Minnesota Record of Absence - Self-Certification Form

State:
Multi-State
Control #:
US-457EM
Format:
Word; 
Rich Text
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This Employment & Human Resources form covers the needs of employers of all sizes.
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How to fill out Record Of Absence - Self-Certification Form?

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FAQ

Refer to Minnesota Statutes, chapter 221. Most CDL drivers operating in Minnesota operate in category 3 non-exempt intrastate commerce and are required to obtain a medical certificate. This includes: Drivers of vehicles over 26, 000 pounds gross vehicle weight.

The Medical Examination Report (MER) is aimed at presenting the complete heath picture of the child along with the diagnosis of a probable illness/ condition that requires specific treatment, and thus testing would help in restoring the health of the child.

My CDL is valid, but my medical examiner's certificate is expiring. Will I be required to submit a new certificate before my next renewal? Yes. Commercial drivers are required to maintain current medical information on their driving record.

Under a state health law, if you have contracted or been exposed to COVID-19 and the Minnesota Department of Health (MDH) recommends you stay home (isolate or quarantine yourself), your employer may not discharge, discipline or penalize you for missing work.

A Medical Examination Report Form is a document required to complete by an individual in order to qualify for a new job or maintain their current job.

Please submit this completed self-certification form and your medical examiner's certificate from a certified medical examiner and/or medical waiver, if applicable, online: drive.mn.gov, by mail: Driver and Vehicle Services Division, 445 Minnesota Street, Suite 175, St.

To attain a certification to conduct Minnesota Annual Inspections, you must attend an eight-hour certification course. For course dates and details contact: Alexandria Technical College at 888-234-1222, Dakota County Technical College at 800-548-5502 or Minnesota Trucking Association at 651-646-7351.

Most CDL drivers operating in Minnesota operate in category 3 non-exempt intrastate commerce and are required to obtain a medical certificate. This includes: Drivers of vehicles over 26, 000 pounds gross vehicle weight.

The cargo and passengers must originate and end in California. While driving commercially you may not cross state or international borders. If you self-certify as operating NA, your CDL card and driver record will reflect a CDL Intrastate Only restriction (40/K).

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.

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Minnesota Record of Absence - Self-Certification Form