DOT Physical: Requirements, Exam and Employer Checklist
A DOT physical is the FMCSA medical exam for commercial drivers. See what it tests, how to prepare, how long it lasts and how employers handle it.
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Jeff Boggess
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The FMCSA Drug and Alcohol Clearinghouse is a federal online database of drug and alcohol program violations by commercial driver’s license (CDL) and commercial learner’s permit (CLP) holders. Employers covered by 49 CFR Part 382 must run a full query before a driver performs safety-sensitive functions and query each current driver at least once a year.
This guide explains who uses the Clearinghouse, the difference between full and limited queries, how driver consent works and how to read a query result. It does not cover how DOT drug and alcohol tests are collected or administered.
The Clearinghouse is a secure database run by the Federal Motor Carrier Safety Administration (FMCSA) under 49 CFR Part 382, Subpart G. It has operated since January 6, 2020, and employers access it at clearinghouse.fmcsa.dot.gov.
Under 49 CFR 382.719, a violation stays visible to querying employers until the driver has completed the RTD process and follow-up testing and five years have passed since the date of the violation determination. In practice, that means five years or the completion of follow-up testing, whichever is later.
Each role has its own registration and responsibilities. Employers and service agents must register before they can query or report information.
| User | Main responsibilities |
|---|---|
| Employers of CDL drivers | Buy a query plan, run pre-employment and annual queries, and report certain violations, negative RTD test results and completion of follow-up testing |
| Owner-operators | Meet employer and driver requirements; must designate a consortium/third-party administrator (C/TPA) in the Clearinghouse |
| C/TPAs | Run queries and report on an employer’s behalf once the employer designates them. The employer remains responsible for compliance. |
| CDL and CLP drivers | Register to view their own record, give electronic consent for full queries and designate a substance abuse professional (SAP) |
| Medical review officers (MROs) | Report verified positive, adulterated or substituted drug test results and certain refusals within 2 business days |
| SAPs | Report the initial assessment date and the date a driver becomes eligible for RTD testing, each by the close of the next business day |
| State driver licensing agencies | Check the Clearinghouse before certain CDL and CLP transactions and act on prohibited status |
Employers must report the violations they are responsible for by the close of the third business day after they obtain the information, under 49 CFR 382.705.
Registration. Registration is free. Employers with a USDOT number register with their FMCSA Portal credentials, and each authorized user signs in with a Login.gov account. Since April 27, 2026, FMCSA also requires an identity verification step for certain new registrations, including employers without a Portal account and C/TPAs.
Who is not covered. Under 49 CFR 382.103(d), Part 382 does not apply to employers and drivers who are subject only to Federal Transit Administration (FTA) testing rules, and certain other exceptions apply. FMCSA’s guidance says the query requirements still apply to a driver who performs any FMCSA-regulated functions, even if most of the driver’s work falls under another DOT agency.
A limited query tells you whether a driver’s record contains any information. A full query shows you the details. 49 CFR 382.701 sets out when each one is required.
| Feature | Full query | Limited query |
|---|---|---|
| Required for | Every pre-employment query, and any follow-up after a limited query finds information | Can satisfy the annual query for current drivers |
| What it returns | Details of resolved or unresolved violations and the driver’s RTD status | Only whether information exists in the driver’s record |
| Driver consent | Specific electronic consent in the Clearinghouse before each full query | General written or electronic consent obtained outside the Clearinghouse; may cover more than one year if it states the timeframe |
| Driver registration | Driver must be registered to give consent | Not required |
| Cost | $1.25 per query | $1.25 per query |
According to FMCSA’s query plan page, employers must buy query plans directly from the Clearinghouse, and a C/TPA cannot buy them for the employer. If a limited query finds information and the employer follows up with a full query, FMCSA charges once for both.
An employer must not use a driver covered by Part 382 for safety-sensitive functions without first running a full pre-employment query. FMCSA’s query and consent FAQs say the query is tied to hiring, so it is not required before a road test given to an applicant, although an employer may run it then.
Since January 6, 2023, the pre-employment query is also how employers meet the three-year drug and alcohol history inquiry for previous FMCSA-regulated employers under 49 CFR 391.23(e)(4). If the driver worked in the past three years in a testing program under another DOT agency, such as the FAA, FRA or FTA, you must still request that history directly from those employers. Violations under those programs are not reported to the Clearinghouse.
Employers must query every driver they employ under Part 382 at least once a year. FMCSA tracks this on a rolling 12-month (365-day) basis from the date of the last query, or another 12-month period the employer sets, as long as the regulation is met. A pre-employment query starts the clock for a new hire.
Since March 2023, FMCSA emails an employer when new information is added to a driver’s record within 12 months after that employer’s pre-employment or annual query. FMCSA advises running a full follow-on query within 24 hours. That query also resets the annual query date.
