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North Carolina CDL Requirements

No later than January 30, 2014, all CDL holders must provide information to the North Carolina DMV regarding the type of commercial motor vehicle operation they drive or expect to drive.

Drivers operating in non-excepted types of commerce will be required to submit a current DOT medical examiner’s certificate to the NC DMV to obtain a “certified” medical status as part of their driving record.

If you do not provide NC DMV with your self-certification and if required, your medical examiner’s certificate and any required variance document by January 30, 2014 – NC DMV will notify you that you are no longer medically certified to operate a CMV in non- excepted interstate/non-excepted intrastate commerce. You will have 30 days to respond or your entire NC driving privileges will be cancelled.

Interstate Non-Excepted
You must meet the Federal DOT medical certificate requirements.

Intrastate Non-Excepted
You must meet the Federal DOT medical certificate requirements.


Submit your Self-Certification and Medical Certificate to North Carolina DMV

You are required to self-certify to a single type of commercial operation on your driver license. If you self-certify to non-excepted interstate or non-excepted intrastate, you must provide NC DMV with a copy of your current DOT medical examiner’s certificate and any applicable variance document.

Submit the following two documents:

  1. North Carolina Certification for CDL – download the form CDL-5 here from NC DMV.
  2. A copy of your valid DOT medical certificate. Enlarge the copy to ensure that all information is legible.

By Mail:
NC Division of Motor Vehicles
CDL Medical Certification Unit
3126 Mail Service Center
Raleigh, NC 27699-3126

By Fax:

By Email:
You may scan the documents (PDF) and email the attachments to You should receive a confirmation email.


Keep Your Medical Card Current With North Carolina DMV

CDL holders required to have a ”certified” medical status who fail to provide and keep up-to-date their DOT medical examiner’s certificate with the NC DMV will become ”not-certified” and may lose their CDL.

If your medical card or variance expires and you do not provide NC DMV with a new one, the DMV will notify you that you are no longer medically certified to operate a CMV in non- excepted interstate/non-excepted intrastate commerce. You will have 30 days to respond or your entire NC driving privileges will be cancelled.

Before your medical card expires, you must have a new medical examination and obtain a new DOT medical examiner’s certificate.

Submit your renewed valid medical certificate to North Carolina DMV:

By Mail:
NC Division of Motor Vehicles
CDL Medical Certification Unit
3126 Mail Service Center
Raleigh, NC 27699-3126

By Fax:


Other Information:

NCDOT new medical certification requirements guide

Phone: 919-861-3525


Special Information Updates  – JANUARY 2015 –
Pertaining To ALL STATES


The FMCSA has requested that all medical examiners continue providing drivers with a paper copy of the medical certificate so that Commercial Driver’s License (CDL) holders can provide a copy to the State licensing agency, and the non-CDL drivers can provide the documentation to their employers and Federal and State enforcement officials.

The Agency is currently completing efforts to put into place an electronic system to enable medical examiners to transmit the medical certificate information from the National Registry system to the State licensing agencies. However, until that system is completed, medical examiners must continue to issue paper copies of the medical certificates to drivers who pass the medical exam.


Commercial Drivers – You still need to carry a paper copy of your medical card, until FMCSA announces that this is no longer necessary.

driver feedbackYour Feedback Is Welcome

Dealing with Federal DOT Regulations across the board is tough enough!
But when it comes to State Regulations — There are 50 different sets of rules. Someone could move the goal posts at any time…

To help us all avoid the black eye experience — AARGH! —
Please leave your feedback about your experience in this State.
Go to the Questions and Comments box below and post your feedback.

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NOTE: This website is not affiliated with, or endorsed by FMCSA or any government or state agency.


  1. Kat Black says

    I work for a trucking company and we have drivers all over the United States. Is there a way for our drivers with NC CDL to verify their CDL status online and verify their medical certification status?

    • says

      We feel your pain. It’s difficult to keep up with this as each state has their own, DIFFERENT, process.
      We do our best to keep the information as up to date as possible for each state’s regulations, but we also rely on our community to share the information they have about their state’s regulations and process. So our answer about a specific state’s regulations and process is to call that state’s drivers license department and get the most up to date answer directly from “the horse’s mouth”.
      The focus of our website is to address Federal regulations about the medical certification exam for commercial drivers.

  2. gerald shealy [000027845890] says

    i am vn veteran, get a excellent thourough physical yearly, why do you not reconize or aprove them anymore? for medical card?

    • says

      You need to ask FMCSA. Once they got the NRCME up and running now all DOT’s need to be done by a medical examiner who is on the NRCME. I think mostly it was about doctors who had no real idea about what an OTR drivers full responsibilities were, so they wanted each examiner to have a full understanding of the OTR drivers responsibilities really were.

