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An individual may apply for an exemption from the diabetes and vision standard, section 391.41(b)(3) and 391.41(b)(10) of the regulation, by utilizing these programs. If you do not currently meet the diabetes and/or vision standard and are unable to obtain a medical card, you may be an eligible candidate. Please note that all exemption programs are for drivers who intend to operate commercial motor vehicles (CMVs) in interstate commerce. FMCSA does not have statutory authority to grant waivers/exemptions to drivers from states' intrastate requirements. Therefore, the FMCSA waivers/exemptions do not permit regulatory relief for drivers who plan to limit their operations to intrastate commerce. Interstate Commerce is trade, traffic, or transportation involving the crossing of a State boundary. Either the vehicle, its passengers, or cargo must cross a State boundary, or there must be the intent to cross a State boundary to be considered an interstate carrier. Intrastate commerce is trade, traffic, or transportation within a single State. Please click here for more information on Interstate Commerce
Interstate commerce is determined by the essential character of the movement, manifested by the shipper's fixed and persistent intent at the time of shipment, and is ascertained from all of the facts and circumstances surrounding the transportation. When the intent of the transportation being performed is interstate in nature, even when the route is within the boundaries of a single state, the driver and the CMV are subject to Federal Motor Carrier Safety Regulations.
Please note that the exemption programs are for drivers of CMVs that intend to operate in interstate commerce in the United States. The Federal Motor Carrier Safety Regulations define the United States as the 50 states and the District of Columbia. Please e-mail all questions concerning Driver Exemption Programs to medicalexemptions@dot.gov. NOTE: All packages above are provided in PDF format.
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