Wisconsin Department of Transportation

Alert: The following services will be unavailable on Saturday, January 5, 2013 from 12 a.m. (midnight) to 6 a.m. CST due to system maintenance.

Commercial driver license medical requirements

CDL medical requirements

To drive in intrastate or interstate commerce, you must have passed a medical examination, within the past 2 years, in accordance with Federal Motor Carrier Safety Regulations 49 CFR 391, Subpart E, as defined in the Federal Motor Carrier Safety Administration's (FMCSA) Medical Examination Report.

New requirements and your Fed Med card--what you need to know and do.

Acceptable proof of examination

Acceptable proof of examination for the Wisconsin Division of Motor Vehicles (DMV) is a fully completed Medical Examiner's Certificate. A medical examiner will need to complete the FMCSA Medical Examination Report for Commercial Driver Fitness Determination as well as the certificate at the end of the packet. You will need to carry a copy of this certificate with you when operating a commercial motor vehicle. We recommend that you make a copy of your card to keep in your files. Instructions for the medical examiner are included in this document.

Medical examiner

A medical examiner is defined as any person who is licensed, certified, and/or registered, in accordance with applicable state laws and regulations to perform physical examinations. The term includes, but is not limited to, doctors of medicine, doctors of osteopathy, physician assistants, advanced practice nurses and doctors of chiropractic. It is important that the person completing it understands the qualifications. Instructions for the examiner.

A waiver of certain physical impairments or diseases may be available.

For information on federal exceptions or waivers see FMCSA Exemptions Programs or Skill Performance Evaluation (SPE).

If you do not hold a federal medical card or are not grandfathered, you will be issued a restricted commercial driver license. This license would only be valid if you are:

  • a school bus driver employed by a private contractor and you do not cross state lines for extracurricular activities;
  • a school bus driver employed by a school district and drive a school bus owned by the district;
  • employed by a municipality, county or state organization (i.e., a political subdivision).


For more information about school bus operations that do and do not require a federal medical card, please refer to our frequently asked questions about federal medical standards. Direct other questions concerning federal medical standards to:

1 Point Place
Suite 101
Madison, WI 53719-2809
Phone: (608) 662-2010 (federal medical standard questions only, please)

Diabetes and vision waivers for a commercial driver license to drive intrastate commerce in Wisconsin

BDS353 Brochure about diabetes and vision waivers for CDL to drive intrastate commerce

Questions? Contact us: Wisconsin DMV email service

Last modified: November 20, 2013

All external hyperlinks are provided for your information and for the benefit of the general public. The Wisconsin Department of Transportation does not testify to, sponsor or endorse the accuracy of the information provided on externally linked pages. Some pages contain links to other documents and media types (PDF, Word, Flash, Video, etc.) and require free plugins to work. Visit our software information page for assistance.