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Texas CDL-37 Intrastate Limb Waiver Packet

Texas commercial drivers with a missing or impaired limb need an Intrastate Limb Waiver to hold a CDL with an intrastate restriction, and this 22-page DPS packet is how they apply. It bundles the waiver application, a five-page Medical Evaluation Summary for an orthopedic surgeon or physiatrist, and a Texas physical examination form for a licensed medical examiner.

Who completes it

A board-qualified or board-certified orthopedic surgeon or physiatrist completes Part III of the Medical Evaluation Summary; a licensed medical examiner completes the physical examination form; the driver and motor carrier complete the application and the Part II job tasks.

Submitting and payment

How to submit it
Return the packet to the DPS CDL Section of Issuance Services within 45 days or the file is inactivated; DPS asks for the completed originals of the Physical Examination Form and Medical Evaluation Summary by mail.

Good to know

  • A general practitioner's signature alone is not sufficient on the Medical Evaluation Summary; it must come from a board-qualified or board-certified physiatrist or orthopedic surgeon.
  • For upper limb amputation or impairment, the summary must state that the applicant can show precision prehension and power grasp with each upper limb separately.
  • For limb impairment, explain how the impaired area interferes with the listed job tasks and whether the condition will likely stay medically stable over the driver's lifetime.
  • The waiver covers intrastate driving only. To hold a Texas CDL without the intrastate restriction, the driver can apply to FMCSA for an interstate limb waiver instead.

Get the official form

Download the current version from the source each time; forms change without notice.

Texas Intrastate Limb Waiver Application and Physical Examination Report

Official pagePDF

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How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

Who can complete the Medical Evaluation Summary in Texas CDL-37?

Only a board-qualified or board-certified physiatrist or orthopedic surgeon. The applicant and the specialist review Part II and check every box that applies to the driving duties and environment, and the specialist answers Part III on strength, mobility, stability, grip, prosthesis fit and lifetime stability.

What happens after DPS processes a Texas limb waiver application?

The driver is told to contact the nearest driver license office for a comprehensive driving examination. The driver supplies a test vehicle meeting federal equipment standards, uses the clutch if the vehicle has one, wears any required prosthesis and has any special equipment installed.

Does the medical examiner's certificate change with a limb waiver?

Yes. The CDL-37 instructions tell a medical examiner who finds the driver otherwise qualified to check on the medical certificate that the driver is qualified only if accompanied by an SPE or limb waiver certificate. Driver and carrier face penalties if the driver operates without a current one.