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Cardiovascular Requirements

Before an applicant for waiver with cardiovascular conditions will be approved, the applicant must attend a meeting of the Motor Carrier Safety Appeal Board. An applicant will be scheduled to attend the next available board meeting after a completed packet is received. Packets are due no later than two weeks before the meeting date and must include:

  1. MC-027 - Application for Intrastate Medical Waiver.
  2. MC-028 - Physician's Statement of Examination. (Make sure box B, E and F are checked before printing.)
  3. A Medical Examination Report for Commercial Driver Fitness Determination (Form MCSA-5875) completed by a medical examiner familiar with the requirements of 49 CFR 391.41. (DOT Physical)
  4. Application for employment for company applicant intends to drive for.
  5. A copy of the driver's official driving record.
  6. A copy of crash reports for any accidents applicant was involved in during the previous five years.