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Medical Applications and Forms | FMCSA

    https://www.fmcsa.dot.gov/medical/driver-medical-requirements/medical-applications-and-forms
    [email protected] Phone: (202) 366-4001 Business Hours: ... The expiration date on the Medical Examination Report Form, MCSA-5875, Medical …

Medical Examination Report (MER) Form, MCSA-5875

    https://www.fmcsa.dot.gov/regulations/medical/medical-examination-report-form-commercial-driver-medical-certification
    About the Medical Examination Report (MER) Form, MCSA-5875The Federal Motor Carrier Safety Administration requires that interstate commercial motor …

Medical Examiner's Certificate (MEC), Form MCSA-5876

    https://www.fmcsa.dot.gov/regulations/medical/medical-examiners-certificate-commercial-driver-medical-certification
    1200 New Jersey Avenue SE. Washington, DC, DC 20590. United States. Email: [email protected]. Phone: (202) 366-4001. Business Hours: 9:00am …

Medical Examination Report Form Federal Motor …

    https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2022-03/Medical%20Examination%20Report%20Form%20MCSA-5875.pdf
    MEDICAL RECORD # (or sticker) PERSONAL INFORMATION DRIVER HEALTH HISTORY *CLP/CDL Applicant/Holder: See instructions for definitions. **Driver ID …

New DOT Medical Certification Forms MCSA - DOT …

    https://dotphysicaldoctor.com/new-dot-medical-certification-forms-mcsa-5875-mcsa-5876/
    Medical Certification Forms MCSA-5875 & MCSA-5876. New expiration date on the forms is 12/31/2024. PDF Versions of the forms are available at these links …



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