Home
Forms Library
Form MCSA5876 (Revised: 04 24 2015) OMB No

Form MCSA5876 (Revised: 04 24 2015) OMB No-2025

Form MCSA5876 (Revised: 04 24 2015) OMB No Preview on Page 1

Show details

4 out of 5

42 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 exemptions. The form includes sections for the medical examiner's certification, driver's information, and compliance with federal regulations.

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 modify Form MCSA5876 (Revised: 04 24 2015) OMB No online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your documentation requires only a few simple clicks. Make these quick steps to modify the PDF Form MCSA5876 (Revised: 04 24 2015) OMB No online free of charge:

Sign up and log in to your account. Log in to the editor with your credentials or click on Create free account to examine the tool’s capabilities.
Add the Form MCSA5876 (Revised: 04 24 2015) OMB No for editing. Click on the New Document option above, then drag and drop the sample to the upload area, import it from the cloud, or via a link.
Alter your file. Make any changes required: add text and pictures to your Form MCSA5876 (Revised: 04 24 2015) OMB No, highlight important details, remove sections of content and substitute them with new ones, and insert symbols, checkmarks, and areas for filling out.
Complete redacting the template. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the people involved.

Our editor is super intuitive and efficient. Give it a try now!

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.

How to get 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?

How do I schedule a DOT medical examiner exam?

1. Call the FMCSA between the hours of 9am to 5pm EST, M-F, call the FMCSA at (617) 494-3003 press option 2 when the first greeting starts, then press the number 6 on hearing the start of the second greeting. This will bypass lengthy greetings and they will answer if they are not already on the phone. 2.

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.

What disqualifies you from getting a dot medical card?

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.

How can I get a copy of my medical examiners certificate?

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

What is form MCSA?

As a Commercial Drivers 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 Examiners Certificate Form, (MEC) MCSA-5876.

How to get usdot certificate?

The certification is issued by the Federal Motor Safety Carrier Safety Administration (FMCSA) following a physical examination by an FMCSA-approved medical examiner. The DOT medical certificate is necessary for individuals operating safety-sensitive driving equipment, like a truck or bus.

How long does it take to get a dot medical certification?

How long does it take to obtain a medical certificate? For most drivers, the DOT physical examination will take about 30-45 minutes to complete. Assuming the medical examiner does not have any medical concerns, they are able to certify the driver and issue the medical certificate following the exam.

Form MCSA5876 (Revised: 04 24 2015) OMB No-2025

Here's how it works