Medical Forms

All forms are in pdf format and require Adobe Acrobat Reader to view and print.

• Medical Review Request (MED-3)

• Customer Medical Report (MED-2)
  • MED-2 Instructions

• Vision Screening Report (MED-4)

• CDL Disability Waiver or Hazardous Materials Variance Application (MED-30)

• Conditions of Variance for CDL Drivers to Haul Hazardous Materials (MED-31)

• Vision Exam Form for Wearers of Bioptic Telescopic Lens (MED-40)

• Certification for Use of Bioptic Telescopic Lens (MED-41)

• Driver Licensing Info for Bioptic Telescopic Lens Wearers (MED-44)

• Sun-Shading Medical Waiver Application (MED-20)

• Sun-Shading Removal Certification (MED-21)