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Missouri CDL Requirements
All Missouri CDL holders are required to certify the type of commercial operation they’re engaged in.
Interstate Non-Excepted
You must meet the Federal DOT medical certificate requirements.
Intrastate Non-Excepted
You must meet the Federal DOT medical certificate requirements.
Under the federal regulations, all CDL holders are required to self certify to a single type of commercial operation. Based on that self-certification, you may need to provide a current medical examiner’s certificate and show any variance (FMCSA waiver) you may have in order to obtain or keep your CDL.
CDL holders required to have a “certified” medical status who fail to produce and keep up-to-date their medical examiner’s certificate with the Department will become “not-certified” and they may lose their CDL.
CDL retesting may not be required unless you voluntarily downgrade your license or let your CDL license remain expired for more than six months.
Submitting your Medical Certificate to Missouri License Office
When requested, submit a copy of your valid DOT medical certificate.
Other Information:
Website: Missouri Department of Revenue Driver Licensing
CDL Medical Certification Requirements
Special Information Updates Pertaining To ALL STATES
MEDICAL EXAMINERS MUST CONTINUE TO ISSUE MEDICAL CERTIFICATES TO ALL DRIVERS
The FMCSA has requested that all medical examiners continue providing drivers with a paper copy of the Medical Examiner’s Certificate – Form MCSA-5876, 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.
Until that system is completed, which compliance date according FMCSA is June 23, 2025, medical examiners must continue to issue paper copies of the medical certificates to drivers who pass the medical exam.
ALL DRIVERS MUST CONTINUE TO CARRY A PAPER COPY OF THEIR MEDICAL CERTIFICATE
Commercial Drivers – You still need to carry a paper copy of your medical card, until FMCSA announces that this is no longer necessary.
Your 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…
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My missouri cdl Medical card is expiring. Do I neeed one If never cross state line?
@ Raymond F B
Most states require a valid medical card to maintain a cdl. Best to confirm with your local DLD.
I was in a accident and can’t go back to work yet but I need to renew my driver license and I don’t have an up to date medical card. Can I renew my CDL without a up to date card. I live in Missouri
@ Dane
Probably not, but confirm with your local drivers license department. Explain your situation, they should have a process that will work for you.
I have to do physical for dot every yr and echo stress every 2. My question is when I go for my regular dot and they say I’m good but still say I need a dr. note from my heart Dr. that I’m good do drive. My medical card doesn’t expire for another week and a half and now I can’t drive till I get my heart dr to say I can still drive. Dot was gonna give me 45 day grace to get it done but my company says I can’t drive cause it voided my license since I have to have Dr note to say I’m good. Is this true. I live in missouri.
@ Larry
For a class A cdl, DOT/FMCSA. If you have not done your medical certification examination yet, then your medical card is still good and you can drive. And you will need the medical release form from your heart doctor. If you have had a recent examination and the CME is waiting for a medical release form, then you should either have a short medical card, (90 days) to get it done. If no short card, then the company is, theoretically, correct. Get the medical release form, asap, and you will be OK.
I just renewed my Missouri license CDL I dropped my hazmat because I am now retired and do not need it. I would like to keep my CDL for personal use. No commercial driving. Do I still need medical card?
@ Russ D
Confirm with your local DLD. Most states require a valid medical card to maintain a cdl.
One of my students is getting her CLP but her Med card expires in 15 days. What happens if her med card expires while holding a CLP and have not yet obtained a CDL/
@ Robert McG
It should not be an issue to get a new medical card and then have it upgraded for her cdl when she gets it.
I am out of work on workers comp and my medical card has now expired. The physical doc won’t do a new physical until I’m released from workers comp. I may be out for more than the 60 day grace period. What can I do to stay in compliance? Is there a waiver or extension I can get until I am cleared to get my physical?
@ Derek
Best to speak with your local DLD, explain your situation and then follow their process.
How do I submit my medical certificate to the state of Missouri? The old one expired two weeks ago but I’m out of state but I do have a new one.
@ Partick R
Get in touch with Missouri drivers license department (DLD) for guidance and information.
