Minnesota lets a 15-year-old get a restricted driver's license to drive for their own medical reasons, a relative's medical reasons or a relative's disability, under Minnesota Statutes section 171.042. This form documents that need. A doctor can sign it, or a relative can, and the teen shows it at the road test and submits it with the license application.
The applicant's name, date of birth and license number go at the top. Either a relative (grandparent, parent, sibling or legal guardian) or a doctor signs the declaration; a doctor may provide a statement on letterhead instead.
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License for Medical Reason Exemption
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No. The form can be completed by the applicant's relative or by a doctor. If a doctor is involved, they can either sign the form or provide a statement on letterhead instead. Qualifying relatives are grandparents, parents, siblings and legal guardians, including adoptive, half, step and in-law relationships.
An applicant at least 15 but under 16 who needs to drive for personal medical reasons, for a relative's medical reasons, or for a relative whose disability makes driving difficult or who has no license because of a disability. The license is issued under Minnesota Statutes section 171.042.
The applicant shows the completed form to the examiner at the road test, then submits it with the license application after passing. Providing it is voluntary, but DVS considers the application incomplete without it. The current version is PS30188-6, dated July 2023.