Medical examiner certificate 2025

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4.8 out of 5

40 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 details, driver's information, and compliance with federal regulations. It emphasizes the importance of accurate reporting and proper handling of sensitive information.

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Click ‘Get Form’ to open the medical examiner certificate in the editor.
Begin by entering the last name and first name of the individual being examined in the designated fields.
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 signature, telephone number, and state license number.
Complete the expiration date of the certificate and date signed fields.
Ensure all information is accurate and complete before saving or exporting your document for submission.

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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)

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How do I get a dot card in Maryland?

If you need a DOT physical and are living in Maryland or Washington, DC, visit Fast Track Urgent care for a walk-in exam. We will fill out the appropriate paperwork so you can be one step closer to reviving your CDL license. Call Fast Track at 800-417-1164 to schedule your DOT physical exam or simply walk in!

How do I obtain my dot card?

How to get a DOT medical certification Contact an approved medical provider. The DOT requires drivers to complete their physical exams through an approved provider. Take the DOT physical examination. Submit your DOT medical card. Follow renewal guidelines.

What qualifications do you need to be a medical examiner?

How to Become a Medical Examiner Step 1: Obtain an undergraduate degree. Step 2: Go to medical school. Step 3: Pursue training in forensic medicine. Step 4: Obtain a medical license. Step 5: Complete a residency. Step 6: Complete a fellowship. Step 7: Gain relevant job experience.

How to apply for a dot number in MD?

Physical Exam: Non-CDL drivers are required to undergo a DOT physical examination every two years to ensure they are medically fit to operate a commercial vehicle. This examination must be conducted by a certified medical examiner listed in the National Registry of Certified Medical Examiners.

How to obtain a dot card in MD?

The entire period of education and training for a Forensic Pathologist following high school is currently a minimum of 13 years (4-year college degree, 4-year medical school degree, 4-year residency, 1-year fellowship).

mcsa 5876 pdf

Where to get Medical Examiners certificate Medical Examiner Certificate PDF National Registry of Certified Medical Examiners How to check DOT medical card status online MCSA-5875 Medical examiner's certificate drug test FMCSA Medical certificate How can i get a copy of my DOT medical card online

How long is school for a medical examiner?

These requirements are: medical education (AMA Category 1) in impairment rating and independent medical examination. (30 hours of CME in the field of impairment rating and independent medical examination are recommended.) Signed agreement to abide by the ABIME Guidelines of Conduct.