Get Dot Mcsa-5875 2022-2025

The DoT MCSA-5875 is a crucial form used for medical certification of commercial drivers. Properly completing this form online is essential for ensuring compliance with federal regulations and to maintain your driving privileges.

Follow the steps to complete the DoT MCSA-5875 form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred digital editor.
2. Begin with Section 1: Driver Information. Fill in your personal details, including last name, first name, middle initial, address, date of birth, and driver’s license number. Ensure all details match your official identification.
3. Indicate if you are a CLP/CDL applicant or holder by checking 'Yes' or 'No'. Fill out the details for Driver ID Verified By, recording the type of photo ID used.
4. Answer the health history questions. Note if you have had surgery or are currently taking medications. Provide necessary details if you check 'Yes'.
5. Proceed to answer questions 1-32 about various health conditions. Make sure to indicate 'Yes', 'No', or 'Not sure' for each condition listed.
6. If applicable, add any additional health conditions not listed by completing the relevant section.
7. Review your responses for accuracy and completeness. Your signature is required in the CMV Driver’s Signature section, along with the date.
8. After completing Section 1, if you are the Medical Examiner, move on to Section 2: Examination Report. Document the driver’s health history review and testing results.
9. Finalize the examination report. The Medical Examiner must provide their signature, the date, and any relevant information regarding the determination of the driver’s physical qualifications.
10. Once you have completed all sections, save the changes, and utilize options to download, print, or share the form as needed.

Complete your documents online today for a streamlined submission process.