I have a class a CDL license in Missouri my medical card has been out for about a year can I just go get a physical and get my license reinstated or do I have to retest
@ Ronnie
You will need to confirm your choices with your local DLD.
I was told by a DOT officer that if I didn’t cross a state line I didn’t need a medical card because I was grandfathered in because I had my chauffeur license since 1968
@ Jim
Okey dokey. May be true in your state. I would still confirm that statement with your local DLD.
What is the cost to renew my dot medical card in the state of Missouri?
Hello, how long do I have to renew for dat physical after it expires? I’m a class a cdl driver and I have the physical done but won’t be able to make it until the weekend after it expires on my cdl
@ Devin S
Each state is different, but you should be fine if you get it done and turned in ASAP.
Can I submit my medical card online
@ Carl K
Check with your local DLD for your answer.
My spouse had a stroke awhile back. His doctor released him to go back to work with no restrictions. Does he have to get a release from dot as well. Or is the doctors release all he needs?
@ Sally G
For a class A interstate driver, DOT/FMCSA has a one year waiting period following a stroke. Then he will need a new DOT medical certification examination and a medical release form from his doctors before returning to driving.
I am a 50yr old man in decent shape, however a couple years ago I had to have a total hip replacement on my right side. Other than that I have a plate in my right forearm from a break years ago. My son is urging me to become a licensed heavy machine operator specifically to run a crane. Will my hip replacement or the small metal plate in my right forearm, the ulna, (the pinky finger side of my forearm) keep me from passing the MODOT physical examination? Any advice is greatly appreciated. I am 50 and having to play catch up with my finances before retirement. Sincerely, worried worker!
@ Worried Worker
You should be fine.
Do Class E drivers need a DOT Medical Card in Missouri?
@ Carlos
You will get the correct answer to your question from your local drivers license department (DLD).
I’m a retired trucker but want to keep my cdl class a what should I have to do?
@ Kent
In most states, simply maintain a valid medical card. Do confirm this with your local drivers license department.
Multiple states allow you to upload a CDL Medical Card online, but Missouri requires in-person visits ONLY.
Why is MoDOT behind the times. It’s especially inconvenient for drivers out months at a time or home so few days just to stand in line at their local DMV.
My point is time is precious and MoDOT is behind.
I have a defibrillator and my doctor said that I could go back to work I need to put who to talk to you. I went and got tested and my fraction rate is 50%
@ Dennis F
Is your doctor a CME on the national registry?
My medical card expired last week, I switched jobs, but is gonna keep my dot license. If im not driving right now do I need to get my physical right away or is there a grace period? Thanks
@ Spanky
Since cdl’s are state issued, you need to check with your local drivers license department. Most states require a valid medical card to hold a valid cdl, driving or not.
I DRIVE A DUMP TRUCK IN MISSOURI NEVER LEAVE THE STATE EVERY THING I HAUL IS WITH IN 50 MILES. DO I GOT TO HAVE AMEDICAL CARD I READ THAT IF I DONT HAUL ANYTHING THAT COME FROM OUT OF STATE OR ANY THING THAT IS GOING OUT OF STATE THAT YOU DONT GOT TO HAVE ONE. is that true.
@ al s
You need to confirm this information with your local drivers license department.
My co.shut me down saying I can’t drive .I’m in calif.live in Mo.I just got my med card for two more years .on jan.4 2022 I was told by my lic .DMV that I had till the 26 of Feb. To get it in so why am I shut down .n how can I get them to believe me.Help!
@ Brenda S
DOT/FMCSA has extended their grace period until February 26, 2022. Your company should know this. Send them to the DOT/FMCSA website so they can read it for themselves. The information is also available on our website from DOT/FMCSA.
How long does it take to update one’s category from excepted interstate to non excepted interstate?
@ Lindwa
Check with your local drivers license department for your best answer to this question.
Does a Class E license require a dot?
@ shawn
You will need to check with your states drivers license department for more information.
No it does not unless you are driving a 24,000 pound dock truck/ straight truck. It is not required if you are just driving a baby dock or a uhaul for personal use i.e. moving. Commercial uses you’ll need your med dot card.
