We have received multiple reports from commercial drivers who hold, or are applying for, a Federal hearing exemption and have encountered difficulties during DOT medical examinations. In several cases, drivers report being improperly evaluated due to misunderstandings of Federal Motor Carrier Safety Administration (FMCSA) regulations. This notice is intended to clarify driver rights and outline appropriate steps when issues arise.

1. DOT Physical Examiners and Hearing Exemptions

DOT-certified Medical Examiners are required to follow FMCSA regulations when conducting physical examinations. Drivers who possess a valid FMCSA hearing exemption may be medically certified, provided they meet all other medical qualification standards.

If a Medical Examiner refuses to complete your examination or improperly records hearing information without considering your exemption, you are not required to continue with that examiner. You may take the following steps:

• Seek another Medical Examiner who is familiar with FMCSA hearing exemption procedures.
• Ensure proper documentation is reviewed, including your current FMCSA hearing exemption letter.
• Document the encounter, including the examiner’s name, date, location, and statements made during the examination.

Important clarification:

While FMCSA hearing exemptions are typically granted for up to two years, Medical Examiners generally issue a one-year DOT medical certificate to drivers operating under a hearing exemption. A hearing exemption alone does not disqualify a driver, but it may affect the certification interval.

2. Why These Issues Occur

Some Medical Examiners may be unfamiliar with hearing exemption regulations due to outdated training or limited experience with exempted drivers. While misunderstandings can occur, they should not result in improper denial of a lawful medical examination.

3. How Drivers Can Protect Themselves

To reduce delays and protect your rights, drivers should:

• Carry a copy of their FMCSA hearing exemption letter to all DOT physical examinations.
• Retain copies of prior DOT medical certificates, if applicable.
• Request the examiner’s full name and credentials if concerns arise.
• Keep detailed notes of the incident, including time, date, location, and statements made.
• Politely request clarification or escalation to a supervising Medical Examiner when necessary.

4. Understanding Your Rights

Drivers operating under a valid FMCSA hearing exemption should remember:

• A hearing exemption is federally recognized and permits operation of a commercial motor vehicle if all other requirements are met.
• Medical Examiners must evaluate drivers in accordance with FMCSA guidance, including exemption documentation.
• If an examiner declines to certify you based on misunderstanding or lack of knowledge, you may seek another examiner and report the issue for review.

5. Reporting Concerns to the FMCSA

Drivers who experience improper handling of a DOT medical examination related to a hearing exemption may report the issue to the FMCSA. Reports help identify training gaps and improve regulatory compliance.

When submitting a report, include:

• The Medical Examiner’s full name and credentials
• The examination location and address
• A contact phone number for the office or examiner

Providing complete information allows the FMCSA to review the matter and provide appropriate guidance or education.

6. FMCSA Contact Information

Drivers may contact the FMCSA directly for clarification or to report concerns:

• Email (Medical Programs): FMCSAMedical@dot.gov
• Email (Hearing Exemptions): FMCSAhearingexemptions@dot.gov
• Phone: (202) 366-4001

The Federal Motor Carrier Safety Administration encourages drivers to report issues so that Medical Examiners receive accurate guidance and all drivers are evaluated fairly under Federal regulations.