WebMedical Examiner’s Certificate Form, (MEC) MCSA-5876 These forms need to be completed by a United States (U.S.) licensed doctor of medicine (M.D.), licensed doctor of osteopathy (D.O.), licensed physician’s assistant (P.A.), registered advanced practice nurse (APN), or licensed doctor of chiropractic when you apply for a DL or learner’s permit. WebThe 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. Сomplete the dot physical form for free 4.0 If you believe that this page should be taken down, please follow our DMCA take down process here.
Recent DOT Medical Certification Forms: MCSA-5875 & MCSA-5876
WebBefore you begin: As a Commercial Driver’s License (CDL) holder, you are required to submit a medical report dated within the last two years, every two years. You are required to submit: A valid (original or copy) federal MER MCSA-5875 form. Medical Examiner’s Certificate Form, (MEC) MCSA-5876. These forms need to be completed by a United ... WebIt features a write-able matte finish inside. This certificate measures 6"W x 3.5"H unfolded. Once completed it folds down to 3.5" x 2" (business card size) to fit any standard size … emily dowd fnp npi
Form MCSA-5875 (Revised: 10/02/2015) OMB No. 2126-0006 Expiration Date ...
WebForm MCSA-5876 Medical Examiner's Certificate Preview Fill PDF Online Download PDF What Is Form MCSA-5876? This is a legal form that was released by the U.S. Department of Transportation - Federal Motor Carrier Safety Administration and used country-wide. WebOnce your physical is complete, the medical examiner will give you a Medical Examiners Certificate (Form MCSA-5876). To avoid a downgrade or cancellation of your CDL/CLP, you must take this certificate to the DMV when you apply for your CLP/CDL, or fax/email it to the NY State DMV Medical Certification Unit. (See important reminders below.) WebCDL Drivers DOT Medical Exam Form MCSA-5875 & CDL Medical Card MCSA-5876 PDF New Forms Expire 12/31/24 DOT Physical Insulin Diabetes Assessment Form MCSA 5870 PDF New Form Expires 12/31/24 DOT Physical Visual Evaluation Report Form MCSA 5871 pdf print New Form Expires 03/31/25 emily dowdy bush