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MPU basics
The medical-psychological assessment (MPU) clearly explained: when you might face one, what it costs, how it works and how to prepare. Checked against the Driving Licence Regulation, the Road Traffic Act and the assessment guidelines (Begutachtungsleitlinien).
Basics
- What is an MPU?The MPU (medical-psychological assessment, Medizinisch-Psychologische Untersuchung) is an assessment of fitness to driv…
- Do I need an MPU?You need an MPU if the driving licence authority has doubts about your fitness to drive and orders one. Typical reasons…
- MPU costsRealistically, an MPU costs around €1,500 to €4,000 in total in 2026. This includes the report fee of around €400 to €9…
- MPU glossaryThe MPU glossary explains the most important terms and abbreviations around the medical-psychological assessment (Mediz…
Reasons
- MPU because of alcoholYou need an MPU because of alcohol if you drove with 1.6‰ or more, were caught under the influence of alcohol more than…
- MPU because of cannabisUnder § 13a FeV, you usually only need an MPU because of cannabis if you have driven under the influence of cannabis re…
- MPU because of drugsThe driving licence authority orders an MPU because of drugs under § 14 FeV if you have used hard drugs such as cocaine…
- MPU after bicycle/e-scooterAn MPU after cycling may be ordered if you were riding with 1.6‰ or more. This is a criminal offence with 3 points, and…
- MPU because of pointsAn MPU because of points may be ordered if you reach 8 points in the driving aptitude register in Flensburg. Your drivi…
- MPU because of offencesAn MPU because of criminal offences may be ordered if offences in or outside road traffic suggest a lack of self-contro…
- Medical MPUYou need a medical MPU if an illness, long-term medication or your eyesight raise doubts about your fitness to drive. T…
Process & preparation
- How the MPU worksOn the day of the assessment, the MPU takes about 3 to 4 hours and consists of a questionnaire, a medical examination, …
- Proof of abstinenceA proof of abstinence (Abstinenznachweis) for the MPU shows over 6 or 12 months that you have not consumed alcohol or d…
- MPU preparationMPU preparation typically comprises 10 to 12 sessions of 60 minutes each over 2 to 3 months. Together with a profession…
- Failed the MPUIf you did not pass the MPU, you do not have to submit the negative expert report to the authority, because submitting …