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Medical Applications and Forms | FMCSA

    https://www.fmcsa.dot.gov/medical/driver-medical-requirements/medical-applications-and-forms
    Medical Applications and Forms Medical Examinations 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.

Medical Examination Report of Driver Under Article …

    https://dmv.ny.gov/forms/ds874.pdf
    Sign the form where indicated. If additional space is required for further comments and information, use form DS-874C, and attach it to this form. Driver’s Last Name. Street …

Medical Reporting Forms - PennDOT Driver & Vehicle …

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/Medical-Reporting-Forms.aspx
    § 71.3(b)(5) states that a person who has no established medical history or …

Medical Form for a School Pupil (7D) Driver …

    https://www.mass.gov/doc/medical-form-for-a-school-pupil-7d-driver-certificate-or-a-school-bus-driver-certificate-0/download
    Medical Form for a School Pupil (7D) Driver Certificate or a School Bus Driver Certificate Registry of Motor Vehicles Vehicle Safety & Compliance Services. Mass.Gov/RMV/7D . …



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