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Self-Certification / Medical Examiner's Certification Information

SAMPLE MEDICAL EXAMINERS CERTIFICATE

As part of the Motor Carrier Safety Improvement Act, the Federal Motor Carrier Safety Administration (FMCSA) amended the Federal Motor Carrier Safety Regulations (FMCSRs) to require commercial driver’s license (CDL) holders, subject to the physical qualification requirements of the FMCSRs, to provide a current copy of their Medical Examiner’s Certificate to their state driver licensing agency. The Federal regulations also require commercial drivers to self-certify the type of driving in which they operate or expect to operate. Commercial drivers are required to certify using PennDOT’s Self-Certification Form (DL-11CD)(PDF). This webpage contains information and instructions to become compliant with these regulations.
 

 
sample Medical Examiners Certificate