Commercial Driver License Intrastate Medical Waiver Application
What this document covers
The Commercial Driver License Intrastate Medical Waiver Application is a legal document that allows commercial drivers who do not meet the established medical standards to request a waiver to drive within their state. This form is specifically designed for intrastate operations, distinguishing it from other medical waiver forms that may apply to interstate driving. It requires completion by both the driver and a licensed medical examiner to ensure compliance with local regulations.
Main sections of this form
- Driver's personal information, including name, license number, and contact details.
- Description of medical conditions requiring a waiver.
- Certification section affirming the truthfulness of the information provided by the driver.
- Medical examiner's section for validation of the driver's medical condition and capability to operate a commercial vehicle.
- Signature fields for both the driver and the medical examiner, confirming the information provided.
When to use this form
This form should be used when a commercial driver is unable to meet federal medical requirements due to a medical condition but still wishes to operate a commercial vehicle within their state. This could include conditions such as certain physical disabilities or health issues impacting their medical certification. It is crucial for drivers to address these concerns and apply for a waiver promptly to maintain their driving privileges.
Intended users of this form
This form is intended for:
- Commercial drivers who do not meet minimum medical standards but wish to apply for an intrastate medical waiver.
- Drivers with a medical condition that may affect their ability to drive commercially.
- Medical examiners who need to certify the driver's medical condition.
How to complete this form
- Enter the driver's complete name, license number, and date of birth in the specified fields.
- Provide the driver's residence and mailing address, along with a telephone number.
- Detail the medical conditions that are the basis for the waiver request.
- Have the medical examiner complete their section, including their name, title, and a confirmation of the driver's medical stability.
- Both the driver and the medical examiner should sign and date the application to validate the information provided.
Is notarization required?
This form usually doesn’t need to be notarized. However, local laws or specific transactions may require it. Our online notarization service, powered by Notarize, lets you complete it remotely through a secure video session, available 24/7.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
Common mistakes
- Failing to provide complete contact information for both the driver and the medical examiner.
- Not having the medical examiner fill out their section or failing to include their signature.
- Incorrectly detailing medical conditions, which can lead to delays in processing the application.
- Submitting the form without the required documentation, such as the physical exam form.
Why complete this form online
- Convenience of downloading and completing the form at your own pace.
- Editability allows you to ensure all information provided is accurate before submission.
- Access to forms drafted by licensed attorneys ensures compliance with legal standards.
- Easy access to assistance if you have questions about how to fill out the form.
Key takeaways
- The Commercial Driver License Intrastate Medical Waiver Application is vital for drivers not meeting medical standards but who wish to operate commercially within their state.
- Accurate completion by both the driver and medical examiner is crucial for the approval of the waiver.
- Consult your state's specific requirements for the most accurate and applicable guidelines.
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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
