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Get Dot Mcsa-5875 2013
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How to fill out the DoT MCSA-5875 online
Filling out the DoT MCSA-5875 is an essential step for individuals seeking medical certification for operating commercial motor vehicles. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.
Follow the steps to fill out the DoT MCSA-5875 form online.
- Press the ‘Get Form’ button to access the form and open it in the online editor.
- Begin by entering your personal information in Section 1. This includes your last name, first name, middle initial, address, city, state of issue for your driver’s license, date of birth, age, and zip code.
- Indicate your gender and provide your phone number. Specify whether you are an intrastate driver and if you hold a commercial driver’s license (CDL).
- Confirm if your USDOT/FMCSA medical certificate has ever been denied or issued for less than two years by selecting yes or no.
- Move on to the driver health history section. Answer the health questions accurately by checking ‘Yes’ or ‘No’ for each condition. If you check ‘Yes’ for questions 1-30, provide additional comments regarding those health conditions in the designated area.
- Respond to the driver lifestyle questions, indicating your tobacco use, alcohol consumption, and any past illegal substance use.
- Provide your signature and the date, affirming the accuracy of your medical history.
- Section 2 is to be filled out by the medical examiner. After your examination, they will discuss your health history and enter their findings.
- The medical examiner will conduct certain tests, including height, weight, vision, and hearing assessments, recording these results on the form.
- Finally, the medical examiner will make a determination regarding your certification status and provide their signature, contact information, and other relevant details.
- Once all sections are complete, you may save your changes, download a copy, print the form, or share it as needed.
Get started with filling out your DoT MCSA-5875 online now.
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