Every Class 1, 2, 3 or 4 driver in BC needs a Driver’s Medical Examination Report (DMER) when applying and again at set ages. ICBC charges a $28 processing fee; your doctor sets the exam fee.
Steps from source.
No training providers: the exam is done by a doctor or nurse practitioner (source)
How it’s offered: "If we send you a DMER, please ask your doctor or nurse practitioner to do the examination and return the completed report to us within the timeline on the report." (source)
| Detail | Source | |
|---|---|---|
| Summary | Commercial drivers (Class 1-4, or Class 5 with endorsement 18/19/20) must complete a Driver's Medical Examination Report at application and at set ages | source |
| Issuing body · Url | Official page | source |
| Credential | Driver's Medical Examination Report (DMER) required on applying for Class 1, 2, 3 or 4 (ICBC provides the form); then at ages 25, 30, 35, 40, 45 (every 5 years), 48-63 every 3 years (48, 51, 54, 57, 60, 63), and every year from 66. RoadSafetyBC mails the report about 2 months before the birthday | source |
| Jobs requiring it | All Class 1-4 drivers | source |
| Regulator fees 1 | Medical exam processing fee $28 (Class 1-4, and Class 5 with endorsement 18/19/20), charged at upgrade and every 5 years at licence renewal | source |
| Regulator fees 2 | MSP does not cover the routine commercial DMER; the doctor or nurse practitioner sets and may charge a fee; RoadSafetyBC does not reimburse | source |
| Exam contents | Checks cognition, eyesight and overall physical health; no road test | source |
| Form types | Yellow forms go to commercial drivers at scheduled intervals (not reimbursed by RoadSafetyBC); blue forms for known/suspected conditions (MSP covers up to $75) | source |
| Policy note | Policy manual states intervals as: up to 45 every 5 years, 45-65 every 3 years, 65+ annually (the public schedule's ages are used above) | source |
| Licence steps 1 | Driver's Medical Examination Report (DMER) required on applying for Class 1, 2, 3 or 4 (ICBC provides the form); then at ages 25, 30, 35, 40, 45 (every 5 years), 48-63 every 3 years (48, 51, 54, 57, 60, 63), and every year from 66. RoadSafetyBC mails the report about 2 months before the birthday | source |
| Licence steps 2 | Checks cognition, eyesight and overall physical health; no road test | source |
| Licence steps 3 | Medical exam processing fee $28 (Class 1-4, and Class 5 with endorsement 18/19/20), charged at upgrade and every 5 years at licence renewal | source |
| Licence steps 4 | MSP does not cover the routine commercial DMER; the doctor or nurse practitioner sets and may charge a fee; RoadSafetyBC does not reimburse | source |
| Provider coverage | No training providers: the exam is done by a doctor or nurse practitioner | source |
| Provider note | No training providers: the exam is done by a doctor or nurse practitioner | source |
| Delivery | "If we send you a DMER, please ask your doctor or nurse practitioner to do the examination and return the completed report to us within the timeline on the report." Verbatim RoadSafetyBC wording; the page does not use the word 'appointment' | source |
The doctor sets the fee. There is no official figure, MSP does not cover the routine commercial DMER and RoadSafetyBC does not reimburse it.
No. The exam checks cognition, eyesight and overall physical health.
Blue forms are for known or suspected conditions, and MSP covers up to $75 of the doctor’s fee. Yellow forms for scheduled commercial reports are not reimbursed.
This page relies on the official pages below. Rules, fees and processes change, so check the authority before you apply or spend money.
Links checked November 1, 2026. Found an error or a broken link? Report it.