Medical Examination Report

The current expiration date of these MCSA forms is 3/31/2025.

• 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.

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