Is DOT Medical Card Legal in Tennessee? (2026)

It depends. In Tennessee, dot medical card is restricted. DOT Medical Cards are required for all commercial motor vehicle (CMV) drivers operating in interstate commerce. Issued by FMCSA-registered medical examiners after a DOT physical. Valid for up to 2 years (1 year for some conditions). Must be carried while driving and registered with your state CDL office.. A permit or license is required.

Key facts

Status
Restricted
Permit required
Yes
Jurisdiction
Tennessee
Last reviewed
2026-04-09

DOT Medical Card laws in Tennessee

In Tennessee, the requirement for a U.S. Department of Transportation (DOT) Medical Card for commercial motor vehicle (CMV) drivers operating in interstate commerce is governed by state regulations that align with federal mandates. While specific Tennessee statutes detailing the DOT medical card itself are not separately codified, the state adheres to the Federal Motor Carrier Safety Administration (FMCSA) regulations. Tennessee drivers who hold a Commercial Driver's License (CDL) are subject to these federal rules, which necessitate passing a physical examination administered by a medical examiner certified by the FMCSA. The medical examiner then issues the DOT Medical Card, confirming the driver's fitness to operate a CMV. It is crucial for drivers to maintain and carry this card while operating a CMV and to ensure it is properly registered with their Tennessee CDL. Failure to comply with the DOT medical card requirements in Tennessee can result in significant penalties. Driving a CMV without a valid DOT Medical Card, or with an expired or improperly documented card, is considered a violation of both federal and state regulations. Penalties can include substantial fines, with specific amounts potentially varying based on the nature and frequency of the offense. A conviction could also lead to the suspension or revocation of a driver's CDL. In some instances, repeated or egregious violations may be classified as a misdemeanor, potentially carrying jail time in addition to fines. Furthermore, operating a CMV without the required medical certification could be grounds for an out-of-service order for the driver and vehicle. While the general requirement for a DOT Medical Card applies broadly to interstate CMV operations, there are certain nuances and exceptions. Drivers operating solely within intrastate commerce, meaning their operations are entirely within Tennessee and do not cross state lines, may be subject to different medical certification requirements depending on specific exemptions outlined by Tennessee law or federal regulations that allow for intrastate waivers. It is important for drivers to be aware of their operational scope to determine which regulations apply. Additionally, the validity period of the DOT Medical Card can be shorter than two years if the medical examiner deems it necessary due to a specific health condition. Drivers must also ensure they re-certify their medical status and update their information with the Tennessee CDL office, typically within 15 days of any changes or renewal. For residents and travelers operating CMVs in Tennessee, it is advisable to consult the FMCSA National Registry to locate certified medical examiners and to verify the current regulations with the Tennessee Department of Safety and Homeland Security to ensure full compliance.

Frequently asked questions

Is dot medical card legal in Tennessee for travelers?

For travelers visiting Tennessee, dot medical card is currently restricted. In Tennessee, the requirement for a U.S. Department of Transportation (DOT) Medical Card for commercial motor vehicle (CMV) drivers operating in interstate commerce is governed by state regulations that align with federal mandates. While specific Tennessee statutes detailing the DOT medical card itself are not separately codified, the state adheres to the Federal Motor Carrier Safety Administration (FMCSA) regulations. Tennessee drivers who hold a Commercial Driver's License (CDL) are subject to these federal rules, which necessitate passing a physical examination administered by a medical examiner certified by the FMCSA. The medical examiner then issues the DOT Medical Card, confirming the driver's fitness to operate a CMV. It is crucial for drivers to maintain and carry this card while operating a CMV and to ensure it is properly registered with their Tennessee CDL. Failure to comply with the DOT medical card requirements in Tennessee can result in significant penalties. Driving a CMV without a valid DOT Medical Card, or with an expired or improperly documented card, is considered a violation of both federal and state regulations. Penalties can include substantial fines, with specific amounts potentially varying based on the nature and frequency of the offense. A conviction could also lead to the suspension or revocation of a driver's CDL. In some instances, repeated or egregious violations may be classified as a misdemeanor, potentially carrying jail time in addition to fines. Furthermore, operating a CMV without the required medical certification could be grounds for an out-of-service order for the driver and vehicle. While the general requirement for a DOT Medical Card applies broadly to interstate CMV operations, there are certain nuances and exceptions. Drivers operating solely within intrastate commerce, meaning their operations are entirely within Tennessee and do not cross state lines, may be subject to different medical certification requirements depending on specific exemptions outlined by Tennessee law or federal regulations that allow for intrastate waivers. It is important for drivers to be aware of their operational scope to determine which regulations apply. Additionally, the validity period of the DOT Medical Card can be shorter than two years if the medical examiner deems it necessary due to a specific health condition. Drivers must also ensure they re-certify their medical status and update their information with the Tennessee CDL office, typically within 15 days of any changes or renewal. For residents and travelers operating CMVs in Tennessee, it is advisable to consult the FMCSA National Registry to locate certified medical examiners and to verify the current regulations with the Tennessee Department of Safety and Homeland Security to ensure full compliance.

Do I need a permit for dot medical card in Tennessee?

Yes, Tennessee requires a permit or license for dot medical card. Contact the relevant state agency for application details.

Can I transport dot medical card through Tennessee?

Transport laws for dot medical card in Tennessee depend on the specific item and your route. Generally, transport is allowed if you comply with state regulations. Always check states you pass through.

What are the penalties for dot medical card violations in Tennessee?

Penalties for dot medical card violations in Tennessee vary based on the specific offense. Always verify current laws before traveling.

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