  3. Felicia H says

    We scanned and emailed the documents for our 4 NC drivers. Your website says that we should receive a confirmation email. We did not. When we called we were told that we would not receive anything. I am not sure what the benefit is of submitting the documents electronically if we then must live in limbo. Please have someone in NC design a system similar to the one in Mississippi. The driver’s data must be typed into the system and the supporting documents must be submitted but they do provide an immediate response.

    • says

      Great suggestion, but you need to send your suggestion to NCDOT.
      We do state on this information page that “NOTE: This website is not affiliated with, or endorsed by FMCSA or any government or state agency.
      We are a private website that helps drivers nationwide with questions regarding the DOT physical exam itself.

  4. Tony N Boulding says

    I faxed a copy of my cdl medical certification on 12/12/14 and still got a letter saying that I still need one

  5. robert says

    I never recived any info about this at all. Nor have I recived any letters. What do I need to do to correct this issue. Just recertifed in oct 2013.

  6. Chris Loehr says

    I live in Chapel Hill and have been told by 4 different doctor’s offices that they no longer will do CDL physicals and my primary physician was the 1st to give me this bad news. Why aren’t doctor’s offices willing to do participate any more and how on earth do I find a doctor who will? On your website it looks like there is one Doctor within a 50 mile radius. Surely the DMV has the ability to facilitate finding an office that will help. I just received a letter from DOT about needing this by June-never was a problem until this year- why are no doctors willing to do these physicals any longer ,even my own primary physician? What is going on and what happens when an entire geographical area loses all their truckers because no physicians will be willing to do physicals for CDL certifications.?

  7. James R parker says

    A copy of my medical paper was faxed right at the doctors office after my physical and before I even left the doctors office, yet I keep getting a letter and the cdl medical line in Raleigh is always busy.

  8. says

    I have faxed and sented a copy of my medcal certification to raleigh. I have called so many times and I never get no one to answer. What I am supposed to do?

  9. major jarman says

    my son has a CDL set to expire on May 9 2014. he is overseas now but will be home in June 2014. can he get an extension until then. he does not drive a truck over there.he wants to keep his CDL. please send me a reply to this email. Thank You Major Jarman

    • says

      @ Jarman
      If his CDL expires he should get a letter from NC DOT giving him 30 days to respond or his entire NC driving privileges will be cancelled.

      See NC DMV website FAQs for more information.
      Q: How can I get back my CDL privileges?
      A: If the DOT medical examiner’s certificate has expired, you must obtain a new one and provide it to NC DMV. If the variance has expired, you must renew it with FMCSA. NC DMV may require retesting and additional fees to restore your CDL privileges.

  10. martie gaither says

    my health card expires in march.i wont to keep my cdl but I have not drove a truck in fore years do I need to get a new health card

  11. Sandra Lawrence says

    I have tried to contact your office multiple times, the line remains busy. I obtained my medical DOT physical in Dec 2013, I mailed the certification on Dec 14. I received a letter stating that the certification form was marked incorrectly. I received a corrected cert. form and faxed it to your office. I recently received a new letter stating that my self-cert. & medical cert. documents have not been received. I have tried to provide you with the necessary documents to be in compliance with the new DOT protocol. At this point, I am not sure what I should do. Can you help?

  12. Kenny says

    I am very confused by the 4 different classes: Interstate, Intrastate, Excepted, Non-Excepted. I only drive locally for Durham Co. Government. Do I even need a medical card?

  13. Marshall Eubanks says

    I have mailed the letter and medical card the first of January and received a letter stating that it had not been received. Called several times and could never get through. I have emailed the letter and medical card twice, still no response. I tried to fax and could never get through. My driver is suppose to drive and he still hasn’t gotten anything back yet, I am in need of some kind of response due to him driving our players to and from games. I can not afford him to loose his CDL or driving privileges cause our players depend on him to drive them to their games. Would appreciate a response.

  14. Harry Glenn Edwards says

    Is there something wrong with the phone? I have called this number several time (919-861-3599) the line seems to be business all the time.

  15. says

    i work at charlotte meckleburg school i have a cdl lic i submitted the paper work to the transportation person from cms i to have called that number 9198613599 and never got thur

  16. Victor Wereski says

    Same here I sent it in 4 times by fax as well as mail.. I just sent it certified over a week ago as well and just recieved letter stating will cancel in April.. Whats the problem.. I keep calling the numbers and it’s like the phone is off the hook.. What can I do now

  17. james e standridge says

    Cdl medical certification form and copy of cdl license sent receiving letter stating have not rec d and license will be cancelled what must I do

  18. Melvin Morrison says

    I have already sent in all that was asked of me and I am still receiving letter’s asking for the Self-Certification Forms I received one on the 14 and 16 so please tell me if you have received my information or do I need to send it in again. Time is running out and I can’t afford to loose my CDL or driving privileges I have called over 200 times to the number listed on the papers I received. 919-861-3599 and never got an answer….
    Thank You 980-241-5996

  19. Johnny hollar says

    Sent mine in 2 months ago, got another letter and sent it in again 1 month ago and just received another letter today. This is stupid,, if we took care of our paperwork the way they are,, that probably would not work out to good. Thanks for the wasted money for envelopes and stamps.

