Before your DOT physical / Forms and documents
Bring the glasses or contact lenses you use for driving. Corrective lenses by themselves do not mean you need an alternative vision evaluation form.
If the alternative vision standard applies, an ophthalmologist or optometrist completes and signs the Vision Evaluation Report, MCSA-5871. Confirm the request with the examiner before arranging an evaluation.
The medical examiner must receive the completed report and begin your examination no more than 45 calendar days after the ophthalmologist or optometrist signs it. Plan the eye visit around your DOT appointment.
An ophthalmologist or optometrist completes this report when the alternative vision standard applies. Wearing glasses alone does not mean you need this form.
Open Beyond Wellness Alternative vision evaluation, MCSA-5871 packet (PDF)
FMCSA source and current download
Check that the requested report is complete, signed and dated, and bring any requested supporting test results. The eye specialist provides the evaluation; the certified medical examiner makes the qualification decision.
Use this current assessment process when applicable, rather than an obsolete federal vision-waiver application.
Sources checked October 22, 2026: FMCSA alternative vision evaluation.
These instructions help you prepare. The certified medical examiner determines which records are needed and whether you meet the applicable standards. Bringing a form does not guarantee certification.