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Medical Applications and Forms | FMCSA

Medical Applications and Forms Medical Examinations. Insulin-Treated Diabetes Mellitus Assessment Form, MCSA-5870; Medical Examination Report (MER) Form, MCSA-5875 

Documents and Forms | US Department of Transportation

Contact Us. Office of Drug & Alcohol Policy & Compliance ... Email: [email protected] Phone: 202-366-3784 Alt Phone: 800-225-3784 Fax: 202-366-3897. Documents and Forms. DOT COVID-19 Drug and Alcohol Testing Guidance...learn more. A collection of important documents, forms, and guidance. ... Current List of HHS Certified Laboratories with ... 

State-by-State Instructions for Submitting Medical ...

The public point of contacts name and email address. DOT is committed to ensuring that information is available in appropriate alternative formats to meet the requirements of persons who have a disability. 

CDL Medical Information - Florida Department of Highway ...

Seleccione aquí para Español Click here to self certify and/or update your medical certification information. Federal Motor Carrier Safety Regulations require all Commercial Driver License holders to certify with the State’s Driver License Agency in one of the four categories below prior to the issuance or renewal of a CDL. Those certifying in non-excepted interstate […] 

Dot physical form - Fill Out and Sign Printable PDF ...

Dot physical form. Fill out, securely sign, print or email your dot physical forms florida instantly with SignNow. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Available for PC, iOS and Android. Start a free trial now to save yourself time and money! 

Medical Examination Report (MER) Form, MCSA-5875 | FMCSA

The Federal Motor Carrier Safety Administration requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner’s Certificate (MEC), Form MCSA-5876 to drive. As part of the physical, drivers are required to fill out the medical history portion of the Medical Examination Report (MER) Form, MCSA-5875. 

Contact Us - Florida Department of Transportation

The Florida Department of Health has created a COVID-19 Call Center to answer travel-related questions during this time. The call center is available 24 hours a day, 7 days a week. Please call 1 (866) 779-6121 or email your questions to [email protected] 

Contact Us | FMCSA

Contact Us In addition to our toll-free number 1-800-832-5660, you may also live chat with our agents or submit your question via our web form at and receive a tracking number. 

Medical Examiner's Certificate (MEC), Form MCSA-5876 | FMCSA

About the Medical Examiner's Certificate (MEC), Form MCSA-5876: If the Medical Examiner determines that the driver examined is physically qualified to drive a commercial motor vehicle in accordance with the physical qualification standards, the Medical Examiner will complete and provide the driver with a Medical Examiner's Certificate (MEC), Form MCSA-5876. 

DOT Medical Exam and Commercial Motor Vehicle ...

DOT Medical Exam and Commercial Motor Vehicle Certification About the Exam. 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.