Medical Waivers


NOTE: This regulatory change provides a process by which those with insulin-treated diabetes have an opportunity to pass the DOT physical examination without a waiver/exemption according to the federal requirements.  Effective 11/19/18, changes took place affecting the Federal Motor Carrier Safety Administration (FMCSA) Driver Qualifications: Diabetes Standard – CFR 391.41 (b)(3). Click here to be taken to the FMCSA’s website for this updated information.

  • As a result, the Colorado Intrastate CDL Diabetes Waiver Program is no longer accepting insulin-treated diabetes waiver applications UNLESS the DOT physical examination occurred PRIOR TO 11/19/2018.

NOTICE: Once you have made the transition to the new diabetes standard, you are no longer required by the Colorado Intrastate CDL Medical Waiver Program to have the K (intrastate only) and V (medical variance) restrictions noted on your commercial driver license. You need to request this by visiting your local driver license office in person and obtaining a new credential.

An INTRASTATE CDL may be considered for either a VISION or LIMB IMPAIRMENT/AMPUTATION condition, you hold or are actively applying for a Colorado commercial driver license (CDL) AND you will not be operating in INTERstate commerceA waver will not be considered for more than ONE condition.

These conditions will be identified by a Certified Medical Examiner during your DOT physical examination. To locate a Certified Medical Examiner, select the link for National Registry of Certified Medical Examiners at right.

You are responsible for understanding and following the requirements and restrictions of the waiver program. Violation of any requirement and/or restriction of the program may results in the cancellation of your waiver.

  • Vision waiver information and downloadable forms are found by clicking on the State Forms and Publications button to the right. EFFECTIVE JANUARY 1, 2019, VISION WAIVER FORMS WITH A REVISION DATE PRIOR TO 2017 WILL NOT BE PROCESSED. 
  • Limb waiver/SPE information and application packet may be obtained by contacting the Medical Waiver Program Manager at 303.273.1875.

PLEASE allow at least 2 weeks for application processing. Applications cannot be emailed or faxed for consideration.

For questions regarding the Colorado CDL Medical Waiver Program, please contact the Colorado State Patrol/Motor Carrier Section at 303-273-1875.

Who's eligible to apply for an Intrastate medical waiver?

Who’s eligible to apply for an Intrastate medical waiver?​

Colorado, by statute, requires the same physical requirements listed in 49 CFR 391.41-391.49 for INTRAstate (Colorado-only) CDL drivers as INTERstate (crossing into other states) commercial drivers.

Please review the situations below to determine if you may be eligible for the Colorado CDL Medical Waiver Program. You MUST be a CDL (Commercial Driver’s License) holder, or in the process of APPLYING for a CLP (Commercial Learners Permit) as one requirement of the program.

  1. If you are a CDL driver operating in Intrastate (CO) commerce ONLY, you may be eligible to apply for an intrastate CDL medical waiver, depending upon the condition in question.
  2. If you are a NON-CDL driver operating in Intrastate (CO) commerce ONLY, you are not required by State law to hold a medical certificate.  However, your company may utilize this standard; as a COMPANY policy.  If this is the case, and you will NOT be pursuing a CDL or CLP, the company must make the decision whether to require you to hold this certificate, or if the COMPANY will waive this company policy for you.
    1. If you are a NON-CDL Driver, but drive for a taxi, limo, ride-sharing, or shuttle company, and are required to hold a medical card, you must apply to the Public Utilities Commission (PUC)
  3. If you are a commercial driver (either CDL or non-CDL) in Interstate (crossing into other states) commerce, you are required by Federal regulations to hold a DOT medical certificate.  In this case, you must contact the Federal Motor Carrier Safety Administration Exemption Program team.  You can find their information on their website:   If you have any questions, please contact FMCSA directly at or 703-448-3094.
What conditions can be considered?


Individuals must currently hold a Colorado Commercial Drivers’ License (CDL), a Commercial Learners Permit (CLP) or be in the process of obtaining one.

