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Form MCSA5876 (Revised: 12/06/2015) OMB No

2015) OMB No-2025 now

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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 certification of the examination results.

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How long must a medical examiner retain a copy of the medical examination report for a qualified driver?

Each original (paper or electronic) completed Medical Examination Report Form must be retained on file at the office of the medical examiner for at least 3 years from the date of examination.

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 happens if I lost my dot medical card?

A copy of the Medical Examiners Certificate should be kept on file in the Medical Examiners office. The driver may request a replacement copy of the medical card from the Medical Examiner or get a copy of the certificate from the motor carrier.

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 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.

How to get a new dot card?

If a DOT certificate is expiring, a driver must have a new DOT physical examination and obtain a new DOT medical examiners certificate. The certificate must then be submitted to the DMV.

How do I get a copy of my dot number?

Answer: Online: Go to the SAFER website and search by name, USDOT number or MC number. Submit a ticket: Visit our website at: ask.fmcsa.dot.gov. Chat: Initiate a live chat with FMCSA Customer Service. Phone: Call 800-832-5660 to speak to FMCSA Customer Service.

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?

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