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Medical Waivers Information

The Motor Carrier Safety Appeal Board was created by the Motor Carrier Safety Act, Public Act 181 of 1963, as amended, MCL 480.13. The purpose of the board is to hear and decide applications for waivers from medical requirements of this act and the rules promulgated under this act. The safety appeals board consists of one member from each of the following: the director of the Department of State Police or his/her designee, the Secretary of State or his/her designee, the director of the Michigan Department of Transportation or his/her designee, and one representative of the motor carrier industry chosen jointly by these three department heads and the Michigan Trucking Association.


Medical Waivers are no longer required for drivers with insulin-treated diabetes mellitus (ITDM).

On November 19, 2018, the Federal Motor Carrier Safety Regulations regarding ITDM changed.  A person with ITDM may be qualified to drive a commercial motor vehicle if he or she meets the requirements of 49 CFR 391.46

The commercial driver must have his or her “Treating Clinician” complete the Insulin-Treated Diabetes Mellitus Assessment Form, MCSA-5870, and provide the completed form to the Certified Medical Examiner.  If after reviewing the MCSA-5870, the Certified Medical Examiner determines the driver has a stable insulin regimen and properly controlled diabetes, a medical examiners certificate will be issued.


FMCSA Amends Vision Qualification Standard

On January 21, the Federal Motor Carrier Safety Administration (FMCSA) issued a final rule amending its vision standard. The new regulation permits individuals who do not satisfy, with the worse eye, either the existing distant visual acuity standard with corrective lenses or the field of vision standard, or both, to be physically qualified to operate a commercial motor vehicle (CMV) in interstate commerce. The final rule is effective March 22, 2022.

Individuals must satisfy the new alternative vision standard along with FMCSA's other physical qualification standards and be evaluated by an ophthalmologist or optometrist who records the findings on the new Vision Evaluation Report, Form MCSA-5871. The recorded vision finding is included as part of the medical examiner's physical qualifications, and if the examiner finds the individual meets the physical qualification standards, may issue a Medical Examiner's Certificate, form MCSA-5876, for a maximum of 12 months.

In addition, with limited exceptions, individuals physically qualified under the alternative standard for the first time must satisfactorily complete a road test administered by the employing motor carrier before operating a CMV in interstate commerce. This rule eliminates the need for the current Federal vision exemption program, as well as the Michigan medical waiver for vision for drivers operating under the previously administered vision waiver study program.


  • A waiver issued by the State of Michigan allows the driver to engage in intrastate operations only (within the borders of the State of Michigan). The waiver is not valid for movements made in continuation of interstate commerce, for example, U.S. Mail, delivery of air freight, or as part of a movement that has an origin or destination outside of Michigan

    An application for a waiver shall be submitted jointly by the person who seeks a waiver of his or her physical disqualification and by the motor carrier that will employ the person if the application is granted.

    Any supporting documentation from medical professionals and the potential employer is welcome.

    The medical condition dictates what information is required.


    Please select instructions for a specific condition:

    NOTE: If you have a disqualifying medical condition not listed above, please contact the Medical Waiver Unit for guidance.

  • Applicants with a history of seizures, insulin use, and cardiovascular conditions must attend a Motor Carrier Safety Appeal Board meeting before a waiver will be granted. Applicants for a vision or limb impairment may be required to attend a Motor Carrier Safety Appeal Board meeting.

    The board meets the third Wednesday of January, April, July and October. All documents must be received two weeks before the board meeting.

    NOTE: The Motor Carrier Safety Appeal Board's meeting dates are subject to change.

  • Effective January 1, 2015, Grandfather Rights Cards issued under Section 4 of Public Act 181 of 1963, as amended, are not valid.

  • School bus drivers are not eligible for any medical waiver.

  • This application must be completed accurately. This information is used in determining the areas of operation, the specifications of the vehicle and the commodities transported. If the waiver is granted, this information will be found on the medical waiver card that the driver carries and may limit the scope of operation. It is necessary to indicate the maximums for this purpose. Failure to give complete and accurate information may cause delay in obtaining a medical waiver. Application packets that are incomplete or missing required documents will be returned to the applicant. A list of common problems with the applications may be reviewed.

  • Drivers who operate in interstate commerce must apply for an exemption from the Federal Motor Carrier Safety Administration. Information can be found at the following:


Please contact the Medical Waiver Unit at the following:

Michigan State Police
Commercial Vehicle Enforcement Division
Medical Waiver Program
P.O. Box 30634
Lansing, MI 48909-0634
Phone: 517-284-3243
Fax: 517-284-8127