Puerto Rico medical forms for physicians: CESCO, DTOP and SINOT

Driver's license, eye exam, parking placard and seat belt or tint certifications for CESCO, plus the SINOT disability certificate, with who signs each one.

Puerto Rico's clinician forms come from two agencies. The Departamento de Transportación y Obras Públicas (DTOP) issues the driver and parking certifications through CESCO, and the Department of Labor and Human Resources (DTRH) runs SINOT, the non-occupational disability insurance program. Physicians see the Medical Certification for a Driver's License Certificate (DTOP-DIS-260) most, since every new license or learner's permit needs one, followed by the removable parking placard application (DTOP-DIS-010). This hub lists 6 forms, including the eye doctor's DTOP-789 and the SINOT SI-1 Part C.

Plan on Spanish: 6 of these forms are in Spanish, and the DTOP forms exist only in Spanish, so the English names shown are translations. Most are flat PDFs that the patient presents at CESCO. Only a physician licensed in Puerto Rico may sign the DTOP-DIS-260, and CESCO accepts no blanks or alterations. The placard and the seat belt or window tint exemption (DTOP-375) need a specialist physician. On the SI-1, each treating physician, chiropractor or psychologist completes a separate Part C.

State disability and paid leave

All State disability and paid leave forms

SI-1

Application for Disability Benefits Covered by Act 139 (Industrial and Agricultural Phase) - Part C Medical or Psychological Certificate

Solicitud de Beneficios por Incapacidad, Ley Núm. 139 del 26 de junio de 1968, enmendada (Fase Industrial y Agrícola) - Parte C Certificado Médico o Psicológico

Certifies a worker's temporary non-occupational disability (diagnosis, treatment and period of incapacity) for Puerto Rico SINOT benefits under the government-administered plan.

Completed by: Each treating physician, chiropractor or psychologist authorized to practice in Puerto Rico (or the medical-records custodian of the treating institution)
Issued by: Puerto Rico Department of Labor and Human Resources (DTRH), Bureau of Workers' Benefits, Disability Insurance Program (SINOT)
Format: PDF
Language: English and Spanish

Official page PDF Versión en español Form details

Driver medicals

All Driver medicals forms

DTOP-DIS-260

Certificación Médica para Certificado de Licencia de Conducir

Medical Certification for Driver's License Certificate

Physician personally examines a learner's permit or driver's license applicant (visual acuity, physical and mental condition) and certifies whether they are fit to drive under Ley 22-2000.

Completed by: Physician licensed to practice in Puerto Rico
Issued by: Departamento de Transportación y Obras Públicas (DTOP), Directoria de Servicios al Conductor (CESCO), Puerto Rico
Format: PDF
Language: Spanish

Official page PDF Form details

DTOP-789

Certificado del Oftalmólogo u Optómetra

Ophthalmologist or Optometrist Certificate

Eye doctor reports acuity, depth perception, peripheral vision and whether the applicant can drive (with lenses or daylight-only), required for heavy and Tipo 1-4 categories.

Completed by: Ophthalmologist or optometrist authorized to practice in Puerto Rico
Issued by: Departamento de Transportación y Obras Públicas (DTOP), Directoria de Servicios al Conductor (CESCO), Puerto Rico
Format: PDF
Language: Spanish

Official page PDF Form details

DTOP-DIS-260a

Certificación Médica para Certificado de Licencia de Conducir Vehículos de Motor Comercial de Pasajeros

Medical Certification for Commercial Passenger Motor Vehicle Driver's License

Physician examines an applicant for chofer/heavy passenger categories, covering amputations, insulin-treated diabetes, cardiovascular, respiratory, hypertension, musculoskeletal and other conditions.

Completed by: Physician licensed in Puerto Rico
Issued by: Departamento de Transportación y Obras Públicas (DTOP), Directoria de Servicios al Conductor (CESCO), Puerto Rico
Format: PDF
Language: Spanish

Official page PDF Form details

DTOP-375

Certificación Médica para Exención Cinturón de Seguridad / Tintes

Medical Certification for Seat Belt or Window Tint Exemption

Specialist physician certifies the patient's diagnosis and why a seat belt cannot be used or darker window tint is medically needed.

Completed by: Specialist physician authorized to practice medicine in Puerto Rico
Issued by: Departamento de Transportación y Obras Públicas (DTOP), Directoria de Servicios al Conductor (CESCO), Puerto Rico
Format: PDF
Language: Spanish

Official page PDF Form details

Disability parking and paratransit

All Disability parking and paratransit forms

DTOP-DIS-010

Solicitud Permiso de Estacionamiento en Forma de Rótulo Removible para Personas con Impedimentos Físicos

Application for Removable Placard Parking Permit for Persons with Physical Disabilities

Specialist physician certifies one of the qualifying conditions listed in Ley 22-2000 (paralysis, amputation, severe cardiac/respiratory disease, morbid obesity, MS, severe Down syndrome, etc.) for a permanent or temporary removable placard (rótulo removible).

Completed by: Médico especialista (specialist physician); physiatrist or rheumatologist for fibromyalgia/CFS/lupus/RA
Issued by: Departamento de Transportación y Obras Públicas (DTOP), Directoria de Servicios al Conductor (CESCO), Puerto Rico
Format: PDF
Language: Spanish

Official page PDF Form details

More US forms

Driver medicalsState DMVs154 forms Disability parking and paratransitState DMVs, transit agencies and airlines104 forms State disability and paid leaveCalifornia, New York, New Jersey and the paid leave states51 forms

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 sign the DTOP-DIS-260 driver's license medical certification?

A physician licensed to practice in Puerto Rico who personally examines the applicant. The physician checks visual acuity and physical and mental condition and certifies whether the person is fit to drive under Ley 22-2000. Every new license or learner's permit needs one. The form is a single legal-size page, Spanish-only, and CESCO accepts no blanks or alterations. The applicant presents it at CESCO with the license application.

Which doctors can certify a Puerto Rico parking placard on the DTOP-DIS-010?

A specialist physician (médico especialista) completes the Certificación de Elegibilidad on page 2. For fibromyalgia, chronic fatigue syndrome, lupus or rheumatoid arthritis, the certifier must be a physiatrist or rheumatologist. The physician certifies one of the qualifying conditions listed in Ley 22-2000, such as paralysis, amputation, severe cardiac or respiratory disease or multiple sclerosis, for a permanent or temporary removable placard. The applicant files it at CESCO with three 2x2 photos.

When does a Puerto Rico driver need the DTOP-789 eye certificate?

For the heavy vehicle and Tipo 1-4 license categories. An ophthalmologist or optometrist authorized to practice in Puerto Rico completes Parts II and III, reporting acuity, depth perception and peripheral vision, and states whether the applicant can drive, with lenses or in daylight only. The applicant presents it at CESCO, and it is valid for six months. Commercial passenger license categories use the physician's DTOP-DIS-260a medical certification instead.

Who completes Part C of the SINOT SI-1 disability application?

Each treating physician, chiropractor or psychologist authorized to practice in Puerto Rico, or the medical records custodian of the treating institution. Each provider fills in a separate Part C certifying the diagnosis, treatment and period of non-occupational disability. The worker mails it with Parts A and B to DTRH, or delivers it to a DTRH office, within 3 months of the start of disability. There is no online filing. Workers covered by a private SINOT plan use that plan's own form.