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 a 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. This is determined by the physician.
  • If you are 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 a CDL we can’t issue an Intrastate medical waiver.

How to apply for an intrastate medical waiver

  1. Have your your physician complete the following forms:
  2. Submit the completed 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 Examiner’s Certificate that shows you’re cleared from having any disqualifying medical conditions.

To remove an intrastate “U” restriction from your license and record, visit a driver licensing office to have a new license issued. There is a $10 fee for getting a revised license before the next renewal.

How to apply for a federal medical exemption

Visit Driver Exemption Programs for:

  • Diabetes Package
  • Vision Package
  • Hearing 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