Forms library \u00b7 Topic
DOT / FMCSA forms
FMCSA-issued forms governing the commercial driver medical examination, including the medical examiner certificate and reporting.
- Forms tracked
- 2
- PDFs hosted
- 0
- Verified
- 2
All DOT / FMCSA forms
2 forms tracked across the BlueHive library.
- DOT / FMCSA Verified
MCSA-5875 — Medical Examination Report Form (DOT)
Federal Motor Carrier Safety Administration (FMCSA)
MCSA-5875 is the DOT Medical Examination Report (MER) form completed by a Certified Medical Examiner during a commercial driver physical. It documents driver health history, examination findings, and certification decision under 49 CFR 391.43.
View form Official source - DOT / FMCSA Verified
MCSA-5876 — Medical Examiner’s Certificate (DOT)
Federal Motor Carrier Safety Administration (FMCSA)
MCSA-5876 is the wallet-style Medical Examiner’s Certificate issued to a qualified commercial driver after a passing MCSA-5875 examination. Drivers must carry the certificate; CDL holders self-certify to their state licensing agency.
View form Official source
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