I have a cdl-b. I was issued a temporary d.o.t. medical card, which doesn’t expire until November of this year. I forgot to go to the dmv & submit my temporary d.o.t. card. I got a letter in the mail saying my license has been downgraded, and that my cdl has been cancelled. How do I correct this? Is it as simple as submitting my d.o.t. medical card to the dmv?
@ Ron F
Check with your state dmv. they should be able to help you correct the situation.
We can do about 99% of everything online. Why can’t we send a copy of our Med Certificate via a website, or email, or whatever? It’s a nuisance to have to go to the drivers license office, sit in line for 30 or more minutes, for a 30 second issue.
@ Steven M M
Good question and most states will allow you to do so online. Some states are very touchy about the time lines. Check with your states DLD you may be able to do so online.
Actually, I did. Their answer: I don’t know.
What’s the next step? I know Missouri is the Show Me state. How do we get some action going?
This stuff is clear as mud. Maybe someone can advise. If I want to purchase a bucket truck that weighs 32,000 lbs. I will need a class B CDL
If I am going to drive only intra-state in Missouri and not for hire, will I need a Medical card? According to federal regulations I read no. But I can’t figure out what Missouri is saying here concerning the medical card?
Thanks
@ John
It is hard to answer. Most states require a valid medical card to maintain a valid cdl, period. Your state should have the best answer for you.
I have a d.o.t card but i dont have my cdl or work for a company but i would like to renew mine so if i do work for someone who require it my would be current. So my question can i renew it on my own without working for a company
@ Patrick W K
Yes you can.
I’m have a yearly exam with my heart doctor So why does the CDL doctor tell me I need a stress test every 2 years to keep my CDL card. That is very expensive test that should not be required if you are under the care of a heart doctor.
@ Kirk G
It’s a FMCSA requirement not the examiners request.
i sent my DOT medical card in to the address for the DMV. POB 200 Jeff City, MO.
apparently that is not the correct procedure
got my DOT card in Jan, 2019…now it is March 11, 2019 and the letter says my commercial
driving privilege has been cancelled.
what do i need to do now to keep my medical certificate current?
do you just need a copy?
where do i go?
@ leo
Take a valid medical card to your local DLD, once a copy goes on file, in most cases, your back in business.
You present your Medical Card to where ever you renew your CDL (License Bureau). Cost around $3.00
How much is it to renew CDL medical card in Missouri
My husband has a med card but is trying to get his cdl in a different state, could the card be transferred
@ Cindy S
His medical card is valid in all states.
My current med card expires January 31, 2019. I am getting a passing DOT physical today, January 9, 2019. How long do I have to get back to Missouri to have the license office scan my new med card?
@ Ron H
Check online for your states DLD, they may have a way to get it registered without returning to the state. Check with your local DLD for the best answer.
I think it’s 60 days. In the past I have received a letter about my medical card. When I let it lapse (not by choice) I had 60 days to recertify or drop my license to an intrastate (Missouri only) CDL.. I think its called a “K” endorsement. Otherwise the license is dropped down automatically.
I have an FAA class 3 medical to fly airplanes which is difficult to obtain and much more stringent than the DOT medical. Why will that not serve as medical certification for my CDL? This is frustrating that these two massive governmental agencies can’t work together to save taxpayers like me time and money.
*fleeced
Welcome to the federal governments system.
In order to submit your Medical Certification WITHOUT going to their office, you must submit a Form 5463 and your medical certification. You can fax it to 573-526-7365 or email it to dlbmail@dor.mo.gov
I looked up form 5463 and cant find it. Do yu have a copy of it
@ Heather N
Yes, all examiner have this form.
I forgot to renew my medicalcard. Is there a grace period if your medical card expires to renew?.
@Kj
All medical cards expire at midnight of the expiration date, no grace periods.
That’s incorrect.
@ Matt
Please site our error.
