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MEDICAL EXAMINATION FORM FIRST LAST CITY MIDDLE STATE / ZIP CODE EVENING TIME DATE OF SERVICE RELIGION Name Address DAY Phone Sex SSN PRESENT AGE Male Female Date of Birth (m/d/y) PHONE Family Doctor's.

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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.

The findings of a DOT physical test are valid for up to 24 months. When it is necessary to track a condition, such as high blood pressure, the medical examiner can issue a medical examiner's certificate for less than 24 months.

Medical Certification Requirements Email: dmv.sm.cdlmedcertunit@dmv.ny.gov Put your first and last name in the subject line. ... You must get a USDOT physical performed by a medical examiner listed on the Federal Motor Carrier Safety Administration's (FMCSA) National Registry.

Federal regulations require all commercial drivers to certify to the Department of Motor Vehicles (DMV) the type of driving they perform or expect to perform. Drivers that self-certify to a non-excepted driving type (NA or NI) are also required to submit a copy of their USDOT Medical Examiner's Certificate.

How to submit a Medical Certificate to the Medical Certification Unit. Email: dmv.sm.cdlmedcertunit@dmv.ny.gov Put your first and last name in the subject line. In the event that you need to confirm receipt of your e-mailed medical certificate, DMV will track it using the information in the subject line.

All New York CDL holders are required to be medically qualified to drive a CMV by the means of a valid USDOT Medical Examiner's Certificate (MCSA-5876), unless the type of commerce you drive qualifies as 'Excepted'.

$88(cash).

A DOT physical exam will include: It ensures that the driver does not have any unwanted health conditions and can safely operate commercial vehicles. General Physical tests include lungs, mouth, eyes, ears, neurological ability, vascular function, sleep apnea test, etc.

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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