Minnesota Administrative Rules
Agency 175 - Transportation Department
Chapter 8850 - MOTOR CARRIER SAFETY
Part 8850.7600 - WAIVER RENEWAL APPLICATION; REQUIRED INFORMATION

A. the name and complete address of the carrier currently employing the applicant;

B. the name and complete address of the driver;

C. the effective date of the current waiver;

D. the expiration date of the current waiver;

E. the total miles driven under the current waiver;

F. the number of accidents incurred by the driver while driving under the current waiver, including the date of the accident, the number of fatalities, the number of injuries, and the estimated dollar amount of property damage;

G. the driver's signature and date signed;

H. the carrier coapplicant's signature and date signed;

I. notification of a change in the type of vehicle the driver will operate;

J. a copy of the driver's current state motor vehicle driving record for the period of time the current waiver has been in effect;

K. a current medical examination report; and

L. a medical evaluation summary according to part 8850.7350, item C, if an unstable medical condition exists. Disabilities conditions classified under Code of Federal Regulations, title 49, section 391.41, paragraph (b)(1), as amended through October 1, 1987, are considered unstable. A board-certified physiatrist (doctor of physical medicine) or orthopedic surgeon shall determine whether a condition described in Code of Federal Regulations, title 49, section 391.41, paragraph (b)(2), as amended through October 1, 1987, is medically stable.