Certification Status: Document the certification decision in the
space provided for certification status. There are two possible outcomes: the driver
is certified and issued a medical examiner's certificate or the driver is disqualified
and is not issued a medical examiner's certificate.
- Certify the driver
- The driver meets all the standards — The maximum
length of time a driver can be medically certified is 2 years. The driver who must
wear corrective lenses, a hearing aid, or have a Skill Performance Evaluation certificate
may be certified for up to 2 years when there are no other conditions that require
- The driver meets the standards but has a condition that requires
frequent monitoring (and certification) — Certify for less than 2
years as needed to monitor continued medical fitness for duty. Federal exemptions
and some Federal Motor Carrier Safety Administration guidelines specify annual medical
- Disqualify the driver
- The driver does not meet the standards — Do
not issue a medical examiner's certificate.
- Discuss the disqualification decision with the driver, including what
the driver can do to meet the Federal qualification requirements for commercial
Certification and recertification occur only when the medical examiner determines
that the driver is medically fit for duty in accordance with Federal qualification
requirements for commercial drivers.
Medical Examiner's Certificate
Provide the medical examiner's certificate to the qualified driver. Ensure that
the date entered is the date of the physical examination. The expiration date should
be consistent with the Medical Examination Report form certification status and
cannot exceed 2 years from the date of the examination. The driver must sign the
medical examiner's certificate. The certificate expires at midnight on the date
of expiration. There is no grace period.
The driver must carry a valid medical examiner's certificate when operating a commercial
vehicle. The motor carrier is also required to maintain a copy of the medical examiner's
The certificate can be the original or a photocopy, and can be reduced in size (usually
wallet-sized). Lamination is prohibited in some States.
49 CFR 391.43 REGULATION AMENDMENT 73 FR 73127,
Dec. 1, 2008
There are now two paragraphs in 49 CFR 391.43(g).
(g)(1) If the medical examiner finds that the person examined is physically qualified
to operate a commercial motor vehicle in accordance with §391.41(b), the medical
examiner should complete a certificate in the form prescribed in paragraph (h) of
this section and furnish the original to the person who was examined. The examiner
may provide a copy to a prospective or current employing motor carrier who requests
(g)(2) For all drivers examined, the medical examiner should retain a copy of the
Medical Examination Report at least 3 years from the date of the examination. If
the driver was certified as physically qualified, then the medical examiner should
also retain the medical certificate as well for at least 3 years from the date the
certificate was issued.