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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.
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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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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.