To comply with the new medical certification requirements, you must first
determine which type of commercial driving you do. Please follow the three steps
Is your CDL used to operate a commercial motor vehicle in interstate
or intrastate commerce?
Interstate commerce is when you drive:
- From one state to another state or to a foreign country;
- Between two places within a state, but the route takes the vehicle
through another state or foreign country; or
- Between two places within a state, but your cargo came from or will be
delivered to another state or foreign country.
Intrastate commerce is when you drive a commercial motor vehicle only
within one state and you do not meet any of the descriptions above for
NOTE: If you operate in both intrastate commerce and interstate commerce,
you must choose interstate commerce.
Once you have determined whether you operate in interstate commerce or
intrastate commerce, you must decide whether your status is non-excepted
or excepted status.
Interstate Commerce -- Excepted or Non-excepted:
If the only type of commercial driving you do is one of the following
excepted activities, then you operate in excepted interstate commerce and
do not need to submit a federal medical examiner's certificate.
- Transporting school children and/or school staff between home and
- Driving as a federal, state or local government employee;
- Transporting human corpses, or sick or injured persons;
- Operating a fire truck or rescue vehicle during emergencies and other
- Primarily transporting propane winter heating fuel when responding to an
emergency condition requiring immediate response such as damage to a propane
gas system after a storm or flooding;
- Responding to a pipeline emergency condition requiring immediate
response such as a pipeline leak or rupture;
- Working in custom harvesting on a farm or to transport farm machinery
and supplies used in the custom harvesting operation to and from a farm or
to transport custom harvested crops to storage or market;
- Working as a beekeeper in the seasonal transportation of bees;
- Operating a vehicle controlled and operated by a farmer, but not a
combination vehicle (power unit and towed unit), that is used to transport
agricultural products, farm machinery or farm supplies, but not placardable
hazardous materials, to and from a farm and within 150 air miles of the
- Driving as a private motor carrier of passengers for nonbusiness
- Transporting migrant workers.
If your commercial driving does not include any of the activities listed
above, then you operate in non-excepted interstate commerce and are
required to provide a current medical examiner's certificate (49 CFR 391.45),
commonly referred to as a medical certificate or DOT card.
Most commercial drivers operating in interstate commerce are non-excepted
interstate commerce drivers.
If you operate in both excepted interstate commerce and non-excepted
interstate commerce, you must choose non-excepted interstate commerce.
Intrastate Commerce -- Excepted or Non-excepted:
You operate in excepted intrastate commerce when you drive a commercial
motor vehicle only in intrastate commerce activities that your state of
licensure has determined do not require you to meet the state's medical
You operate in non-excepted intrastate commerce when you drive a
commercial motor vehicle only in intrastate commerce and are required to meet
your state of licensure's medical certification requirements.
If you operate in both excepted intrastate commerce and non-excepted
intrastate commerce, you must choose non-excepted intrastate commerce.
Provide the Secretary of State's Office with your self-certification of your
operating status. If you self-certify to non-excepted interstate on or
after Jan. 30, 2012, you must provide the Secretary of State's Office with an
original or a copy of your current medical examiner's certificate.
To complete the federal medical certification requirements, bring your documents
to any Michigan Secretary of State, fax them to 517-636-4359 or submit them
Medical examiner's certificates that are valid only with a waiver exemption or
skills performance evaluation certificates must be submitted in person at any
Secretary of State office. You can find a list of Secretary of State office
locations from the Branch
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