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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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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.