Kansas Commercial Driver's License Holder Medical Self Certification

The Kansas Division of Vehicles is collecting medical self-certifications for all Kansas CDL holders as required by the Federal Motor Carrier Safety Regulations, 49 CFR Part 383, 384, 390 & 391. In addition to completing this electronic form, if you are subject to presenting your DOT medical card it must be uploaded at the end of this transaction or faxed into our department. Fax: 785-296-5859
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Kansas driver's license or commercial license number with no dashes or spaces.    

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