Understanding the Medical Examiner’s Certificate (MEC), FMCSA Violation Code: 383.71(h)

The Medical Examiner’s Certificate (MEC), also known as the DOT Medical Card, is a document that certifies a commercial driver’s physical qualification to operate a commercial motor vehicle (CMV) in interstate commerce. This certification is mandated by the Federal Motor Carrier Safety Administration (FMCSA) to ensure the safety of both the driver and the public.​

Validity of the MEC

  • Standard Validity: The MEC is typically valid for up to 24 months (2 years).​
  • Shorter Validity Periods: If a driver has certain medical conditions (e.g., hypertension, diabetes, sleep apnea), the medical examiner may issue a certificate valid for less than 2 years to monitor the condition more closely.​

Updating the MEC with State DOTs

To maintain a valid CDL, drivers must ensure their MEC is current and submitted to their respective State Driver Licensing Agency (SDLA).​

General Steps:

  1. Obtain a New MEC: Visit a certified medical examiner listed on the National Registry of Certified Medical Examiners to complete a new physical examination and obtain the MEC (Form MCSA-5876).​
  2. Submit to SDLA: Provide the updated MEC to your state’s DOT through the available submission methods (online, mail, fax, or in-person).​
  3. Timely Submission: Submit the new MEC before the current one expires to avoid CDL disqualification or downgrade

Submission Methods by State

Below is a table detailing the submission methods for the top 10 states with the highest number of CDL holders:​

StateOnline SubmissionMailing AddressEmailFax
TexasNot specifiedTexas DPS,
Attn: CDL Section, P.O. Box 4087, Austin, TX 78773-0320
CDLMedCert@dps.texas.gov512-424-2002
CaliforniaSubmit OnlineNot specifiedNot specifiedNot specified
FloridaSubmit OnlineNot specifiedNot specifiedNot specified
PennsylvaniaNot specifiedPennDOT,
Bureau of Driver Licensing,
P.O. Box 69008, Harrisburg, PA 17106-9008
CDLmedscert@pa.gov717-783-5429
New YorkNot specifiedMedical Certification Unit,
PO Box 2601, Albany, NY 12220-0601
dmv.sm.cdlmedcertunit@dmv.ny.gov518-486-4421
OhioNot specifiedNot specifiedNot specifiedNot specified
IllinoisNot specifiedNot specifiedNot specifiedNot specified
GeorgiaNot specifiedNot specifiedNot specifiedNot specified
North CarolinaNot specifiedNCDMV, Data Capture Imaging Unit,
3126 Mail Service Center, Raleigh, NC 27699-3126
CDLmedical@ncdot.govNot specified
MichiganSubmit OnlineMichigan Department of State,
CDL Help Desk, 7064 Crowner Drive, Lansing, MI 48918
Not specified517-636-4359
Note: For states where specific submission methods are not specified, please consult the respective state’s DOT website or contact them directly for detailed instructions.​

Frequently Asked Questions (FAQs)

FMCSA Violation Code: 383.71(h) — What It Means

Description: Failure to maintain or provide a valid Medical Examiner’s Certificate (MEC) as required under 49 CFR § 383.71(H).

What the Regulation Covers:

  • § 383.71(h) outlines that all interstate CDL drivers must be medically certified and submit a valid MEC to their State Driver Licensing Agency (SDLA).
  • States are required to downgrade a CDL if the medical certification expires or is not submitted.

What Happens If You’re in Violation:

Screengrab of Inspection ticket where driver was given violation 383.71(H)

If a driver fails to comply with this requirement, the following consequences may apply:

  • CDL Downgrade: Your commercial driving privileges can be downgraded to a non-commercial class license.
  • Out-of-Service Orders (OOS): You may be placed out of service during inspections if you do not have a valid MEC.
  • Fines & Penalties: Employers and drivers can be fined for operating without proper medical certification.
  • Impact on Employment: Driving without valid certification may affect your job status or insurance.

Real-World Examples of 383.71(H) Violations:

ScenarioViolation Outcome
Driver forgets to submit updated MECCDL is downgraded; driver must requalify
Medical card expired a month ago, still drivingDriver placed out of service during inspection
Company fails to check MEC status of its driversCarrier may be fined or face CSA score penalties

How to Avoid 383.71(H) Violations:

  • Track your MEC expiration date and renew your medical exam ahead of time.
  • Submit the updated MEC to your SDLA promptly (at least 10 days before expiry).
  • Confirm receipt with your state DMV—some offer email or online verification.
  • Carry your physical MEC card while driving in case of roadside inspections.

Read Full Text of 49 CFR § 383.71(H) on Federal database.

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