Mcsa-5876-2025

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The document is the Medical Examiner’s Certificate (Form MCSA-5876) required for commercial driver medical certification, detailing the examination process and qualifications under federal regulations. It includes information on the public burden statement, mandatory reporting requirements, and the responsibilities of medical examiners. The certificate must be completed accurately and securely handled due to its sensitive nature.

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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.

Do you have to be certified to do dot physicals?

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.

How can I get a copy of my Medical Examiners certificate?

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

What is the 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 is a self-certification form for DOT?

Self-certification is the process where a commercial driver declares to their states licensing agency what type of driving they will be doing. This helps the state determine which medical requirements apply to the driver.

What is a MCSA 5876 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.