601 KAR 11:040 sets forth the procedure and standards for obtaining an Intrastate Medical Waiver. If a commercial driver does not meet the federal medical guidelines outlined in 49 CFR 391., subpart E, he may apply for this Intrastate Medical Waiver.
The driver may contact the Division of Driver Licensing in Frankfort to apply for this waiver. At that time, the driver will be sent a medical waiver packet containing a form, "Request for Medical Waiver." Also in the packet are the following supplemental medical report forms: Cardiovascular Conditions, Neurological Conditions, Musculoskeletal Conditions, Metabolic Conditions, Alcohol or Drug Dependence, Mental and Emotional Conditions, and Vision Conditions. A licensed physician shall determine which forms apply to the applicant's medical condition and complete these forms. If the vision form is applicable, an optometrist or ophthalmologist must complete the form. Along with the request for waiver and appropriate medical report forms, the Division of Driver Licensing must receive a long-form copy of the driver's last DOT physical examination.
The Division of Driver Licensing will base its decision on granting the requested waiver from the information obtained from the medical report forms, the DOT physical, and the applicant's driving history. If the Intrastate Medical Waiver request is granted, the applicant will receive a letter of approval along with the Medical Waiver card that indicates "Medical Waiver Granted, Kentucky Transportation Cabinet." This card will indicate, "This waiver is valid during Intrastate Commerce Only." The CDL license or permit will indicate the "K" restriction (intrastate only).
After being granted a medical waiver, the driver must submit periodic medical updates. The proper forms will be computer generated and automatically mailed to the driver. If the Division of Driver Licensing does not receive the updated information within 45 days, the Intrastate Medical Waiver, along with the driver's commercial driving privileges, will be canceled and remain canceled until the information is received.