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Do you need a medical ti drive commercial vehicle the weighs 18000 and less?

It depends on the country and jurisdiction in question. In some jurisdictions, a medical certificate may be required to drive a commercial vehicle regardless of its weight, while in others it may only be required for vehicles exceeding a certain weight threshold. For example, in the United States, a medical certificate is required to drive a commercial vehicle if the vehicle weighs over 10,001 pounds or if it is designed to transport more than 15 passengers.