Do drivers have to have a copy of the physical with them?

No, drivers are not required to have a copy of the long DOT physical examination form with them. A copy of the long physical form is not required to be in the driver’s qualification file either. The original of the physical form is retained at the medical examiner’s office. This is found in the instructions to the medical examiner in 391.43.

The driver is only responsible for carrying a legible copy of the medical examiner’s certificate on their person, per 391.41(a).

However, drivers who hold a commercial driver’s license (CDL) or commercial learner’s permit (CLP) do not need to carry a copy of the certificate because examiners are not required to issue a medical certificate to CDL/CLP drivers on and after June 23, 2025. If the CDL or CLP driver’s motor vehicle record (MVR) doesn’t show the driver’s current medical certification information they must not operate a CMV, per FMCSA.

Note: Some states require a copy of the medical exam form be on file with the state. Consult state requirements for details.