You might want to check with your state in the state of Missouri your license will be downgraded to a regular operator license if your medical card expires you have 6 months to submit a new medical card before your CDL expires. I’m sure Missouri is not the only state that does this
Do you all know how to get a copy of a lost medical card?
I do not have enough money to cover the cost and it’s the last step in the process. Is there any kind of grant or tax right off that can help with funding?
I’m having trouble finding the website or email address I can send a medical certification. I work for a trucking company and I have a driver who just renewed his Missouri physical and I’m not sure how to send it to the state.
Take it to the dmv and they scan it in and it cost $2
I’m on insulin and have not had any problems in over 10 years. What do I need to do to get a medical card?
@Carl
Lots will depend on what class license and what type of driving you want to do.
Class A Interstate is going to be the most difficult, intra-state only will put you into your states variances and not FMCSA interstate rules and regs.
Hi does anyone know if in the sate of Missouri do you have to take a dot physical in order to get a class B with air breaks?? And also has anyone ever heard of going to a truck stop and getting a dot fourm and the blank card and then taking it you your doctor that does dot physical and having it filled out?
@Dan
Anyone who drives for commercial purposes must have a medical card.
You must go to a certified medical examiner to have your medical certification done. All CMEs have the correct forms and take care of the process.
Hi. I have question before I’ll get my dot. I’m 26 women and I was have a surgery with across my left eye 3 years ago, but my vision in this eye didn’t change ( I almost lost my vision in this eye). On my right eye I have perfect vision on my second eye. So my question is if I have this issue whit my vision it’s gonna disqualified me as a CDL driver? And sorry for my English I’m not from here.
@Anna
FMCSA vision requirements are 20/40 or better with both eyes and each eye individually. Now that can be with and/or without corrective lenses. If you fall below those levels, either with both eyes or each individual eye, you cannot pass the DOT examination.
Just went to dmv to pay my $2 or 3 I guess to register my medical card which I have line was out the door what a sh** show ! F the dmv and the federal regulators this can and should be fixed
To all that are out there and hold a commercial license, due to all the accidents involving commercial driver’s due to medical condition, we should welcome the idea of having this type of regulation to carry a valid DOT physical card, to maybe know the health condition of a driver. it is always the unknown condition of just bad health.
I know, I do feel a litter better about the commercial driver next to me on the highway then I did a few years ago.
The down fall like anything, a person can still hide a major medical condition.
A Commercial Driving Instructor comment
That is a good point… then why don’t police, fire fighters, or bus drivers have to comply. It’s nothing more than a money grab, and more regulations to follow.
I am a farmer in southeast Missouri, I stay within 150 miles of home to delivery our product. I have a class A drivers license do we have to have a medical card?
@Craig
Most states are requiring that to maintain a valid class A drivers license, you need to have a valid medical card.
Check with your local drivers license department and see if they have anything different to say.
Call FOR 573 7514509. I think you do even though it sounds like “intrastate” being in SE MO if you leave the state even a mile you will.
In Missouri, what are the guidelines to be grandfathered in for Intra state, which would not require carrying the medical card?
Do i need a medical card to drive a CDL truck in Missouri only.
@John
Yes.
There is a certain radius for Intrastate, you can pick up a CDL book at the license office and it will tell you that radius if you go beyond that radius or if you step 1 mile out of the state you will need a CDL might want to check with the Department of Revenue.
If I drive a box truck but only a have class F license do I have to pass a Dot physical?
@Lori
Most likely. If you drive a vehicle for commerce, you need a medical card. Double check with your local drivers license department.
If I drive a cargo van for delivery with class E? Do I have to have a DOT medical card in Missouri?
@Mike
A Class E is a commercial driver’s license that qualifies a person to drive a vehicle commercially, so yes, you have to have a medical card.
Class E in MO is a basic operator license. Generally you do not need a DOT card however depending on what size cargo van you may need it. Call DOR 573 751 4509
I tried renewing my med card today. I am on a cpap and I wasn’t with in the guidelines required for usage. The Doctor won’t sign off on my med card. What should I do? I plan on trying to use the cpap better, but my med card expires in a week.
@Bill
CME’s are being monitored just like you and the CME needs to see proper compliance with the unit.
