Medical Certification Form - New Driver Applicant at a glance
What it is: The Medical Certification Form - New Driver Applicant is completed by a Licensed Physician after a medical examination. No other form will be accepted.
Who signs: The physician signs at Physician's Signature (SIGN).
A filled-in Medical Certification Form - New Driver Applicant example: a physician certifies an applicant as medically fit
How to fill out Medical Certification Form - New Driver Applicant, box by box
I certify that I have examined and the date of exam
After "I certify that I have examined", enter the name of the applicant, then the date of exam after "on".
is medically fit or is not medically fit
Mark "is medically fit to safely operate a TLC licensed vehicle" or "is not medically fit to safely operate a TLC licensed vehicle".
Physician's name, signature, license and address
Enter the Physician's Last Name, First Name, Number & Street (Mailing Address), Physician's License #, City, State, Zip Code and State in which Physician is licensed.
Enter the Phone Number.
THIS FORM MUST BE VALIDATED WITH AN OFFICIAL STAMP BY PHYSICIAN.
More rules for Medical Certification Form - New Driver Applicant
The date of your medical examination cannot be more than 90 days before the date that you submit your TLC application.
Common questions about Medical Certification Form - New Driver Applicant
What is medical clearance for TLC?
The Medical Certification Form - New Driver Applicant is completed by a Licensed Physician after a medical examination. No other form will be accepted. Medically fit means that the applicant is of sound physical condition with good eyesight and no epilepsy, vertigo, heart trouble or any other infirmity of body or mind to the extent that it would render the applicant unfit for the safe operation of a licensed vehicle at all times of the day.
Is there a deadline?
If you do not submit this form to the TLC within 90 days of submitting your TLC application, your application will be denied.
Where do I file it?
You must submit this completed form to the TLC by attaching the form to the online TLC application. If you have already submitted your online application, you must upload the form at www.nyc.gov/tlcup.
Sources
[1] Medical Certification Form - New Driver Applicant, NYC Taxi & Limousine Commission (the Official source link on this page).