Form MCSA-5875 Medical Examination Report Form (For Commercial Driver Medical Certification)

What Is Form MCSA-5875?

This is a legal form that was released by the U.S. Department of Transportation - Federal Motor Carrier Safety Administration on March 29, 2022 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is MCSA-5875?A: MCSA-5875 is a Medical Examination Report Form for Commercial Driver Medical Certification.

Q: Who uses MCSA-5875?A: MCSA-5875 is used by commercial drivers for their medical certification.

Q: What is the purpose of MCSA-5875?A: The purpose of MCSA-5875 is to assess the medical fitness of commercial drivers for driving safely.

Q: Do I need to fill out MCSA-5875?A: Yes, commercial drivers need to fill out MCSA-5875 for their medical certification.

Q: Can I get MCSA-5875 from a healthcare provider?A: Yes, healthcare providers who are certified by the FMCSA can provide MCSA-5875.

Q: What information is required in MCSA-5875?A: MCSA-5875 requires personal information, medical history, and physical examination results.

Q: How long is MCSA-5875 valid?A: MCSA-5875 is typically valid for up to 2 years, but it can be less if certain medical conditions are present.

Q: What happens if I fail to pass the medical examination?A: If you fail to pass the medical examination, you may be disqualified from driving commercially until you meet the medical requirements.