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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.
9 gru 2015 · Medical examiners are required to complete the Medical Examination Report Form for every driver physical examination performed in accordance with 49 CFR 391.41.
20 gru 2023 · 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. As part of the physical, drivers are required to fill out the medical history portion of the Medical Examination Report (MER) Form, MCSA-5875.
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.
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.
Form MCSA-5875 OMB No.: 2126-0006 Expiration Date: 03/31/2025 ... Has your USDOT/FMCSA medical certificate ever been denied or issued for less than 2 years? ... 09-03-2021 - copy of v8.50+#0020 - updated background of pdf to latest version from FMCSA, where the gender was removed, punctuation was corrected on fed and state pgs, updated rev. dt ...
Form MCSA-5875 OMB No.: 2126-0006 Expiration Date: 03/3 /2025 Page 1 U.S. Department of Transportation Federal Motor Carrier Safety Administration Rev 3/29/2022 Public Burden Statement