance/waiver letter. If the medical examiner's certificate indicates that you have been granted a federal waiver exemption and/or SPE, you must also submit a copy of the document AND visit a DMV customer service center on or after January 30, 2012, to have a new CDL issued to you with a "V'" restriction code as required by federal and state law.
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If Applying for an Original, Renewal, or Replacement CDL/CDL Instruction Permit

If you are applying for an original, renewal, or replacement CDL/CDL instruction permit, you must certify on your application to one of the four categories of commercial motor vehicle (CMV) operations listed above. Based on your certification category, you may be required to submit additional medical documentation.

  • If you certify to one of the excepted categories (i.e., excepted interstate or excepted intrastate), you will not have to submit any medical documentation.
  • If you certify to one of the non-excepted categories (i.e., non-excepted interstate or non-excepted intrastate), you must submit either a copy of your medical examiner's certificate (also known as a DOT Medical Card) OR your state approved medical variance/waiver letter. If the medical examiner's certificate indicates that you have been granted a federal waiver exemption and/or SPE, you must also submit a copy of the document(s).

Failure to meet these conditions will cause your application to be denied.

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Submitting Your Documentation

Prior to submission, please make sure that the information on your medical document(s) is legible, clear and complete. For your convenience and use as a guide, DMV has provided you with a template of the two most commonly submitted medical examiner's certificates.

DMV is now accepting CDL medical certification document(s) by

  • Mail
  • Department of Motor Vehicles
  • Driver Support
  • P.O. Box 27412
  • Richmond, Virginia
  • Fax
  • 804-367-6692

If you are a trucking company submitting medical certification document(s) on behalf of your drivers, please use the submission options listed above.

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Additional Information

For more information, please review the CDL Medical Requirements Frequently Asked Questions (FAQs) or contact us.

You can obtain a Department of Transportation medical examiner's certificate (also known as a DOT physical examination form) at Medical Examination Report for Commercial Driver Fitness. This form should be completed by a licensed medical examiner.

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See Also