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Federal guidelines mandate that anyone applying for a commercial drivers license must pass the DOT physical exam. The goal of this test is to determine whether an applicant is fit enough to drive safely now and in the foreseable future. Passing the exam successfully means you have 24 month before you need to do it again, although in some cases this period might be decreased if serious health problems could appear in the future.
Here are the basic requirements for passing the DOT physical exam.