Medical waivers: CDL

Things to know

  • If we are unable to read your CDL medical form(s), we can't process them and won't be able to notify you of any issues.
  • If you have or are getting an original CDL, go to a certified physician listed on the National Registry of Certified Medical Examiners. They'll complete an exam and determine if you meet the minimum federal medical standards.
  • We can only accept your most current Medical Waiver Application (MWA) or Medical Examiners Certificate (MEC). This applies even if you have an MWA or MEC that expires after the most recent one.
  • If you don't meet the minimum federal medical standards, you may qualify for an intrastate medical waiver or a federal interstate medical exemption. A physician will determine if you qualify.
  • If you're issued a medical examiners certificate, you must carry it any time you're driving a commercial vehicle in Washington state.
  • If you don't have or haven't applied for a CDL we can't issue an Intrastate medical waiver.

How to apply for an intrastate medical waiver

  1. Have your physician complete the following forms:
  2. Submit the completed Medical Examination Report and Commercial Driver License Intrastate Medical Waiver Application forms to us by:
  3. We'll get back to you by mail, to the address we have on record, within 2 weeks.

What if I no longer require an intrastate medical waiver or federal medical exemption?

Notify us by submitting a new Medical Examination Report showing you don't have any disqualifying medical conditions.

To remove an intrastate "K" restriction from your license and record, visit a driver licensing office to have a new license issued. The "K" restriction was a "U" restriction before January 2017. There is a $10fee for getting a revised license before your next renewal.

What is a medical variance?

Drivers with physical impairments, which affect their ability to safely operate CMVs, must get a "variance." The medical variance shows as a restriction V on the driver license.

A variance may consist of the driver having one or two following:

  • A Skills Performance Evaluation (SPE)
  • An Intrastate Medical Waiver
  • Federal Exemption

Once you're no longer required to have a medical variance, you'll need to:

  • Submit a copy of your Medical Examination Report showing it's no longer required.
  • Get a new license to remove the restriction. A $10 fee will apply. If needed, you can also change your self-certification status at that time.

How to apply for a federal medical exemption

Visit Driver Exemption Programs for:

  • Diabetes Package
  • Vision Package
  • Hearing Package
  • Seizure Package

How to apply for a Federal Skills Performance Evaluation Certificate (SPE)

Visit the Skill Performance Evaluation Certificate Program. SPE is for drivers with physical impairments or missing limbs.

Related information

Questions? Need help?

For questions about Contact
  • Medical condition(s),
  • if you qualify for a medical examiners certificate, or
  • if you can be certified with a disqualifying condition.
The certified physician who completed your Medical Examination Report.
If it's been more than 2 weeks since you applied for your intrastate medical waiver.
Applying for a federal medical exemption.
Applying for a skills performance evaluation (SPE).
Finding a certified physician. National Registry of Certified Medical Examiners
Washington Healthcare Finder
Good To Go!
Access Washington – official state government website