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Medical Waivers

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.


For Drivers Who Operate Intrastate Only

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.

All requests for a waiver require the submission of ALL of the following:

  1. A completed MC-027 - Application for Waiver.
  2. 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.
  3. A copy of the driver's official driving record.
  4. A copy of the driver's employment application from the company they intend to drive for.
  5. A copy of crash reports for any crashes the driver has had in the last five years.
  6. At least one other medical report is required.

Any additional 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:
  1. Amputee

  2. Cardiovascular Conditions

  3. Limb Impairment

  4. Seizure

  5. Vision

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


Motor Carrier Safety Appeal Board Meeting

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.


Grandfather Rights Cards

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

School bus drivers are only eligible for a waiver from the insulin-controlled diabetes requirement. Waivers are not available for any other medical condition. A school bus driver that was employed as a school bus driver on June 22, 2010, and had diabetes noted on his or her medical exam may be exempt from the insulin disqualification. See the Michigan Department of Education's Pupil Transportation website for more guidance on this exemption.

Medical Examiners - Blue Card Information


Additional Information for Applicants

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.


Interstate Drivers

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: 517-490-7360
Fax: 517-284-8127