Your examiner needs to see a thirty day proper compliance before he can do any thing. Check with him and ask if there is anything he can offer to help you out in this situation.
My husband got a letter in the mail today saying his CDL has been downgraded due to a valid medical certification not being on file withe the DMV. What does he have to do to get it reinstated? Just go to the DMV and give them a copy of it or is it more complicated than that?
@A C
Check with your local DLD to make a confirmation. You should only need a valid medical certificate and possibly a fee to have it re-instated.
What did it take to get this reinstated? I’m in the same boat
I have been through this 3 times in Missouri with the Department of Revenue you have six months from the time they tell you it has expired to get a valid physical on file you need to take it up to the DMV along with proof of Who You Are and they will upgrade it right then and submitted to Jeff City
I had a Radom DOT inspection upon they discovered I was a cancelled CDL carrier. I received a ticket but the officer said I need to see county clerk to update my medical card bc that may have been the issue. After digging through mail after a death in the family I was indeed giving a letter indecating to see circuit court judge of the county you reside within 30 days bc of the med card. Which had only been 7. Before leaving the county clerks office I asked if this meant I was updated in system and could legally drive a commercial vehicle, in which she said yes go on.
After further research and newly discovered mail does this sound correct? Could I not possibly be valid she just misunderstood?
@Jacob
If you have a newly validated medical card in your pocket, then you are good to go. But the county clerk does not issue you a new medical certificate, so unless you have had a recent medical certification examination, you are NOT good to go.
my missouri cdl medical card will expire. i do not need a class a anymore. will i be able to get a class e license without any testing?
@Bruce
You need to ask these drivers license questions to your local drivers license department.
This website answers questions regarding DOT physical/medical certification for drivers. Thanks.
I don’t know what state you live in, but in Missouri if you go to the license office and tell them you want to voluntarily surrender your class A for a standard license they will do so for a slight fee. When your med card expires, if they see you have self downgraded the med card is void and nothing more is needed. But check with your local office to make sure.
After 6 months your license will automatically drop down to an E without penalty. If you voluntarily give up your CDL in the state of Missouri and later want it back at some point you will have issues to deal with. Your best bet is to renew it as is let the the physical expire and at that point it will automatically be an E from there on without penalty.
Does a class e license holder have to submit medical card to the state
@Rich
Your best bet is to check with your state Drivers License Department and ask them.
Each state is different and this website is focused on Federal regulations.
If a person was to let their dot medical certificate expire will they lose their cdl license if they aren’t driving for anyone at that time that requires a cdl.
@Eric
If you have a CDL, it may have been downgraded by now. You’ll need to check your status with your state DMV.
Not exactly you can keep your CDL even though you’re not working at this time by getting a new physical card you can go to any doctor that does DOT physicals and get one all you have to do is submit it to the DMV and they will upgrade your license and send the new form to Jeff City if they ask you can tell them that you are just between jobs or whatever the case may be they don’t usually ask.
I grandfathered in. I am 59 years old I live in Missouri. Do I need a medical card.
If you drive a non-excepted category – Yes!
See this article on New FMCSA Medical Certification Requirements to get your questions answered.
Does one have to have medical card with Missouri B Cdl intrastate license?
@Mike
See info above:
“Intrastate Non-Excepted – You must meet the Federal DOT medical certificate requirements.”
If my cdl drivers license is from missouri and I’m living in another state. How can I update my new medical card? Thanks
@Shawn
A DOT medical card is valid nationwide so you can get your medical card in any state, no matter which state you have your CDL.
Make sure you send a copy of your new medical card to Missouri License Office to update your CDL record.
For more information see FAQ – FMCSA.
@Dan
When a CDL driver is grandfathered for an intrastate medical certificate, what action must he do to meet the current regulations. Must he certify with the Department of Revenue to be Excepted Intrastate or Intrastate Non-Excepted? Must he have a variance document and if so what form would be used.
Thanks
@Dan
As a grandfathered CDL holder all you have to do is get a new DOT medical certificate and do your state self certification. That should be all you need.