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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CDL-522-004
for the current year.
Form CDL-522-004 Commercial Driver License Intrastate Medical Waiver Application - Washington
What Is Form CDL-522-004?
This is a legal form that was released by the Washington State Department of Licensing - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CDL-522-004?A: Form CDL-522-004 is the Commercial Driver License Intrastate Medical Waiver Application for Washington.
Q: What is the purpose of this form?A: The purpose of this form is to apply for a medical waiver for intrastate commercial driving in Washington.
Q: Who needs to fill out this form?A: Any individual who is seeking a medical waiver for intrastate commercial driving in Washington needs to fill out this form.
Q: What information is required on this form?A: The form requires personal information, medical history, and details of the medical condition for which the waiver is being sought.
Q: Are there any supporting documents required?A: Yes, supporting documents such as medical reports, test results, and physician statements may be required to accompany this form.
Q: How long does it take to process this application?A: The processing time for this application can vary. It is recommended to check with the Washington State Department of Licensing for the most up-to-date information.
Q: Is it possible to appeal a denied waiver application?A: Yes, if your application is denied, you have the right to appeal the decision. The appeal process and instructions will be provided in the denial notification.
Form Details:
- Released on August 1, 2018;
- The latest edition provided by the Washington State Department of Licensing;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CDL-522-004 by clicking the link below or browse more documents and templates provided by the Washington State Department of Licensing.
