If you are a commercial driver and do not meet minimum medical standards, you may use a form like this to apply for an intrastate medical waiver. This form must be filled out by you and your medical examiner.
This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
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Submit your CDL Self-Certification and Medical Certificate to Utah DLDCommercial Driver License Medical Self Certification download the form (CDL 42) here from Utah Department of Public Safety.Copy of your valid DOT Medical Examiner's Certificate (MCSA-5876) and, if applicable, your Utah Intrastate Waiver card.
A medical examiner's certificate, which is commonly known as a DOT medical card, provides proof the driver has meet the medical requirements to hold a CDL.
Utah Disqualifications A driver of a commercial motor vehicle who holds or is required to hold a CDL is disqualified for not less than 60 days from driving a commercial motor vehicle if the driver is convicted of two serious traffic violations (120 days if the driver is convicted of three or more).
Utah CDL Requirements All CDL holders have to certify driving type, and if required you must keep a valid medical card on file with Utah DMV. Your self-certification of driving type tells DMV which qualifications you must meet to hold a CDL.
Serious violations that will result in a CDL disqualification include: Excessive speeding 15 mph or more above the posted speed limit. Reckless driving. Improper or erratic lane changes.
DOT MEDICAL CERTIFICATION (DOT Card)Any driver who drives for commerce in a vehicle with a gross weight rating of 10,001 pounds is required to have a DOT medical card in their possession. To obtain and maintain a CDL you may be required to have a DOT medical card.
Unfortunately, a DUI conviction can not only result in jail time and fines but also the suspension of a CDL. Contact Us! According to the Utah Driver License Division (DLD), a DUI is considered a major offense that results in CDL disqualification.
DOT Physical Exam Locations in UtahRosquist Chiropractic and Acupuncture Clinic. 3409 W 12600 S, Riverton, UT 84065.South Valley Chiropractic. more than 50 driver reviews. 834 E 9400 S, Sandy, UT 84094.Chiro Stop at Sapp Bros Truck Stop. 15 driver reviews. 1953 California Avenue, Salt Lake City, UT 84104.
To remove this restriction from a CDL license, the driver must pass the air brakes written exam, purchase a CDL permit with the restriction removed, pass a full driving skills test in a vehicle equipped with air brakes and purchase a new CDL. All normal fees apply.
How to get a DOT medical certificationContact an approved medical provider. The DOT requires drivers to complete their physical exams through an approved provider.Take the DOT physical examination.Submit your DOT medical card.Follow renewal guidelines.
