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Click ‘Get Form’ to open the Examination Request in the editor.
Begin by selecting the exam requested from the list provided. Check the applicable course such as 'Investigative Safety Analysis' or 'Cargo Tank Inspection'.
Indicate the type of exam by checking the appropriate box, whether it’s a student retest, new entrant safety audit, or other options listed.
Fill in your Supervisor/Requestor Name and Phone Number in the designated fields.
Provide details on where to send exams and certificates, including name, organization, and address.
List the names of individuals taking the exams and specify the number of exams requested.
Complete additional fields regarding employment status, original exam date and location, as well as retest details if applicable.
Once all fields are filled out accurately, review your entries for completeness before submitting.
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In California, for example, all commercial drivers, firefighters, and Class A and B drivers require a DOT Physical to obtain a license.
What FMCSA form is the examination report form?
Medical Examination Report (MER) Form, MCSA-5875 The MER contains the drivers information and health history, as well as the findings of the medical examiner during the DOT exam.
What is a dot medical examination report?
Compose an email to the FMCSA requesting verification to schedule the exam and send it to FMCTECHSUP@dot.gov. 3. Attempt to schedule the exam at the end of every business day. You will know you have been verified when you can schedule the exam.
What fails a dot exam?
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.
Whats the difference between a dot physical and a regular physical?
Regular physicals focus on evaluating a persons overall health and are typically recommended annually or biannually, depending on age and health status. DOT physicals, however, are job-specific. They are designed to determine whether you meet the physical and mental demands of safely operating a CMV.
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MCSA-5876FMCSA DOT physical FormHow to check DOT medical card status onlineFMCSA DOT Forms pdfFree printable DOT physical formsWhere to get Medical Examiners certificatemcsa-5875DOT physical near me
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That said, the DOT physical is much like any general health checkup. The examiner will check your blood pressure and heart, your lungs and throat, and perform vision and hearing tests. In addition, you will undergo general neurological tests on your reflexes, dexterity, balance, and speech.
What is a dot examination in FMCSA?
A DOT physical is a health examination mandated by the FMCSA for commercial motor vehicle (CMV) drivers. A DOT physical helps determine if a driver is physically, mentally, and emotionally fit to operate a CMV.
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Medical Card DOT
To obtain a DOT Medical Card, a driver must pass a DOT physical examination administered by a licensed medical examiner listed on the FMCSAs National Registry.
Individuals that need to re-schedule or confirm their test date must call (928) 315-7600; Monday through. Friday; 8:00 a.m. 5:00 p.m. A $25.00 fee will apply.
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