Connecticut lets intrastate commercial drivers with epilepsy or another condition that may cause loss of consciousness apply for a waiver from federal rule 49 CFR 391.41(b)(8). This report gives DMV the medical picture: diagnosis and onset, last episodes of altered consciousness, seizure category, anti-seizure medications and their stability, findings and test results, and the examiner's opinion on safe commercial driving.
The applicant completes Part 1, acknowledging the eligibility criteria and signing a certification and release. A medical examiner (licensed physician, PA or APRN) completes Part 2 from a personal examination.
Download the current version from the source each time; forms change without notice.
Seizure Medical Report
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It depends on the diagnosis. Epilepsy or seizure disorder: 8 years, on or off medication, or 8 years from when medication stopped. Single unprovoked seizure: 4 years. Single provoked seizure: case by case for low-risk factors, 8 years for moderate-to-high-risk factors such as stroke or brain tumor.
A medical examiner, defined on the form as a licensed physician, physician assistant or APRN, based on a personal examination within 90 days. Attach laboratory and diagnostic test reports, list all medications, and initial and date your opinion on whether the applicant may safely operate a commercial vehicle.