TLC Medical Certification Form for Driver License
This form is required for TLC Driver License applicants to confirm their medical fitness to operate a licensed vehicle. It must be completed by a licensed physician who examines the applicant. Ensure timely submission within 90 days of your TLC application to avoid denial.
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How do I fill this out?
To complete this form, first consult with a licensed physician who will perform a thorough medical examination. Ensure that the physician fills out all required sections accurately based on their findings. Finally, submit the completed form as part of your online TLC application process.

How to fill out the TLC Medical Certification Form for Driver License?
1
Consult with a licensed physician.
2
Complete the medical examination.
3
Fill out the required fields in the form.
4
Obtain the physician's signature.
5
Submit the completed form to TLC.
Who needs the TLC Medical Certification Form for Driver License?
1
New taxi drivers must complete the form as part of their licensing process.
2
Current drivers applying for a medallion need the form to verify their medical fitness.
3
Street hail livery drivers have to submit this form for licensing compliance.
4
For hire vehicle operators must provide the certification to ensure passenger safety.
5
Physicians need this form to assess and certify the medical fitness of applicants.
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1
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2
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What are the instructions for submitting this form?
To submit the completed TLC Medical Certification Form, you should attach it to your online TLC application. If you've already submitted your application, you can upload the form at www.nyc.gov/tlcup. Make sure to complete the submission within 90 days of your medical examination to avoid application denial.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include the submission deadline of 90 days from your TLC application date. Ensure medical examinations are scheduled accordingly. Keeping track of these dates is crucial to maintain your application status.

What is the purpose of this form?
The purpose of the TLC Medical Certification Form is to ensure that all taxi and for-hire vehicle drivers meet the medical standards set by the NYC Taxi & Limousine Commission. This helps to safeguard public safety by ensuring that drivers are medically fit to operate their vehicles. By requiring this form, the TLC can help maintain high health and safety standards across the transportation industry.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant's Name: Name of the individual applying for the TLC Driver License.
- 2. Physician's Details: Information about the licensed physician who conducted the examination.
- 3. Medical Findings: Results of the medical examination, confirming the applicant's fitness.
- 4. Signature: Signature of the physician validating the assessment.
- 5. Date of Examination: Specific date on which the medical examination took place.
What happens if I fail to submit this form?
Failure to submit the TLC Medical Certification Form within the required timeframe will result in the denial of your application for a TLC driver license. It is essential to comply with all submission guidelines to avoid complications in your licensing process.
- License Denial: Your driver license application will be automatically denied if the form is not submitted timely.
- Public Safety Issues: Lack of medical certification raises concerns about driver safety on the roads.
- Legal Consequences: Operating without a valid medical certification can lead to potential legal penalties.
How do I know when to use this form?

- 1. New Driver Application: Required for all new drivers applying for a TLC Driver License.
- 2. License Renewal: Used when renewing an existing TLC Driver License.
- 3. Change of Vehicle Type: Necessary for drivers changing their vehicle type under TLC.
- 4. Compliance Check: Ensures medical fitness for existing drivers undergoing compliance checks.
- 5. Emergency Replacement: Required for immediate replacement of a driver license due to unforeseen circumstances.
Frequently Asked Questions
How do I complete the TLC Medical Certification Form?
Consult a licensed physician for examination and get them to complete the form.
What if my medical examination is older than 90 days?
You must have a new examination as the form is valid only if completed within 90 days.
Can I edit the PDF online?
Yes, you can edit the PDF using PrintFriendly's simple editing tools.
Is physician signature mandatory?
Yes, the physician must sign the form to validate the examination.
How do I submit the form after filling it out?
You can submit it by attaching it to your online TLC application.
What if I have questions about the form?
Visit the TLC website for assistance and further information.
Can I save my changes after editing?
You can download the edited PDF to keep your changes.
What happens if I don't submit this form?
Your TLC application will be denied if the form is not submitted within the specified timeframe.
Are there specific deadlines for submission?
Ensure the form is submitted within 90 days of your TLC application to avoid denial.
How can I share the completed form?
Use PrintFriendly’s sharing options to email or share the PDF directly.
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