Certificate B 328 Form PDF Details

What Is the Certificate B 328?

The Certificate B 328 is a Medical Examiner's Certificate issued by the State of Connecticut Department of Motor Vehicles. It documents the results of a physical examination conducted on a commercial motor vehicle driver. The form verifies that the driver's health status meets the requirements established by the Federal Motor Carrier Safety Regulations (49 CFR 391.41 through 391.49). Once completed by a qualified medical examiner, the certificate becomes part of the driver's permanent file.

Who Needs to Complete This Form?

Any commercial vehicle driver operating in or through Connecticut must have a valid Certificate B 328 on file. The physical examination must be performed by a certified medical examiner listed on the National Registry of Certified Medical Examiners. Qualified examiners include licensed physicians, physician assistants, advanced practice registered nurses, and chiropractors. The form must be renewed before the medical certificate expiration date printed on it.

What Does the Medical Examination Cover?

The examination evaluates several areas of the driver's physical and sensory health. The examiner checks vision, hearing, blood pressure, and overall physical capability. Drivers who require corrective lenses or hearing aids must have this noted on the certificate. The form also records whether the driver qualifies for an exempt intracity zone operation, holds a Skill Performance Evaluation (SPE) Certificate, or has been granted a specific waiver or exemption. Drivers preparing for the medical evaluation should also review the DOT Medical Form and the Physical Examination Form to understand the full scope of requirements.

How Long Is the Certificate Valid?

The validity period depends on the examiner's determination of the driver's health status. In most cases, the certificate remains valid for up to 24 months. Drivers with certain conditions may receive a certificate valid for a shorter period, requiring more frequent examinations. The medical certificate expiration date is printed directly on the completed form, and drivers must renew before that date to maintain their commercial driving privileges.

QuestionAnswer
Form NameCertificate B 328 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesct dmv medical card self certification, cdl medical card ct, ct dmv cdl medical card fax number, ct dmv medical card

How to Edit Certificate B 328 Form Online for Free

Completing the Certificate B 328 Form requires following the steps below carefully to avoid errors that could delay your commercial driving certification.

Step 1: Open the form using the "Get Form" button above. Our online PDF editor loads the Certificate B 328 directly in your browser with no software installation needed.

Step 2: Fill in the required fields. The medical examiner enters the driver's name, date of birth, examination results, and qualification determination. Make sure each field is accurate before moving to the next section.

Certificate B 328 Form filled out with driver information and medical examiner details

Step 3: Review the completed form, then click "Done" to save your document. You can download the finished Certificate B 328 Form as a PDF or send it by email directly from the editor.

Common Questions About the Certificate B 328

What happens if my Certificate B 328 expires?

If your medical certificate expires, you lose your authority to operate a commercial vehicle. You must schedule a new physical examination with a certified medical examiner and obtain a renewed certificate before returning to driving duties. Drivers holding a CDL should also confirm their CDL Verification Form is current.

Can I fill out the Certificate B 328 Form myself?

No. Only a certified medical examiner listed on the National Registry can complete and sign the medical portions of this form. The driver provides personal information and medical history, but the qualification determination is the examiner's responsibility.

Where do I submit the completed form?

The completed Certificate B 328 must be kept in the driver's personal file. Depending on your employer's requirements, you may also need to submit a copy to the Connecticut DMV. Commercial drivers can access related documents like the CDL Med 1 Form and the Annual Physical Examination Form through our site.