Commercial Driver License Intrastate Medical Waiver Application
About this form
The Commercial Driver License Intrastate Medical Waiver Application is a legal document that allows commercial drivers who do not meet minimum medical standards to apply for a waiver within their state. Unlike other medical forms, this application requires both the driver and a medical examiner to provide information about the driver's health conditions. It is specifically tailored for intrastate operation, which means it applies to driving within one state only.
Key parts of this document
- Driver's personal information: This includes name, driver's license number, date of birth, and addresses.
- Description of medical condition: A section where the driver outlines the specific medical issues for which the waiver is being requested.
- Certification by the driver: A statement confirming the accuracy of the information provided under penalty of perjury.
- Medical examiner's assessment: Completed by a licensed medical professional, certifying that the driver can safely operate a commercial vehicle.
- Department use section: For official processing, included for record-keeping purposes.
When this form is needed
You should use the Commercial Driver License Intrastate Medical Waiver Application if you are a commercial driver facing disqualification due to medical conditions that do not meet federal or state standards. This form is crucial when you want to continue driving within your state while your medical condition is being managed or assessed by a qualified professional.
Who needs this form
- Commercial drivers who do not meet the standard medical requirements to hold a valid CDL.
- Drivers looking to operate a commercial vehicle solely within state lines.
- Individuals who have received guidance from a medical practitioner regarding their driving qualification.
How to prepare this document
- Enter your personal details, including your full name, driver's license number, and contact information.
- Provide a detailed description of the medical condition(s) affecting your qualifications.
- Sign the certification section to confirm the information is accurate and true.
- Have a licensed medical examiner complete their section, confirming your ability to drive safely.
- Submit the completed application along with any additional required documents to the appropriate licensing department.
Does this form need to be notarized?
This form does not typically require notarization to be legally valid. However, some jurisdictions or document types may still require it. US Legal Forms provides secure online notarization powered by Notarize, available 24/7 for added convenience.
Mistakes to watch out for
- Failing to provide complete personal and medical information.
- Not having the medical examiner's section filled out properly.
- Submitting the form without reading the certification clause carefully.
- Ignoring state-specific requirements or instructions.
Benefits of using this form online
- Convenient access to the form at any time, allowing for quick completion.
- Ability to edit and customize the form before downloading and printing.
- Reliability of professionally drafted templates, ensuring compliance with legal standards.
Form popularity
FAQ
In order to keep your CDL, some states will allow a CDL holder to certify in a category that does not require a medical certificate e.g. Intrastate Excepted, if they are not currently driving.This will give you a way to maintain your CDL without a current medical card.
2022 Drivers who operate in intrastate commerce but engage exclusively in transportation or operations that are not required to meet all or parts of the state driver qualification requirements. 2022 Examples of excepted Intrastate Drivers include city, municipal, or state employees commercial driver's license holders.
Non-Excepted Interstate (NI)Interstate commerce means trade, traffic, or transportation in the United States (U.S.) that is: Between a place in a state and a place outside of that state (including a place outside of the U.S.).
Non-Excepted Interstate (NI) You operate or expect to operate a CMV in interstate commerce and you meet the qualification requirements under Title 49, CFR, part 391. The license does not restrict the transport, origination, or destination of the load to be transported.
You are engaging in Interstate commerce by transporting goods across state lines. Intrastate trucking means that you drive your commercial motor vehicle only within a state's boundaries and that you do not fit any of the other descriptions of interstate commerce.
If you perform trade, traffic, or transportation exclusively in your business's domicile state, this is considered intrastate commerce.
If you select either the EA or EI box, you will be able to keep your CDL without submitting a current medical card. If/When you return to driving a commercial vehicle and you need to carry a medical card, you must resubmit a DL-11CD, Self-Certification Form, along with a copy of your valid medical card.
Any driver with an updated certificate can submit it to DPS via email at CDLMedCert@dps.texas.gov or by fax at (512) 424-2002.
Go to the National Registry website: https://nationalregistry.fmcsa.dot.gov. Logon to your National Registry account. Select CMV Driver Exams from the blue bar at the top of the screen. Select Submit CMV Driver Exam Results
