Prospective drivers who do not meet the physical qualifications stated in the federal motor carrier safety regulations can request an exemption to work in Missouri.
MoDOT can grant a medical exemption for intrastate commercial drivers by issuing a Skill Performance Evaluation certificate if the individual meets alternate standards which satisfy the department that the applicant can safely operate a commercial vehicle. Drivers must apply either on their own or jointly with a sponsoring employer.
MoDOT can only issue SPE Certificates to applicants who are not physically qualified because of limb amputation, limb impairment, vision impairment, or insulin-treated diabetes mellitus. If a person is not physically qualified to drive a commercial motor vehicle for any other cause or reason, MoDOT cannot issue that person a SPE Certificate.
All Applicants
Applicants should print and read each of the following. Please pay close attention to the SPE Application Instructions and checklist. To avoid delay, be sure all forms are fully complete. Incomplete applications will be returned.
Original documents of all forms must be submitted to MoDOT. We cannot accept copies or faxes.
SPE Application Instructions and Checklists 
Application for Employment Form
Driver's Road Test Form
Statement of Treating Physician
Physical Exam Medical Report Form
HIPPA Release Form
Privacy Waiver Form
Limb Impairment or Amputation
Complete each form listed under All Applicants, plus:
SPE Application Form - Limb
Limb Impairment or Amputation Medical Evaluation Form
Vision Impairment
Complete each form listed under All Applicants, plus:
SPE Application Form - Vision
Optometrist/Ophthalmologist Certification
Affidavit of Driving Experience
Insulin-Treated Diabetes Mellitus
Complete each form listed under All Applicants, plus:
Special Instructions for Applicants with Diabetes
SPE Application Form - Diabetes Mellitus
Optometrist/Ophthalmologist Certification
Affidavit of Driving Experience
Endocrinologist Certification
Mail all original, completed forms to:
Medical Exemption Program
MoDOT Motor Carrier Services
1320 Creek Trail Drive
PO Box 893
Jefferson City, MO 65102 - 0893
MoDOT offers this program for intrastate drivers only. Anyone seeking a medical exemption for interstate transportation, or to drive across any state boundary, must submit an application to the Federal Motor Carrier Safety Administration (FMCSA) instead.
MoDOT may waive some state application requirements if an applicant for an intrastate SPE Certificate already possesses a valid interstate SPE Certificate, vision exemption or diabetes exemption issued by FMCSA. See the instruction and application forms for details.
Please contact our office if you have questions, or need additional forms or information relating to an application for issuance of a SPE Certificate for a Missouri intrastate driver.
Call toll-free, 1-866-831-6277 and ask to speak with the medical exemption program specialist.
Other public agencies offer assistance to people with disabilities. See these Web sites:
Missouri Division of Vocational Rehabilitation http://vr.dese.mo.gov/
Vocational Rehabilitation Info Sheet
Veterans Administration Facilities
www.va.gov/
Federal Motor Carrier Safety Administration
www.fmcsa.dot.gov - Medical Program
Disclaimer. Although this Web page includes the latest and most accurate information available to MoDOT Motor Carrier Services, the application requirements and the instructions, application forms and related materials, are all subject to change without notice.
