The TUE procedure

Athletes at any level should normally apply for a TUE to his/her National Anti-Doping Organization (NADO) or Regional Anti-Doping Organization (RADO), using the TUE form they provide.

FIB automatically recognizes all TUE’s approved by NADO’s and RADO’s in accordance with WADA’s International Standard for TUE (ISTUE).

Any International-Level Athlete who cannot apply to his/her NADO or RADO due to exceptional circumstances, should apply directly to FIB, using the TUE Application Form provided here

The TUE form must be accompanied by:

  1. a statement by an appropriately qualified physician, attesting to the need for the athlete to use the prohibited substance or method in question for therapeutic reasons; and
  2. a comprehensive medical history, including documentation from the original diagnosing physician(s) (where possible) and the results of all examinations, laboratory investigations and imaging studies relevant to the application.

Incomplete applications will be returned to the athlete for completion and re-submission.

An athlete who needs a TUE should apply as soon as possible. For substances prohibited in-competition only, the athlete should apply for a TUE at least 30 days before his/her next competition, unless it is an emergency or exceptional situation.

Unless one of the exceptions set out below applies, an athlete who needs to use a prohibited substance or method for therapeutic reasons must obtain a TUE prior to using or possessing the substance or method in question.

An athlete may only be granted retroactive approval for his/her therapeutic use of a prohibited substance or prohibited method (i.e., a retroactive TUE) if:

  1. Emergency treatment or treatment of an acute medical condition was necessary; or
  2. Due to other exceptional circumstances, there was insufficient time or opportunity for the athlete to submit, or for the TUEC to consider, an application for the TUE prior to sample collection; or
  3. The applicable rules required or permitted the athlete to apply for a retroactive TUE; or
  4. It is agreed, by WADA and by FIB, that fairness requires the grant of a retroactive TUE.

If the athlete applies directly to FIB their TUE Committee (TUEC) will decide whether or not to grant the application as soon as possible, and usually (i.e., unless exceptional circumstances apply) within 21 days of receipt of a complete application. Where a TUE application is made, a reasonable time prior to an event, the TUEC will use its best endeavours to issue its decision before the start of the event.

If the athlete applies directly to FIB, the TUEC’s decision will be communicated in writing to the athlete and will also be made available to WADA and to other relevant Anti-Doping Organizations via ADAMS or any other system approved by WADA.

In the event that, after his/her TUE is granted, the athlete requires a materially different dosage, frequency, route or duration of administration of the prohibited substance or method to that specified in the TUE, he/she must apply for a new TUE.

Each TUE will have a specified duration, as decided by the TUEC, at the end of which the TUE will expire automatically. If the athlete needs to continue to use the prohibited substance or method after the expiry date, he/she must submit an application for a new TUE well in advance of that expiry date.

A TUE will be withdrawn prior to expiry if the athlete does not promptly comply with any requirements or conditions imposed by the granting TUEC. Alternatively, a TUE may be reversed upon review by FIB or WADA.


Updated January 11, 2021