  • The Colorado INTRASTATE Waiver program may consider a waiver for individuals who have failed to meet the requirements of 49 CFR 391.41 for the ONLY ONE following permanent conditions:
    1. 391.41(b)(1)-Loss of Limb and (b)(2)-Impairment of Limb (this condition requires a specific waiver application known as a Special Skills Evaluation or SPE);
    2. 391.41(b)(10)-Visual Acuity

A medical waiver will not be considered for persons who do not meet these requirements.  Waivers will not be granted for multiple disqualifying conditions.

  • The Colorado CDL Intrastate Medical Waiver Program does not approve waivers while temporarily unable to pass the DOT medical examination. The Department of Revenue, Division of Motor Vehicles, has processes in place for those circumstances.  The CDL Unit may be reached at 303-205-5843 for more information.
How do I apply for a new, or renew, my Waiver?


You are required to renew your medical card and waiver PRIOR to expiration. There is no “grace period” for these items. If you allow your medical card OR waiver card to expire, it is unlawful for you to operate any commercial vehicle which requires medical certification.

The following information is required in order to process your application:

  1. Applicant Information Form;
  2. Copy of the Medical Examination Report Form (also known as the long form) completed by an examiners listed on the National Registry of Medical Examiners;
  3. Copy of the Medical Examiner’s Certificate (also known as the DOT card);
  4. State waiver forms the corresponds to the condition to are requesting to be waived;
  5. A copy of the front and back of your current driver’s license.

Please call prior to submitting the application if you have any questions. Incomplete applications will delay processing.

Application are processed either BY MAIL or BY APPOINTMENT.

Mail Applications to:
Colorado State Patrol
CDL Medical Waiver Program
15075 South Golden Road
Golden, CO 80401

Appointments may be made by calling:    303.273.1875.

What are the restrictions and requirements of the program is a waiver is granted?


If you are granted a Colorado CDL Intrastate Medical Waiver, you are responsible for understanding and complying with all requirements and restrictions of the Program. Violation of any requirement and/or restrictions of the program may result in the cancellation of your waiver.

  1. VALID for driving a CDL-required vehicle in INTRASTATE commerce ONLY.
  2. NOT VALID to transport:
    • 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
    • commodities subject to the “Poison by Inhalation Hazard” shipping description in 49 CFR 172.203(m)(3)

Certain other restrictions may be imposed based upon medical evaluations on a case-by-case basis.

You are required to report, in writing, within 15 days any of the following events:

  1. Any citations for traffic violations in ANY vehicle.
  2. The judicial/administrative disposition of that citation for a moving violations following notice of disposition
  3. Involvement in ANY accident. Include copies of State, insurance company, and/or motor carrier accident reports.
  4. Any change of name, contact information, driving status, or change in medical condition
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Once you have submitted an application, it will take time to review and process it. Most importantly, if you have not followed the program instructions available through this page and any of the required documents have not been completed, it will be returned to you and the process starts over again (i.e. takes a lot longer).

How long is the "grace period" after either my DOT card or waiver expires?


You can apply to renew at any time BUT you are not legal to operate a CDL-required vehicle once one or both have expired. There is no grace period. The waiver and the DOT card go together. When a waiver is required, neither is valid without the other. When one expires, they both become invalid.

Can I keep driving commercially after my medical card or waiver card is expired?


Once either has expired, you are not legal to operate a CDL-required vehicle until a new DOT card (Medical Examination Certificate) and a new waiver have been issued.

Can I renew my DOT exam and my waiver early so I don’t cut it so close?

Yes, you may renew at any time

Does my personal doctor have to be certified to do DOT exams in order to sign the waiver part of the paperwork?

NO. Only the medical examiner who issues you your DOT card must be listed on the Registry.

Which comes first – the DOT exam or the visit to my personal doctor?

Who Should I Visit First?

If you are renewing or otherwise know you will need a waiver, it may be helpful to take COMPLETED waiver paperwork with your to the DOT examination so the examiner can review it. Keep in mind, this is just the application form.

What happens if one or more of the forms are not completed properly?

Incomplete or Incorrect Forms

Incomplete/incorrect forms will be returned and therefore will delay processing. ALL ITEMS MUST BE COMPLETED.