Printable Dot Medical Card
A complete medical examination report form mcsa 5875 with any attachments embodies my findings completely and correctly and is on file in my office.
Printable dot medical card. See 4 best images of printable dot medical card. Contact medical certification unit. Federal motor carrier. This package has been removed due to the update of the diabetes standard.
39141 cmv driver medication form mcsa 5895 optional medical exemptions diabetes package. Medical applications and forms medical examinations. Medical examiners certificate expiration date. About the medical examiners certificate mec form mcsa 5876.
Medical examiners certificate mec form mcsa 5876. Dot physical form medical card certificate forms mcsa 5875 mcsa 5876 in pdf. If you fail to maintain current updated information with the dmv you will lose your commercial driving privileges. We have been doing this for years for free as service to drivers.
Medical examiners telephone number date certificate signed medical examiners name please print or type md do. 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 examiners certificate mec form mcsa 5876. Obtaining this certification requires passing a basic physical exam. A driver who doesnt keep his certification current may lose his commercial drivers licenses.
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Free to print or download. The dmv will not remind you when your usdot medical examiners certificate or medical variance is about to expire unless you are enrolled in the electronic reminders program. Includes instructions to physician and commercial drivers minimum requirements for a cdl license. A complete medical examination report form mcsa 5875 with any attachments embodies my findings completely and correctly and is on file in my office.
Medical examiners telephone number date certificate signed medical examiners name please print or type md do.