Medical waivers: CDL

All commercial drivers must meet minimum medical standards established by federal regulations. Drivers are required to have a valid physical examination card in their possession any time they’re operating a commercial vehicle.

If you don’t meet the medical requirements but your condition is stable and you have a CDL, you can apply for a medical waiver for intrastate and/or interstate driving.

How to apply for an intrastate medical waiver (Washington State only)

  1. Complete all of the following forms:
  2. Submit your medical examination report, medical certificate, and medical waiver application:
    • At a driver licensing office
    • By email:
      (This email address accepts only CDL medical forms.)
    • By fax: 360.570.4915
    • or
    • By mail:
      CDL Medical Unit
      Department of Licensing
      PO Box 9030
      Olympia, WA 98507-9030

Note: We don’t process intrastate medical waivers for drivers who don’t need a CDL but are required by their employer to complete a Medical Examination Report and get a waiver. To learn more about this type of waiver, see WAC 480-30­-226(2): Doctor’s statement of intrastate medical waiver or contact your employer or physician.

How to apply for an interstate medical waiver (federal)

Interstate medical waivers are processed by FMCSA Medical Programs in the Federal Motor Carrier Safety Administration. Drivers with the following conditions may be eligible to apply for an interstate waiver:

  • Missing or impaired use of a foot, leg, hand, or arm
    To apply, contact the Skill Performance Evaluation (SPE) service center in your area.
  • Monocular vision or insulin dependence
    To apply, contact the Driver Exemption Program at:
    Federal Vision and Diabetes Program
    1200 New Jersey Ave SE
    Room W64-224
    Washington, DC 20590
    Phone: 703.448.3094
    Fax: 703.448.3077

More information

If you have questions about… Contact
  • Processing of CDL medical waivers
  • Your record
  • Federal Medical Examination Reports
  • Disqualifying conditions or medications
Call FMCSA: 360.753.9875
Washington Healthcare Finder
Access Washington