Under 49 CFR 382.703, no employer may query the Clearinghouse without the driver’s consent. The type of consent depends on the query.
If a driver refuses to give the required consent, the employer may not allow the driver to perform safety-sensitive functions. Clearinghouse consent is a separate step from the disclosure and authorization an employer obtains before ordering a background check from a consumer reporting agency.
Clearinghouse information also has limited uses. Under 49 CFR 382.723, an employer may use it only to decide whether a prohibition applies to a driver’s safety-sensitive work, and may share it only with people directly involved in that decision.
The result tells you whether a driver may perform safety-sensitive functions for you. It does not tell you whether to hire the driver for other reasons. The table below summarizes the common outcomes and the next step under Part 382.
| Result | What it means | Employer’s next step |
|---|---|---|
| Limited query: no information found | The record has no violation information | No further query needed; record the date for next year’s annual query |
| Limited query: information found | The record contains something, but details are not released | Request consent and run a full query within 24 hours. If that does not happen, remove the driver from safety-sensitive functions until a full query shows no prohibition. |
| Full query: not prohibited, no violations | No violation information on record | The driver may perform safety-sensitive functions, subject to your other hiring requirements |
| Full query: not prohibited, follow-up testing not complete | The driver passed an RTD test but has not finished the SAP’s follow-up testing plan | If you employ the driver, you take on managing the remaining follow-up tests |
| Full query: prohibited | The driver has an unresolved violation | The driver may not perform safety-sensitive functions until completing the RTD process with a negative RTD test |
| Driver declines full query consent | No details can be released | The driver may not perform safety-sensitive functions for you |
If a driver believes the record contains an administrative error, such as a duplicate report, the driver can petition FMCSA under 49 CFR 382.717. A petition cannot be used to challenge the accuracy of a test result itself.
The second Clearinghouse rule, often called Clearinghouse II, set a November 18, 2024 compliance date for new state requirements. Under 49 CFR 383.73, state driver licensing agencies must check the Clearinghouse before issuing, renewing, transferring or upgrading a CDL or CLP. When FMCSA notifies a state that a driver is prohibited, the state must remove the commercial privilege from the driver’s license (a “downgrade”) within 60 days.
FMCSA’s CDL downgrade FAQs explain that the driver can have the privilege reinstated after completing the RTD process, where state law permits. For employers, the query requirements did not change. A downgrade may appear on a driver’s state record, but it does not replace the pre-employment or annual query.
A driver in prohibited status must complete the RTD process in 49 CFR Part 40, Subpart O. FMCSA’s RTD infographic shows how each step is recorded in the Clearinghouse:
Many drivers with violations have not started this process. In FMCSA’s January 2026 monthly summary, 329,183 drivers had at least one violation as of February 1, 2026. Of those, 210,007 were in prohibited status, and about 80% of prohibited drivers had not begun the RTD process.
The Clearinghouse covers one part of a driver’s history. FMCSA’s driver qualification rules also require other checks, such as a motor vehicle record from each state where the driver held a license in the past three years and an investigation of safety performance history with DOT-regulated employers from the past three years. A negative DOT pre-employment drug test is a separate requirement from the query.
GoodHire’s guide to DOT background checks covers these components, and its driver qualification file checklist explains what records to keep. GoodHire offers MVR checks, employment verification, criminal background checks and DOT drug tests. The Clearinghouse itself is operated by FMCSA, and queries are run in FMCSA’s system by the employer or its designated C/TPA.
Limited and full queries both cost $1.25 each, bought as query plans directly from the Clearinghouse. Registration is free. If a limited query finds information and the employer follows up with a full query, FMCSA charges once for both.
A violation remains visible to querying employers until the driver completes the return-to-duty process and follow-up testing and five years have passed since the violation determination. In practice, that is five years or completion of follow-up testing, whichever is later.
Under 49 CFR 382.703, an employer may not allow a driver who refuses the required consent to perform safety-sensitive functions, such as driving a commercial motor vehicle. For a full query, consent must be given electronically inside the Clearinghouse.
No. FMCSA says the pre-employment query is required before a driver is hired to perform safety-sensitive functions, and a road test happens before hiring. An employer may run the query at the time of the road test but is not required to.
No. The Clearinghouse contains violations reported under FMCSA’s testing program only. If an applicant worked under an FAA, FRA, FTA or other DOT agency testing program in the past three years, the employer must request that history directly from those previous employers.
The resources provided here are for educational purposes only and do not constitute legal advice. We advise you to consult your own counsel if you have legal questions related to your specific practices and compliance with applicable laws.
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Jeff Boggess covers criminal background checks, motor vehicle records (MVR), DOT compliance, and international screening at Checkr, along with the technology behind them: Checkr AI, accuracy programs, and the people data graph. He focuses on turning complex screening regulations and public records data into practical guidance for employers.
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