Tennessee CDL Tennessee Medical Self-Certification and NRII Reporting

Tennessee uses interstate non-excepted, interstate excepted, intrastate non-excepted, and intrastate excepted categories. The two non-excepted categories require certified medical status; mixed interstate and intrastate operation is classified as interstate.

Tennessee implemented National Registry II on June 15, 2025. The certified medical examiner transmits qualified, unqualified, or voided examination results to FMCSA, which electronically sends the record to Tennessee for the CDLIS motor-vehicle record.

Every CDL holder still submits a Tennessee Self-Certification Affidavit when applying, upgrading, adding an endorsement, transferring, or renewing. In an NRII state the medical examiner is not required to issue the original paper MCSA-5876 for delivery to the state, but self-certification is still the driver's responsibility.

Tennessee recommends submitting the renewed self-certification and medical information at least five business days before expiration. If a required medical certificate or variance expires, commercial privileges are removed; restoration may require a new medical qualification, retesting, and additional fees.

Apply the rule to the exact Tennessee vehicle, credential, date, trip, test stage, and operating facts in the question. Current TDOSHS pages and Tennessee law control when an older manual sentence conflicts with a newer official requirement.