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Get Dot Mcsa-5875 2015
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How to fill out the DoT MCSA-5875 online
Filling out the DoT MCSA-5875 form accurately is crucial for obtaining your commercial driver's medical certification. This guide provides clear instructions to help you navigate each section and complete the form online with confidence.
Follow the steps to complete the form effectively.
- Click the ‘Get Form’ button to retrieve the MCSA-5875 form and open it in your preferred online editor.
- Review the Privacy Act statement carefully. After understanding its provisions, sign and date the document to acknowledge your awareness.
- In Section 1, input your personal information accurately. Include your full name as it appears on your driver’s license, current address, phone number, date of birth, age, gender, driver's license number, and the state that issued it.
- Indicate whether you are a commercial learner's permit (CLP) or commercial driver's license (CDL) holder by selecting 'yes' or 'no' in the appropriate box.
- Provide your driver ID verification information, noting the type of photo ID used to confirm your identity, such as a driver's license or passport.
- Respond to the question regarding your USDOT/FMCSA medical certificate history, checking the appropriate box if it has ever been denied or issued for less than two years.
- Answer the health history questions in detail, indicating whether you have ever had surgery or are currently taking any medications. Be specific about your medications and any surgeries, if applicable.
- For questions 1-32 about health conditions, check 'yes', 'no', or 'not sure' accordingly, providing explanations for any 'yes' answers where required.
- In the CMV driver’s signature area, certify that the information is complete and accurate by signing and dating the form.
- Complete Section 2 if you are the medical examiner by reviewing the driver’s health history and performing necessary tests, recording your findings accurately.
- Indicate whether the driver meets or does not meet the medical standards and specify any necessary follow-up procedures.
- After completing the form, save your changes, then download, print, or share the completed form as needed.
Complete the DoT MCSA-5875 form online today to ensure your commercial driving certification is processed smoothly.
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