New Medical Certification Process
The New York State Department of Motor Vehicles (NYS DMV) has undergone an extensive modernization effort to consolidate many of its legacy applications into a single, new system.
As part of this effort, Commercial Driver License (CDL) and Commercial Learner Permit (CLP) holders will no longer submit their updated Medical Examiners Certificates and/or Medical Variances to the New York State Department of Motor Vehicles, effective February 18, 2026.
Federal regulations require that all Medical Examiners Certificates and/or Medical Variances be sent electronically to the National Registry and then to DMV.
Certificates will be transmitted electronically from the National Registry beginning on February 18th, 2026. CDL/CLP holders that obtain their USDOT medical certificate prior to February 18th, 2026 and haven’t already submitted it to the DMV can fax or e-mail it to:
This will allow us to request the information electronically from the National Registry.
The first rollout will launch Wednesday, February 18 and will include driver services (licensing, knowledge testing, ticketing, etc.). The second rollout will launch in Spring 2028 and will include vehicle services (registration, titling, insurance, etc.).
If you have questions regarding the new medical requirements, please contact the Medical Certification Unit at 518-474-3603 or by e-mail at dmv.sm.CDLMedCertUnit@dmv.ny.gov.