  20. William E. Rotan says

    I sent all that was I was asked to send in and still got another letter asking the same thing. I have proof that I sent it. Now what?

  21. Dwayne Locklear says

    Went to drivers license agency and faxed form with medical card two weeks ago. Received same letter again saying I need to send in form. do I need to do it again to be sure?

    • says

      It may be that the letter was prepared by DMV before your faxed information was put into the system.
      To be sure you may want to try calling your DMV.
      Another option would be to email the documents (see info above). According to recent information from NC DMV, they will send confirmation of email receipt.

  22. says

    I received a letter stating that my commercial driver license will be cancelled, however I took my Self Certification Form and Medical Examiner’s Certificate sign and dated down to the DMV Headquarters Building 1100 New Bern Av. Raleigh, NC on 11/18/13.Can I please get the correct status on my Forms. Thank You

    • says

      This website is not affiliated with DMV, so we cannot confirm any status on your forms.
      Please read the information above and the comments from other drivers.
      It seems your best bet would be to email your documents to NC DMV.

  23. Mark Anthony Bartholomew says


    Email me:

    After my personal experience in submitting my documentation to the NC dot, I want to build a list of other NC CDL holders who have submitted their medical examiner certificates this year and had it rejected or unprocessed due to an invalid administrative claim.

    EXAMPLE: Incomplete information, Illegible, not received, etc.

    If there are enough CDL holders at risk of losing or their CDL status due to an in-valid NC DOT administrative claim after the jan 30th deadline and has their CDL revoked it is grounds for a class action lawsuit.

    I’ve already given the NC Dot Commissioner Kelly J. Thomas an opportunity to respond to this issue.

    If an administrative claim by the NC DOT is believed to be in-valid and you have proof it is grounds for a contested case after administrative processes have been exhausted, contact me.

    Shoot me your name, your problem with the medical cert process, and any contact info.
    If you wish to remain anonymous I understand, and can still use your info for hearings.

    I’ll build a list and show this issue to some of my contacts and see what we can do about this nonsense if they can’t get their administrative tasks together by the end of the month.

    I’ll post what I can on this list if something is resolved or unresolved.
    Give me a couple days I’ll get some answers.

    We spend a lot of time and money keeping our professional driver’s license and it is unacceptable that the incompetency of a few Raleigh, NC administrative personnel would put that entire investment at risk.

    GOP Member/Political Advocate/Professional Driver/Veteran
    Mark Anthony Bartholomew

    • says

      The changes began in February 2012, so you most likely completed the form at the time you got your CDL.
      If you’re not sure, you may want to check with your local DMV.

  24. Bob says

    With all the apparent problems contacting the NC Dot concerning Self-Certification, can the appropriate forms be hand-delivered to a NCMV office?

    • says

      Some states will not accept walk-in forms.
      There is no information about whether hand-delivery is okay or not in NC.
      Call them – 919-861-3525 – and ask, if you can get through.
      With the deadline so close, the feedback we’re getting is that this process has become a nightmare for many drivers, and probably the local DMVs are scrambling too.
      If you have any luck with this, please post your feedback here. It would be very helpful for others. Thanks Bob!

  25. James says

    In December, I paid extra money to mail the form using Certified Mail so that I would have proof that it was mailed and delivered because I could pretty much guarantee that this would happen. I received the return receipt stamped as delivered on Dec 23rd. Yet, on Jan 6, I received another letter stating that I had not submitted the form. So to recap my experience (and apparently those of others as well):
    Mail: Even using certified it didn’t get processed.
    Fax: Machine won’t answer.
    Phone: I haven’t had anything but a busy signal.
    Alternate phone number found on website: Left message, person won’t return call.
    Website contact link: Sent message through website – no response.
    This comment post: We’ll see…
    However, I bet on March 1st everything will be Johnny on the Spot and my CDL will be cancelled at 12:00am that morning putting the employment and livelihood of an untold number of CDL drivers at risk. It is obvious that many are trying to comply with the new requirements. However, how can we do that if we can’t get the required documentation through your system? Please tell me what to do to get this to you!!

