Medical Waiver Information

Medical Waiver Program

Guidelines, Requirements and Restrictions

Drivers not physically qualified to drive a commercial motor vehicle as required by 49 CFR 391.41, may apply for a Colorado State Patrol, Intrastate Medical Waiver. The authority to issue medical waivers was adopted by Colorado under the authority of 42-4-235, CRS. Applicants may obtain a medical waiver packet by contacting the Colorado State Patrol, Motor Carrier Safety Section, located at 15075 South Golden Road, Golden, Colorado 80401, or by phone at (303) 273-1875.







A medical waiver may be issued if the applicant currently drives a vehicle with a Gross Vehicle Weight Rating (GVWR) of 26,001 pounds or greater, which includes Gross Combination Weight Rating (GCWR) of 26,001 pounds or greater, when the towed unit has a GVWR of 10,001 pounds or more by itself; OR a bus designed to transport sixteen or more passengers including the driver, this includes school and church buses. Individuals must currently hold a Commercial Driver's License, or be in the process of obtaining a Commercial Driver's License. A medical waiver will not be issued to persons who do not meet these requirements. Waivers are issued to individuals who have failed to meet the requirements of 49 CFR 391.41 for the following conditions:
391.41(b)(1)and(b)(2)-Loss of limb;
391.41(b)(3)-Clinical diagnosis of diabetes mellitus currently requiring insulin for control;
391.41(b)(10)-Vision requirements;
A medical waiver cannot be issued for multiple disqualifying conditions.


In addition to a completed waiver application, interested parties must also submit the following:

  •  A copy of the applicant's official driving record from the Department of Revenue, listing accidents, driving arrests, license suspensions, revocations or denials, and all traffic convictions, except parking violations, within the last five years.
  • The original medical examination form (DOT physical form) completed pursuant to 391.43, indicating that the applicant is medically unqualified.
  • Copies of all valid medical waivers issued to the applicant by any local, state or federal agency.
  • A letter from the employing motor carrier stating the carrier understands, and is aware of the applicant's medical condition, and wants the applicant to continue his or her employment with the carrier.


A Colorado State Patrol Medical Waiver of Physical Defects authorizes the applicant to drive a commercial motor vehicle (CMV) in INTRASTATE commerce only. The waiver is valid only while the applicant is transporting commodities other than bulk hazardous materials, as defined in 49 CFR 171.8 or commodities with a hazard class identified in 49 CFR 172.504 Table 1, or subject to the "Poison by Inhalation Hazard" shipping description in 49 CFR 172.203(m)(3). The waiver is also subject to other restrictions based upon individual applications. For further information regarding this program, please contact the Colorado State Patrol Motor Carrier Safety Section at (303) 273-1875. Information regarding driver's qualifications may be obtained from the Federal Motor Carrier Safety Regulations Title 49, Part 391.41.



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