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20 gru 2023 · About the Medical Examination Report (MER) Form, MCSA-5875: The Federal Motor Carrier Safety Administration requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner’s Certificate (MEC), Form MCSA-5876 to drive.
- Responsibilities
U.S. DEPARTMENT OF TRANSPORTATION. Federal Motor Carrier...
- Medical Expert Panels
The mission of the Medical Expert Panel (MEP) Program is to...
- Medical Resource Table
Medical Examiner's Certificate, Form MCSA-5876: This form is...
- National Registry Technical Support Request Form
U.S. DEPARTMENT OF TRANSPORTATION. Federal Motor Carrier...
- Exemptions
The Federal Vision Exemption Program and requests for...
- MEC
About the Medical Examiner's Certificate (MEC), Form...
- Grants
Get Started with the Grant Funding Process Anytime. FMCSA...
- Responsibilities
Has your USDOT/FMCSA medical certificate ever been denied or issued for less than 2 years? Have you ever had surgery? If “yes,” please list and explain below.
Federal Motor Carrier Safety Administration
2024 Medical Certification Forms MCSA-5875 & MCSA-5876. New expiration date on the forms is 03/31/2025. PDF Versions of the forms are available at these links on the FMCSA website: Medical Examination Report (MER) Form, MCSA-5875; Medical Examiner’s Certificate (MEC), Form MCSA-5876
30 lis 2021 · Form MCSA-5875. OMB No. 2126-0006. Expiration Date: 11/30/2021. Medical Examination Report Form (for Commercial Driver Medical Certification) U.S. Department of Transportation Federal Motor Carrier Safety Administration. Public Burden Statement
1 kwi 2013 · Medical examiners are required to complete the Medical Examination Report Form for every driver physical examination performed in accordance with 49 CFR 391.41. Each original (paper or electronic) completed Medical Examination Report Form must be retained on file at the office of the medical examiner for at least 3 years from the date of ...
20 lut 2024 · The expiration date on the Medical Examination Report Form, MCSA-5875, Medical Examiner's Certificate, MCSA-5876, Insulin-Treated Diabetes Mellitus Assessment Form, MCSA-5870, and the Vision Evaluation Report, Form MCSA–5871 has been updated to 12/31/2024, and all forms are posted below.