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1. www.fmcsa.dot.gov › regulations › medicalMedical Examiner's Certificate (MEC), Form MCSA-5876

   www.fmcsa.dot.gov › regulations › medical

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   20 gru 2023 · If the Medical Examiner determines that the driver examined is physically qualified to drive a commercial motor vehicle in accordance with the physical qualification standards, the Medical Examiner will complete and provide the driver with a Medical Examiner's Certificate (MEC), Form MCSA-5876.

   • Medical Resource Table

     Medical Examination Report Form, MCSA-5875: This form is...

   • Responsibilities

     U.S. DEPARTMENT OF TRANSPORTATION. Federal Motor Carrier...

   • Medical Expert Panels

     The mission of the Medical Expert Panel (MEP) Program is to...

   • Medical Exam

     A Department of Transportation (DOT) physical examination is...

   • MER

     About the Medical Examination Report (MER) Form,...

   • Exemptions

     The Federal Vision Exemption Program and requests for...

   • National Registry Technical Support Request Form

     U.S. DEPARTMENT OF TRANSPORTATION. Federal Motor Carrier...

2. www.fmcsa.dot.gov › sites › fmcsaFMCSA Form MCSA-5876 - Federal Motor Carrier Safety...

   www.fmcsa.dot.gov › sites › fmcsa

   The information I have provided regarding this physical examination is true and complete. A complete Medical Examination Report Form, MCSA-5875, with any attachments, embodies my findings completely and correctly, and is on file in my office.

3. www.fmcsa.dot.gov › driver-medical-requirements › medical-applications-and-formsMedical Applications and Forms | FMCSA - Federal Motor Carrier...

   www.fmcsa.dot.gov › driver-medical-requirements › medical-applications-and-forms

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   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.

4. omb.report › icr › 202112/2126/001MCSA-5876 Medical Examiner's Certificate Revised

   omb.report › icr › 202112/2126/001

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   MCSA-5876 Medical Examiner's Certificate Revised ⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2126-0006 can be found here:

5. downloads.regulations.gov › FMCSA-2012/0178/0002 › attachment_3Medical Examiner's Certificate - Regulations.gov

   downloads.regulations.gov › FMCSA-2012/0178/0002 › attachment_3

   11 mar 2013 · Safety Administration (for Commercial Driver Medical Certification) The information I have provided regarding this physical examination is true and complete. A complete examination form with any attachment embodies my findings completely and correctly, and is on file in my office.

6. dotphysicaldoctor.com › new-dot-medical-certification-forms-mcsa-5875-mcsa-5876New DOT Medical Certification Forms MCSA - DOT Physical Doctor

   dotphysicaldoctor.com › new-dot-medical-certification-forms-mcsa-5875-mcsa-5876

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   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

7. dotphysicaldoctor.com › ohOhio CDL and DOT Medical Card Requirements - DOT Physical Doctor

   dotphysicaldoctor.com › oh

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   The FMCSA has requested that all medical examiners continue providing drivers with a paper copy of the Medical Examiner’s Certificate – Form MCSA-5876, so that Commercial Driver’s License (CDL) holders can provide a copy to the State licensing agency, and the non-CDL drivers can provide the documentation to their employers and Federal and ...