Dot vision form 2025

See details

4 out of 5

39 votes

The document is an application checklist for the Minnesota Intrastate Vision Waiver, intended for drivers seeking to operate commercial vehicles despite visual impairments. It outlines the necessary information and documentation required from applicants, including personal details, driving experience, vehicle modifications, and medical certification from an eye specialist. The application must be fully completed to be considered valid.

Here's how it works

01. Edit your mcsa 5871 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send form mcsa 5871 via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out dot vision form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the dot vision form in the editor.
Begin by selecting whether you are submitting a new application or a renewal. Fill in your name, address, and contact information accurately.
Provide your driver's license number and date of birth. Indicate your sex by selecting either 'Male' or 'Female'.
List any other Mn/DOT waivers you have been granted in the designated field.
In the employer section, enter your company name and contact details. This ensures proper communication regarding your application.
Detail your driving experience by checking all applicable vehicle types and indicating years of experience for each.
Select the type(s) of driving you will perform under the waiver and estimate your weekly driving hours, both daytime and nighttime.
Describe any modifications made to the vehicle you intend to drive and provide a general description of the cargo you will transport.
Attach the required letter from a qualified optometrist or ophthalmologist as specified in the visual medical condition information section.
Finally, review all provided information for accuracy before signing and dating the application at the bottom.

Start filling out your dot vision form today using our platform for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the vision requirements for DOT?

The DOT requires a minimum visual acuity of 20/40 in each eye, with or without correction, and the ability to detect colors to identify traffic signals and hazards.

What field of vision do you need to drive?

To pass the DOT physical, you need to have 20/40 vision in each eye with or without glasses, and a field of vision of at least 70 degrees in each eye. You also need to have the ability to recognize different colors of traffic lights and signals that show red, green, and amber.

Whats the worst vision you can drive with?

While blind individuals cannot drive (both legally and practically speaking), some states allow low-vision drivers to drive under certain conditions. Usually, their vision must be around the 20/70 point, and they must still have a relatively good field of vision.

Can I drive if I fail a field vision test?

If a patient fails the visual field test, their eye doctor may recommend certain restrictions, such as daylight driving only, driving only below a certain speed, or driving only in a set radius around their home.

What is form mcsa 5875?

About the Medical Examination Report (MER) Form, MCSA-5875: As part of the physical, drivers are required to fill out the medical history portion of the Medical Examination Report (MER) Form, MCSA-5875.

dot exemption form

Dot vision form pdf DOT vision waiver form Dot vision form 2022 FMCSA vision Form Dot vision form online New DOT vision requirements How to get a DOT vision waiver DOT exemption form

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

How to get your dot long form?

You must contact the Medical Examiner that conducted your evaluation for a copy of your medical certification examination (Long Form).

At what vision are you not allowed to drive?

The standards are as follows: To qualify, you must have at least 20/40 vision in each eye or with both eyes together. You must wear corrective lenses while driving if you need corrective lenses to qualify. If you fail to qualify because you cannot see well, you will be denied a license or permit until you qualify.

What happens if you fail a field eye test?

Abnormal results may mean different things. These results can indicate different types of issues, including glaucoma, macular degeneration or stroke. The follow-up will vary. Your eye care provider will discuss treatment options with you.

Dot vision form 2025

Here's how it works

How to use or fill out dot vision form with our platform

Complete this form in 5 minutes or less

Got questions?

What are the vision requirements for DOT?

What field of vision do you need to drive?

Whats the worst vision you can drive with?

Can I drive if I fail a field vision test?

What is form mcsa 5875?

Complete this form in 5 minutes or less

People also ask

How to get your dot long form?

At what vision are you not allowed to drive?

What happens if you fail a field eye test?

mcsa 5871 pdf

Try more PDF tools