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Medical Examination Report

Medical Examination Report

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Free Shipping on Orders of $150 or More!
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Price: $0.59

The MCSA-5875 Medical Examination Report is an integral part of the driver's qualification file and is up to date with the latest DOT revisions.

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  Product ID 15-MCSA-5875
  •    Info
  •    Reviews
  •    Related
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Note: The FMCSA proposes extending the deadline for the Medical Examiner's Certification Integration from June 22, 2021 'til June 23, 2025. However, the current expiration date on the MCSA-5876 Medical Examiner's Certificate and MCSA-5875 Medical Examination Report is 11/30/2021

  • Complies with FMCSA standards.
  • An integral part of the driver qualification file, this form for commercial driver fitness determination contains information required by 49 CFR 391.41.
  • Contains all required fields and instructions.
  • Measures 8.5" x 11".

Our Medical Forms and Certificates are always up-to-date with the latest FMCSA revisions.

This is the official MCSA-5875 Medical Examination Report for all 50 states:

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin and Wyoming.

Questions about revisions? Inquire here.

Quantity pricing applied in cart.

 
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Medical Examiners Certificate

This DOT Medical Examiners Certificate Wallet Card is an integral part of the CDL truck driver qualification file and is up to date.

Medical Examiners Certificate Wallet Card

This DOT Medical Examiners Certificate Wallet Card is the top selling medical wallet card and is driver preferred, folds to business card size.

Quantity Pricing
Quantity
Price
125-249
$0.56
250-374
$0.53
375-624
$0.49
625+
$0.46
Search words
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