Forms & Resources


Helpful Links:

Federal Motor Carrier Safety Administration: http://www.fmcsa.dot.gov        
Department of Transportation: http://www.dot.gov    
Pennsylvania Motor Truck Association: http://www.pmta.org

Forms:

Employer Authorization Form    
Workers Comp Authorization Form

Resources:

If any of the following conditions apply to your medical history, please review the following links. To expedite your exam and certification we request you bring the required information on the day of your visit.

Vision and Diabetes Exemption Criteria: https://www.fmcsa.dot.gov/vision-and-diabetes-exemption-criteria-2015    
Cardiovascular Disease Guidelines: https://www.fmcsa.dot.gov/regulations/medical/recommended-changes-cardiovascular-disease-guidelines
Seizure Exemption Application: https://www.fmcsa.dot.gov/advisory-committees/mrb/seizure-exemption-application    
Sleep Apnea Guidelines: https://www.fmcsa.dot.gov/driver-safety/sleep-apnea/driving-when-you-have-sleep-apnea
Other Medications: https://www.fmcsa.dot.gov/faq/what-medications-disqualify-cmv-driver
Chronic conditions requiring medications: If there is a chronic medical condition that requires you to take ongoing medication, please provide a letter from your prescribing physician that states the following:

  • Your condition is stable on the current medication

  • There have been no recent changes on the medication dosage

  • You have the ability to safely operate a commercial vehicle while on the medication.

Anti-anxiety or depression medication require a letter indicating you are on a stable dose and free of side effects.