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A Department of Transportation (DOT) physical examination must be conducted by a licensed medical examiner listed on the Federal Motor Carrier Safety Administration (FMCSA) National Registry.
What is the MCSA 5889 form used for?
This form can be used to submit requests for Operating Authority name and address changes, and also to request reinstatement of an operating authority. Forms can be submitted via our web form or by fax to 202-366-3477.
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.
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.
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.
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English
MCSA Prep: 20412 - Configuring Advanced Windows Server 2012 Services, English Kurs 5896: Co nowego w programie Microsoft Office OneNote 2007, Polish
Feb 20, 2024 All forms are posted below. Please note that the only change to the forms is the change in the OMB expiration date from 11/30/2021 to 12/31/2024.
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