CDL MEDICAL WAIVER INFORMATION PACKET
REQUESTING INTERSTATE WAIVER/EXEMPTION
REQUESTING INTRASTATE WAIVER
This document outlines the procedures to be followed when processing individuals for a
commercial driver’s license (CDL) physical waiver. Individuals who do not meet the physical
qualifications outlined in the Federal Motor Carrier Safety Regulations Title 49 CFR §391.41(b)
may be eligible for an exemption issued by the Federal Motor Carrier Safety Administration
(FMCSA) or an intrastate waiver issued by the Maryland Motor Vehicle Administration (MVA).
A. The FMCSA may issue an exemption that covers amputation, loss of limb, power grasping or
vision. The FMCSA may also issue a waiver for very special circumstance that is not
medically related, to include insulin dependent diabetes.
B. The MVA may issue an intrastate waiver, which covers the following physical/medical
conditions listed below.
• Amputation and loss of limb
• Power grasping and prehension
Individuals may be issued waivers with the following combined physical/medical conditions.
No other combinations will be waived.
• Vision and amputation or loss of limb
• Vision and power grasping or prehension
INTERSTATE WAIVERS AND EXEMPTIONS:
The Federal Motor Carrier Safety Administration may issue a waiver to individuals who
do not meet the qualifications of §391.41(b)(1) – (2) Title 49 CFR the Federal Motor
Carrier Safety Regulations which cover amputation, loss of a limb, power grasping or
Individuals requesting a waiver related to these medical conditions should contact:
Federal Motor Carrier Safety Administration
Ask for the Medical Program Specialist
The FMCSA may issue a vision exemption to individuals who do not meet the qualifications of
§391.41(b)(10) Title 49 CFR the Federal Motor Carrier Safety Regulations.
Individuals requiring a vision exemption should contact: