Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Printable Form 649 F

Get Printable Form 649 F

Security No. Address City, State, Zip Code Birthdate Work Tel: ( Home Tel: ( Age Sex New Certification Date of Exam M Recertification F Follow-up ) Driver License No. License Class State of A C Issue ) B D Other E L 2. HEALTH HISTORY Driver completes this section, but medical examiner is encouraged to discuss with driver. Yes No Yes No Yes No Any illness or injury in the last 5 years? Lung disease.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to use or fill out the Printable Form 649 F online

Filling out the Printable Form 649 F online is essential for commercial driver fitness determination. This guide provides step-by-step instructions to help you complete the form accurately, ensuring compliance with regulations.

Follow the steps to fill out the Printable Form 649 F online effectively.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
  2. Begin with the driver's information section. Enter your full name as it appears on your driver's license, along with your social security number, address, city, state, zip code, and birthdate. Ensure the contact numbers are current and categorized as work or home.
  3. Indicate your age and choose the correct option for certification type: New Certification, Recertification, or Follow-up. Complete the driver’s license number and license class details, including the state of issue.
  4. In the health history section, carefully reflect on any medical conditions from the last five years and answer the questions with 'Yes' or 'No.' If your answer is 'Yes' for any condition, be prepared to provide details regarding the onset date, diagnosis, and treating physician.
  5. Certify the information provided by signing and dating the form at the designated area. This signifies that the information is complete and accurate.
  6. Complete the medical examiner's comments section if applicable. The examiner will provide insights based on your health history and any prescriptions you are taking.
  7. Lastly, review the entire form for accuracy. You can then choose to save changes, download, print, or share the form as needed.

Ensure your commercial driver certification is current by completing your Printable Form 649 F online now.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Medical Examination Report - Federal Motor Carrier...
649-F (6045). 1. ... Date of Examination Name of Ophthalmologist or Optometrist (print)...
Learn more
Medical Examination Report - Federal Motor Carrier...
649-F (6045). 1. ... Date of Examination Name of Ophthalmologist or Optometrist (print)...
Learn more
Download - Support - Xerox
Delayed Print . ... Redistribution and use in source and binary forms, with or without...
Learn more

Related links form

WY Reimbursement Voucher 2014 WY WCD-9 2016 WY WCD-9 2014 AK 08-408 2016

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Filling out a medical certificate of fitness to return to duty involves providing accurate health information and ensuring all sections are completed. Start by reviewing the requirements and guidelines provided by your employer or the DOT. To make this easier, you can use the Printable Form 649 F available on our platform, which guides you through the necessary details and ensures compliance with regulations.

A DOT fitness determination is an assessment that evaluates whether a commercial driver meets the health standards required by the Department of Transportation. This determination ensures that drivers can safely operate vehicles and perform their duties without health-related risks. You can find the necessary documentation, including the Printable Form 649 F, on our platform to streamline this process.

Filling out a physical exam form requires attention to detail and understanding of the information needed. Begin by gathering all relevant personal and medical details, and ensure you have the correct dates and signatures. For a clear and efficient process, you can download the Printable Form 649 F from USLegalForms, which provides a structured layout and easy instructions to follow, ensuring your form is completed accurately.

In New York, you can submit your medical certificate to the DMV by providing the completed Medical Certification Form. You can either mail this form to the DMV or present it during your next visit to the office. To simplify this process, consider using the Printable Form 649 F available at USLegalForms, which guides you through the necessary steps and helps maintain compliance.

To submit a DOT physical to the DMV in North Carolina, you need to complete the required medical examination and obtain a Medical Examiner's Certificate. After that, you can either deliver the certificate in person to your local DMV office or mail it directly. Additionally, you can utilize the Printable Form 649 F from USLegalForms to ensure your submission is accurate and complete, making the process straightforward and efficient.

ing to the FMCSA and the Minnesota DMV, passing the DOT physical will require: 20/40 vision with or without corrective lenses in each eye as well as both eyes combined. Ability to distinguish red, green and amber – colors found on traffic signals. Ability to hear a forced whisper at a minimum distance of 5 feet.

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.

You get this by passing a DOT physical exam from an approved examiner. And Priority Care conveniently offers DOT-certified examiners at each of our Maryland clinics. You can check our certified examiners on the FMCSA website. DOT physicals are regulated by law to ensure you can safely spend hours on the road.

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.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Printable Form 649 F
Get form
  • 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
  • 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
  • Legal Hub
  • 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
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
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
  • Legal Hub
  • 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
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program