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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
June 23, 2025: FMCSA electronic reporting requirements for DOT Medical Certificates will be fully enforced.
See detailed information at FMCSA Medical Examiner Certificate Reporting Requirements for CDL Drivers
CDL Drivers
The good news:
• You no longer have to go through the hassles of updating your medical card with your SDLA.
• You no longer have to carry your medical card with you.
Is there ‘not so good’ news?
Safeguard your CDL! How does the new DOT Medical Certificate reporting process affect your CDL?
Non-CDL Drivers
The electronic reporting requirements do not affect non-CDL drivers.
• The medical examiner must give you a physical MEC Form MCSA-5876.
• You should keep your medical certificate available at all times whilst driving a CMV.
• You will still need to provide a copy of the MEC to the companies you work for.
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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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.