Home
Forms Library
Mcsa 5876 printable form 2019

Mcsa 5876 printable form 2019-2025

mcsa 5876 printable form 2019 Preview on Page 1

See details

4.4 out of 5

8913 votes

The document is Form MCSA-5876, a Medical Examiner's Certificate used for Commercial Driver Medical Certification by the U.S. Department of Transportation's Federal Motor Carrier Safety Administration. It outlines the requirements for medical examinations of commercial drivers, including necessary qualifications and any applicable state variances. The form includes sections for the medical examiner's details, driver's information, and certification of the examination results.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out mcsa 5876 printable form 2019 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the mcsa 5876 printable form in the editor.
Begin by entering the driver's last name and first name in the designated fields at the top of the form.
Select one of the options regarding compliance with Federal Motor Carrier Safety Regulations by checking the appropriate box.
If applicable, check any additional qualifications such as wearing corrective lenses or having a waiver/exemption.
Fill in the medical examiner's details, including their signature, telephone number, and state license number.
Complete the driver's information section, including their address and driver's license number.
Review all entered information for accuracy before saving or printing your completed form.

Start using our platform today to fill out your mcsa 5876 printable form quickly and for free!

See more mcsa 5876 printable form 2019 versions

We've got more versions of the mcsa 5876 printable form 2019 form. Select the right mcsa 5876 printable form 2019 version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (40 Votes)
2021	4.8 Satisfied (75 Votes)
2018	4.4 Satisfied (8913 Votes)
2015	4.4 Satisfied (1904 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What will fail you on a dot physical?

DOT disqualifying medical conditions include those that may lead to loss of consciousness or involve inadequate hearing or vision, a compromised nervous system, or physical limitations that interfere with driving ability.

What is a MCSA 5875 form?

About the Medical Examination Report (MER) Form, MCSA-5875: As part of the physical, drivers are required to fill out the medical history portion of the Medical Examination Report (MER) Form, MCSA-5875.

How do I get my Usdot medical examiners certificate?

How to get a DOT medical certification Contact an approved medical provider. Take the DOT physical examination. Submit your DOT medical card. Follow renewal guidelines. Fulfills job requirements. Reduces liabilities. Provides career opportunities. Who needs a DOT medical certification?

What is the difference between a DOT physical and a regular physical?

A regular physical exam involves checking your body for health and evaluating your vital signs. A DOT exam goes more in-depth with vision and hearing tests and a drug screening to ensure youre not taking illegal substances and driving.

How to get FMCSA certification?

How do you become a Certified Medical Examiner? Register Online. Complete the online registration. Complete Training. Contact a training provider to schedule National Registry Medical Examiner certification training. Take The Exam. Validation Certification.

How do I get a copy of my DOT physical long form?

Answer: You can contact the Medical Examiner that conducted your evaluation for a copy of your medical certification examination.

What is a MCSA form?

If the Medical Examiner determines that the driver examined is physically qualified to drive a commercial motor vehicle in ance with the physical qualification standards, the Medical Examiner will complete and provide the driver with a Medical Examiners Certificate (MEC), Form MCSA-5876.

Mcsa 5876 printable form 2019-2025

Here's how it works

How to use or fill out mcsa 5876 printable form 2019 with our platform