    • says

      We’ve been answering questions for drivers across the nation and it looks like this process is a nightmare for many.
      All we can do is try to help with the information we have (as DOTPhysicalDOCTORS is in no way affiliated with FMCSA or any state DMV).
      Looks like you’ve done everything possible. Maybe your only other option – If you can’t get to visit the DMV yourself, maybe you have someone who can visit for you with all the appropriate paperwork and proof of submission.
      We hope you can get this worked out.

  26. Craig Dickens says

    Am I going to be notified when I have to re submit my finger prints for hazardous mat.endorsement ? Thanks

    • says

      Sorry, Trucker Docs cannot answer this question. This website is not affiliated with any DMV, or endorsed by FMCSA or any government or state agency.
      You’ll have to check directly with NC DMV.

  27. maddie says

    Is there a new physician certification for the physician to be certified as an authorized medical examiner for ncdot for 2014?

    • says

      Yes. New federal regulations state that starting May 21, 2014, CMV drivers can get medical certificates only from a medical examiner who is FMCSA National Registry Certified.
      There are many organizations who offer certification training. Just Google “NRCME training”.

    • Bob says

      Just renewed my medical card today. The Dr. said they must enroll with the a National Registration now. Their certification # is put on the card.

      • says

        That is correct, Bob.
        The Certified Medical Examiner now puts his/her National Registry # on the medical card.
        Doctors who conduct DOT physicals, must be certified in the near future to do DOT physical exams. The deadline for this certification / registration for medical examiners is May 21, 2014.
        Until the deadline, drivers may still have their DOT physicals done by a medical practitioner who is not yet a registered certified medical examiner.
        The number of certified medical examiners is still in the couple of thousands, so for millions of drivers to find a CME after May 21, 2014 is going to be craziness.
        That’s why we’ve set up this website – to help both drivers and doctors. We get calls every day looking for a DOT doctor.
        If the medical practitioner from whom you’ve been getting you DOT physical is not a CME, encourage them to get certified.
        If your doctor is not yet on DOTPhysicalDOCTORS, encourage him/her to be here so other drivers can find them.

  28. elaine says

    Which box should someone who is currently incarcerated check? They will be released in 2014 and do not want to lose their CDL license.

  29. allan wright says

    I drive in state and sometimes out of state got a medical card just need to know what box to check on self certification form

  30. Hambone says

    I work for a school bus dealership. May test drive a bus around the city im working in. What category would that put me in as far as the Self Certification goes?

  31. Phyllis says

    I have my CDL Class B and dot physical have been trying to fax and contact someone concerning the form that was sent out what box do I check? Are do I just send copy of license and DOT physical

  32. Jeff PackaRD says

    I live in NC. Age 59. I have a CDL/A and have been notified to present DMV with a medical certificate. I am not driving currently and may never again. But I hate to lose my CDL privileges as I have driven for more than 30 years. Do I need to get a DOT pysical just to maintain my license? I also could not get through to phone number listed? Help?

    • says

      @ Jeff
      In order to keep your CDL, some states will allow a CDL holder to certify in a category that does not require a medical certificate e.g. Intrastate Excepted, if they are not currently driving.
      You will have to check with NC DMV to see if they permit this option.
      This will give you a way to maintain your CDL without a current medical card. If you want to start driving again, you will first have to get a new medical card, and then visit your DMV to self-certify in the category that is appropriate for the type of driving you will be doing.

  33. Marcusgyrl says

    I am also having issues with the fax as well as the number. I called the fax line and it is either constantly busy or rings like a regular phone line. It never picks up as a fax machine would. I also called the phone number 919-861-3525 and after 3 rings you don’t hear anything. This is really not appropriate for a government site. I hope the information either gets updated soon or the lines get fixed.

  34. Tony Cahoon says

    I work for Carteret County local government in North Carolina and hold a class A CDL. I have several employees that hold the same license. Are we as local government drivers required to have the Medical Examiners Certificate. We do not drive CDL required equipment out of state. If we are, can this form be filled out with a family physician.

    • says

      According to the Guidelines from NC DMV, when you drive a CMV for activities “As Federal, State or local government employees” you operate in excepted commerce and do not need a DOT medical examiner’s certificate.
      As far as completing the DOT physical exam, your family physician may do the physical currently, but after May 2014, you may get a DOT medical certificate only through a certified medical examiner.

  35. Christie says

    I have attempted multiple times to fax in the New Medical Certification forms for our company drivers without any success. I get the response “NO ANSWER”.
    I have attempted the phone number listed on this website 919-861-3525 and there is no answer after 3 rings.

    • says

      Thank you for letting us know about this contact problem. Wow, how frustrating!
      We’ve checked the contact numbers on the NC CDL documentation and the fax and phone number are still as we have them listed.

      Here is the general drivers license phone number from the official NC DMV website
      Maybe someone there can confirm the best numbers for you to call and fax.

      Please update us here if you have any new information.

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