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  • 2008 Medical Examination Report 649 F 6045 Form

Get 2008 Medical Examination Report 649 F 6045 Form

Medical Examination Report FOR COMMERCIAL DRIVER FITNESS DETERMINATION 649-F (6045) 1. DRIVER'S INFORMATION Driver completes this section Driver's Name (Last, First, Middle) Social Security No. Birthdate.

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How to fill out the 2008 Medical Examination Report 649 F 6045 Form online

This guide provides detailed instructions for completing the 2008 Medical Examination Report 649 F 6045 Form online. By following these steps, users can efficiently fill out this important document required for commercial driver fitness determination.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to obtain the form and open it. This action allows you to access the medical examination report in a format suitable for completion.
  2. In the driver's information section, enter the driver's name (last, first, middle), social security number, birthdate, address, and telephone number. Also provide the driver's age, license number, license class, and state of issue.
  3. Proceed to the health history section. The driver must answer questions regarding any illnesses or injuries in the past five years, including specific conditions such as heart disease or diabetes. For each 'yes' answer, provide details about the onset date, diagnosis, treating physician’s information, and current limitations.
  4. The driver must certify that the information above is complete and truthful by providing their signature and date.
  5. The medical examiner will complete sections on vision, hearing, blood pressure/pulse rate, laboratory findings, and physical examination. Ensure that numerical readings are accurately recorded in each section.
  6. After completing all sections, review the document for accuracy and completeness. It is essential to verify that all required fields are filled out before finalizing.
  7. Once all information has been reviewed, you can save changes to the form, download a copy, print it, or share it as necessary.

Complete the 2008 Medical Examination Report 649 F 6045 Form online today for a streamlined application process.

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Which of the following is true regarding the Medical Examination Certificate? The medical examiner completes the certificate and provides a copy to the driver and a copy to the employer.

About the Medical Examination Report (MER) Form, MCSA-5875: 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.

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 Examiner's Certificate (MEC), Form MCSA-5876.

A DOT physical exam is valid for up to 24 months. The medical examiner may also issue a medical examiner's certificate for less than 24 months when it is desirable to monitor a condition, such as high blood pressure.

Provisional medical certification (PMC) The Public Utilities Commission of Ohio offers PMC for eligible intrastate (Ohio driving only) drivers who are unable to pass their USDOT required physical examination. To apply for PMC, drivers must first meet the following eligibility requirements.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232