Physician Statement on letterhead, that includes: your diagnosis, the date(s) of your last seizure, the anti-seizure medication you take, the date of the last change in anti-seizure medication, and a sentence of support for your driving commercially. A copy of your driver’s license, front and back 3-year driving history The type of vehicle you would be driving. DOT # Completed Authorization for Release of Medical Information Form A statement that you are an interstate commercial driver. In order to grant an exemption, the Agency must ensure that each exemption would maintain a level of safety equivalent to, or greater than, the level achieved without the exemption. The process for determining whether to grant an exemption follows: FMCSA must assure we have all the requested information. FMCSA is required to prepare a Federal Register notice requesting public comment on any application for a medical exemption. The notice includes personal information about you and your medical condition. There may be other drivers published in the same notice, asking for the same type of medical exemption. To publish your name and relevant medical information to the Federal Register docket, we require that you complete and sign the of “Release Information”. The public is allowed a 30-day period to comment on the exemption application. FMCSA reviews all of the comments. Then the Agency makes a decision on your application. You will be notified in writing of the decision. FMCSA will also evaluate your driving record to assess for serious violations and/or repeated violations (speeding, crashes, etc). Once you have collected all of the requested information, please send it to the following address: Federal Motor Carrier Safety Administration Medical Programs Division, W64-220 (Seizure Exemptions) 1200 New Jersey Ave, SE Washington DC 20590 If you require any assistance in preparing your application or have questions regarding your eligibility, please contact the Medical Programs Division at 202-366-4001 or email at Thank you and we look forward to assisting you!
Physician Statement on letterhead, that includes: your diagnosis, the date(s) of your last seizure, the anti-seizure medication you take, the date of the last change in anti-seizure medication, and a sentence of support for your driving commercially. A copy of your driver’s license, front and back 3-year driving history The type of vehicle you would be driving. DOT # Completed Authorization for Release of Medical Information Form A statement that you are an interstate commercial driver. In order to grant an exemption, the Agency must ensure that each exemption would maintain a level of safety equivalent to, or greater than, the level achieved without the exemption. The process for determining whether to grant an exemption follows: FMCSA must assure we have all the requested information. FMCSA is required to prepare a Federal Register notice requesting public comment on any application for a medical exemption. The notice includes personal information about you and your medical condition. There may be other drivers published in the same notice, asking for the same type of medical exemption. To publish your name and relevant medical information to the Federal Register docket, we require that you complete and sign the “Release of Information”. The public is allowed a 30-day period to comment on the exemption application. FMCSA reviews all of the comments. Then the Agency makes a decision on your application. You will be notified in writing of the decision. FMCSA will also evaluate your driving record to assess for serious violations and/or repeated violations (speeding, crashes, etc). Once you have collected all of the requested information, please send it to the following address: Federal Motor Carrier Safety Administration Medical Programs Division, W64-220 (Seizure Exemptions) 1200 New Jersey Ave, SE Washington DC 20590 If you require any assistance in preparing your application or have questions regarding your eligibility, please contact the Medical Programs Division at 202-366-4001 or email at Thank you and we look forward to assisting you!
Seizure-Exemption-Application.docx