Started today. Your sup will give you the DOT card, same as always. Go home, log onto upsers.com. Go to "My Life and Career", and then to the "View paycheck". There is a new icon "DOT or Respiratory Exams", go there. The rest is self explanatory. Allow pop-ups. It will give you a list of approved providers, of which you will have to select one now. You'll have to answer all the questions you had to answer on the old form. You'll provide electronic signatures. Have plenty of paper in your printer, it prints 10 pages (basicly, the same booklet we used to fill out). Call provider, make appointment. As I don't live near my hub, I was happy to find that this online version gives you a lot more providers than the center knows about!