The certified medical professional that performed the physical and certified the driver is required to send electronically, by midnight the following day, a record of everyone that was certified by him or her to the FMCSA. However, the driver is ultimately responsible for the notification to the state.
You may also submit by Certified U.S. postal mail to:
Tennessee Department of Safety and Homeland Security
Commercial Driver License Division
1150 Foster Avenue
Nashville, TN 37243