Puerto Rico's CESCO requires this Spanish-language medical certification when a driver seeks an exemption from the seat belt law or permission for window tint darker than the law allows. A specialist physician states the patient's diagnosis, medications and doses, and how long the patient has been under their care, then certifies the exemption they recommend under Ley 22-2000.
A specialist physician authorized to practice medicine in Puerto Rico completes and signs the entire certification, including the patient's identifying details, with license number and contact information.
Download the current version from the source each time; forms change without notice.
Certificación Médica para Exención Cinturón de Seguridad / Tintes
Medical Certification for Seat Belt or Window Tint Exemption
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
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.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
No. The Departamento de Transportación y Obras Públicas publishes it only in Spanish as Certificación Médica para Exención Cinturón de Seguridad / Tintes. The physician completes it in Spanish, marks the exemption sought and signs under 'Certifico correcto'.
A specialist physician (médico especialista) duly authorized to practice medicine in Puerto Rico. The physician names their specialty, states the period the patient has been under their care and gives license number, physical address, email and phone.
Not exactly. The physician certifies that the condition requires darker tint than the law permits and recommends that DTOP evaluate allowing a percentage lower than the 35% permitted by law. The exemption request itself is filed on DTOP-DIS-265.