On July 14, 2025, the Federal Motor Carrier Safety Administration (FMCSA) announced a temporary waiver allowing interstate commercial driver’s license (CDL) holders, commercial learner’s permit (CLP) holders, and motor carriers to continue using paper copies of medical examiner’s certificates as valid proof of medical certification. This waiver permits the use of paper certificates for up to 15 days after the date of issuance.
The waiver is intended to support a smooth transition as certified medical examiners and State Driver’s Licensing Agencies implement the Medical Examiner’s Certification Integration (NRCME II) final rule, which requires the secure electronic transmission of medical certification data.
During the waiver period, FMCSA recommends that medical examiners:
• Submit medical exam results electronically via the NRCME system, and
• Provide drivers with a paper copy of the certificate to carry.
This waiver is effective immediately and will remain in place through October 12, 2025..