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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 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.