Cdl Med 1 Form PDF Details

Truck drivers who are looking for their commercial driver's license (CDL) will need to complete a medical examiner's certificate, also known as CDL Med 1 form. This is a federally mandated form that all CDL holders must fill out. The purpose of the form is to ensure that truck drivers are physically and mentally fit to operate a commercial motor vehicle. There are a few different things that you will need to know about completing the CDL Med 1 form. In this blog post, we will outline what information you will need to provide on the form, and explain why it is important that you complete it accurately. Read on for more information!

QuestionAnswer
Form NameCdl Med 1 Form
Form Length1 pages
Fillable?Yes
Fillable fields13
Avg. time to fill out2 min 55 sec
Other namesncdot medical card certification, nc cdl medical card, cdl medical ncdot, nc dot cdl medical form

Form Preview Example

CDL-MED-1 (Rev. 12/13)

State of North Carolina

North Carolina Department of Transportation

Division of Motor Vehicles

MEDICAL CERTIFICATION

of Driver Type

FOR COMMERCIAL DRIVER LICENSE

Name

(First)

( Middle)

(Last )

(Suffix)

North Carolina License Number:

Social Security Number

Date of Birth:

CHECK THE APPROPRIATE BOX FOR THE TYPE OF OPERATION THAT APPLIES TO YOU

ONLY ONE BOX MAY BE CHECKED

NON-EXCEPTED INTERSTATE: operates or expects to operate in interstate commerce, is both subject to and meets the qualification requirements under 49 CFR part 391, and is required to obtain a medical examiner’s

certificate by 391.45. Commercial driving operation is permitted across state lines and you are required to meet Federal medical requirements. (Required to have a DOT medical card/certificate)

EXCEPTED INTERSTATE: operates or expects to operate in interstate commerce, but engages exclusively in

transportation or operations excepted under 49 CFR 390.3(f), 391.2, 391.68 or 398.3 from all or parts of the qualification requirements of 49 CFR part 391, and is, therefore, not required to obtain a medical examiner’s

certificate. Commercial driving operation is permitted across state lines for excepted operation only and you are exempt from the Federal medical requirements.

NON-EXCEPTED INTRASTATE: This certification category is for applicants that will only drive a CMV in intrastate commerce and are required to meet the medical requirements for NC. A medical examiners

certificate will be required. (Required to have a DOT medical card/certificate and license has restriction “K")

EXCEPTED INTRASTATE: operates in intrastate commerce but, engages exclusively in transportation or operations excepted from all or parts of the State driver qualification requirements. Commercial driving operation

is restricted to NC, permitted for excepted operation only and you are exempt from the Federal medical requirements. (License has restriction “K")

I certify under penalty of perjury that all statements above are true and correct.

Signature:Date:

Please use only one method for submitting your certification documents.

1.Please email all medical certification documents to: CDLmedical@ncdot.gov

2.Please mail all medical certification documents to: NCDMV

Data Capture Imaging Unit

3126 Mail Service Center

Raleigh, NC 27699-3126

3.You may deliver your medical certification documents to your local DMV office. A list of office locations and hours can be found on our website www.ncdot.gov/dmv. If you have any questions please contact the DMV Customer Call Center at (919) 861-3599.

How to Edit Cdl Med 1 Form Online for Free

You can fill in ncdot medical card email easily with our online tool for PDF editing. FormsPal team is constantly endeavoring to enhance the editor and help it become even easier for people with its multiple features. Capitalize on today's modern possibilities, and discover a trove of new experiences! Getting underway is effortless! All you have to do is follow the following basic steps down below:

Step 1: Open the PDF inside our tool by clicking the "Get Form Button" above on this webpage.

Step 2: With the help of our handy PDF file editor, you can actually do more than merely fill out blank form fields. Edit away and make your docs seem great with customized textual content added in, or optimize the original input to perfection - all that comes along with an ability to add your personal images and sign the file off.

For you to complete this form, be sure you enter the information you need in every area:

1. The ncdot medical card email usually requires specific information to be inserted. Make sure the following fields are complete:

Guidelines on how to prepare dot medical card nc portion 1

2. Right after finishing the last section, go on to the next step and complete the essential details in these fields - EXCEPTED INTRASTATE operates in, I certify under penalty of perjury, Signature Please use only one, Date, Please email all medical, Please mail all medical, You may deliver your medical, and locations and hours can be found.

Completing segment 2 in dot medical card nc

As to Date and EXCEPTED INTRASTATE operates in, be sure you get them right here. Both of these are viewed as the key fields in this PDF.

Step 3: As soon as you've reread the information in the file's blanks, click "Done" to conclude your form at FormsPal. Acquire your ncdot medical card email after you sign up for a free trial. Immediately get access to the pdf document in your personal account, with any modifications and adjustments being all kept! When using FormsPal, it is simple to complete documents without the need to worry about personal data leaks or data entries getting shared. Our protected software makes sure that your private data is stored safely.