CDL VISION WAIVER INSTRUCTIONS ~ INTRASTATE, ONLYVision requirements for a Commercial Driver License are 20/40 vision or better. If you do not meet the requirements, you may be eligible for a waiver. Please read the following carefully. If you feel you may qualify for a waiver, please follow all instructions and submit by mail or fax as shown at the bottom of the page. To obtain this exemption, you must be qualified under all of the other physical standards in 49 CFR 391.41. The information you must submit, which is listed below, will enable us to evaluate the safety impact of any exemption. Complete the following, in full: NAME (FIRST, MIDDLE, LAST) DATE OF BIRTH MAILING ADDRESS (HOUSE NUMBER AND STREET NAME, CITY, STATE AND ZIP CODE E-MAIL ADDRESS DAYTIME TELEPHONE NUMBER FAX NUMBER I certify that I have operated a commercial motor vehicle on public highways of Alaska. I acknowledge that I must be otherwise qualified under 49 CFR 391.41(b)(1-13) or hold another valid medical exemption before I can legally operate a commercial motor vehicle in INTRASTATEcommerce. SIGNATURE DATE The following items must be submitted before your application will be considered: 1. Your driving record for the 3-year period from DMV: 2. A medical examiner's certificate, from a medical examiner, that bears the statement "Medically unqualified unless accompanied by a Federal/State Vision Exemption". a. You must have been examined by an ophthalmologist or an optometristin the last 3 months. The documentation required is a signed statement on letterhead by the ophthalmologist or optometrist which: i. Identifies and defines the nature of the vision deficiency, including how long you have had the deficiency; ii. States the date of examination; iii. Certifies that the visual deficiency is stable; iv. Identifies the visual acuity of each eye, corrected and uncorrected; v. Certifies that in the opinion of the medical provider, you have sufficient vision to perform the driving tasks required to operate a commercial vehicle. Mail or deliver all required items to the address below or fax to: (907) 365-1220 Division of Measurement Standards and Commercial Vehicle Enforcement 11900 Industry Way, Building M Anchorage, AK 99515-3592 Upon receipt of current and complete information, an evaluation for an exemption from the state vision standard will be conducted, and you will be notified of the results. If you do not provide this information, your application will be returned for the additional items. An exemption may be issued for a maximum of 1 year, but may be renewed at the discretion of the MS&CVE. Any exemption issued in response to your application is valid for operations only within Alaska. It does not exempt you from the physical qualifications from any bordering jurisdiction. If you have any questions, please call Jess Seward: 907-428-1333
