Medical Examiner's Certificate Form Mcsa-5876

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Medical Examiner's Certificate (MEC), Form MCSA-5876. last door or the trunk is closed*. 50 M5Board is the best forum community for information on the BMW .... 2016. 4. 25. — Revised Medical Examiner's Certificate (MEC) Form MCSA-5876. For your convenience, the MER Form can also be easily obtained through the forms .... ... the location has uploaded the driver's Medical Examiner Determination (Form MCSA-5875) instead of the Medical Examiner's Certificate (Form MCSA-5876).. 2015. 11. 19. — Medical Examiner's Certificate (MEC), Form. MCSA-5876. Results of examinations conducted on or after. December 22, 2015 must be reported .... Medical Examiner's Certificate (MEC), Form MCSA-5876. Which drivers are required to have a DOT medical certificate? Interstate:.. 2015. 10. 1. — If the medical examiner finds the driver qualified under the limited ... with the following Form MCSA-5876, Medical Examiner's Certificate.. The FMCSA has requested that all medical examiners continue providing drivers with a paper copy of the Medical Examiner's Certificate – Form MCSA-5876, .... DOT Physical Forms · Medical Examination Report (MER) Form, MCSA-5875 · Medical Examiner's Certificate (MEC), Form MCSA-5876 · Insulin-treated Diabetes Mellitus .... 2021. 6. 22. — The FMCSA has been informed that some Medical Examiners are not using the current approved versions of the required driver examination forms .... DOT Medical Card Form effective December 22. - South Dakota ... - dps sd. Omb no. 21266 form mcsa5876 (revised: 10/07/2015) expiration date: 8/31/2018 .... 2020. 9. 30. — Form MCSA-5876: Medical Examiner's Certificate (U.S. Department of Transportation) ... (for Commercial Driver Medical Certification).. Forms. com has connected pilots to AMEs since 1999. We've identified 4 cities ... The DMV accepts only the MCSA-5876 Medical Examiner's Certificate (MEC).. Form MCSA-5876 (Revised: 04/24/2015). OMB No. 2126-0006 Expiration Date: Medical Examiner's Certificate. (for Commercial Driver Medical Certification).. Medical examiners are required to complete the Medical Examination Report Form for ... Cer-tificate, Form MCSA-5876, as well as on the Medical Examination .... Medical Examiner's Certificate (MEC), Form MCSA-5876. Andrew Barnes. Director, Compliance and Regulatory Affairs. Alberta Motor Transport Association.. Find many great new & used options and get the best deals for MEDICAL EXAMINER'S CERTIFICATE, FORM MCSA 5876, FOLDABLE TO WALLET SIZE (50) at the best .... In December we notified you that the Medical Examination Report Form, MCSA-5875 and Medical Examiner's Certificate, MCSA-5876, had been updated with a new .... The Medical Examiner will keep a copy of the Medical Examiner's Certificate (MEC), Form MCSA-5876 on file for at least 3 years. All interstate CMV drivers must .... Revised Medical Examiner's Certificate (MEC) form MCSA-5876; Revised Medical Examination Results form MCSA-5850. DOT Physical Regulations .... Revised Medical Examination Report (MER) Form MCSA-5875; Revised Medical Examiner's Certificate (MEC) Form MCSA-5876. Revisions on the new forms include the .... https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/docs/Medical-Examiners-Certificate-%28MEC%29-Form-MCSA-5876.pdf ⧉. Tags. Commercial Driver's License.. record that on the driver's Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical. Examination Report Form, MCSA-5875. Testing:.. Do not provide your full Medical Examination Report (MER) Form, MCSA-5875 to DMV. DMV can only accept a Medical Examiner's Certificate (MEC), MCSA - 5876, also .... 2015. 12. 11. — Medical examiners will now need to begin using new forms as part ... and Medical Examiner's Certificate, Form MCSA-5876 (the smaller .... and my Medical Examiner's Certificate, that submission of fraudulent or ... Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical.. Library File Link: 40-1504A (obsolete 4/20/16 use MCSA-5876) (link is external). Purpose: Medical Examiner Certificate - DOT Card (MEC) Form (MCSA–5876) .... Any Wyoming CDL driver that is required to hold a medical certificate must be examined ... Only 2 minor alterations may be made to the MEC, Form MCSA-5876:.. 2018. 6. 26. — For Certified Medical Examiners, the paper trail will continue. ... the original paper Medical Examiner's Certificate (Form MCSA-5876) to .... 2018. 6. 18. — Continue carrying their Medical Examiner's Certificate, Form MCSA-5876 as proof of medical certification for the first 15 days following .... and my Medical Examiner's Certificate, that submission of fraudulent or ... Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical.. §391.43 Medical examination; certificate of physical examination. ... in accordance with the following Form MCSA-5876, Medical Examiner's Certificate:.. and my Medical Examiner's Certificate, that submission of fraudulent or ... Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical.. Bring your D.O.T. medical card that is valid (not more than two years old). ... provide you with the Medical Examiners Certificate (MEC) Form MCSA-5876.. 2018. 10. 4. — Medical Certification Forms MCSA-5875 & MCSA-5876 · Find a DOT physical doctor who understands the big picture of commercial driving, and the .... 2018. 11. 26. — If the Medical Examiner determines that the driver examined is physically qualified to drive a commercial motor vehicle in accordance with the .... DOT Medical Exam and Commercial Motor Vehicle Certification. About the Exam: ... Medical Examiner's Certificate (MEC), Form MCSA-5876. and my Medical Examiner's Certificate, that submission of fraudulent or ... Cer-tificate, Form MCSA-5876, as well as on the Medical Examination Report Form, .... record that on the driver's Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical. Examination Report Form, MCSA-5875. Testing:.. Dr. Haugen is a certified medical examiner. Complete DOT Physical. ... Medical Examiner's Certificate (MEC), Form MCSA-5876. Certified drivers will receive .... Complete this form for your employee to give to your designated medical provider. ... Medical Examiner's Certificate (MEC), Form MCSA-5876.. NBCOT provides initial and renewal certification for occupational therapy in the ... Form (MCSA-5875) and the Medical Examiner's Certificate (MCSA-5876).. 2018. 6. 22. — ... the 2015 Medical Examiner's Certification Integration Final Rule. ... paper Medical Examiner's Certificate (MEC, or Form MCSA-5876) as .... 2016. 10. 27. — FMCSA announces its decision to allow certified Medical Examiners (MEs) to use ... and Medical Examiner's Certificate (MEC), Form MCSA-5876, .... Forms. bus. Medical Examiner Report Form ... motor vehicle drivers maintain a current Medical Examiner's Certificate (MEC), Form MCSA-5876 to drive.. Get the Forms: CDL Drivers DOT Medical Exam Form MCSA-5875 PDF. ... Examination Report Form, MCSA-5875, and Medical Examiner's Certificate, Form MCSA-5876, .... Only certified medical examiners may do the DOT medical exam. ... and provide the driver with a Medical Examiner's Certificate (MEC), Form MCSA-5876.. and my Medical Examiner's Certificate, that submission of fraudulent or ... Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical.. record that on the driver's Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical. Examination Report Form, MCSA-5875. Testing:.. Examiners after the certified medical examiner has conducted a physical examination ... Cer-tificate, Form MCSA-5876, as well as on the Medical Examination .... 2020. 5. 19. — Medical Examiner's Certificate (MEC), Form MCSA-5876 ... Total Occupational Medicine provides DOT physicals, as well as all Lake Urgent .... 2018. 6. 18. — Certified Medical Examiners: Continue issuing the original paper Medical Examiner's Certificate, Form MCSA-5876 to all qualified drivers .... Form MCSA-5876. OMB No. 2126-0006 Expiration Date: 11/30/2021. Medical Examiner's Certificate. (for Commercial Driver Medical Certification).. You are required to have a Medical Examiner's Certificate on file with DMV in order to get a commercial driver license or commercial learner permit:.. Form MCSA-5875 (Revised: 12/09/2015). OMB No. 2126-0006 ... Medical Examination Report Form. (for Commercial Driver Medical Certification).. Form MCSA-5875. OMB No. 2126-0006 Expiration Date: 8/31/2018. Medical Examination Report Form. (for Commercial Driver Medical Certification).. Form MCSA-5876. OMB No. 2126-0006 ... Medical Examiner's State License, Certificate, or Registration Number. National Registry Number. Driver's Signature.. driver's Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical Examination. Report Form, MCSA-5875. • Testing: o Pulse rate and rhythm, .... 2019. 10. 13. — A. The Medical Examiner would advise FMCSA of the ... and Medical Examiner's Certificate, Form MCSA-5876, must be.. 2015. 7. 21. — ... MCSA-5875 and Medical Examiner's Certificate (MEC), Form MCSA-5876. FMCSA will update the CMV Driver Medical Examination Results Form, .... ... interstate commercial motor vehicle drivers maintain a current Medical Examiner's Certificate (MEC), Form MCSA-5876 to drive. As part of the physical, .... Medical examiners are responsible for evaluating commercial drivers' fitness to drive and safely ... Medical Examiner's Certificate (form MCSA–5876).. Medical Examiner's Certificate (MEC), Form MCSA-5876. NTS Application Form Manufacturing Industry Islamabad 2021 can be downloaded with complete job forms .... 2018. 6. 20. — Continue issuing the original paper Medical Examiner's Certificate, Form MCSA-5876 to all qualified drivers including Commercial Learner's .... As a medical care provider, we want every resident of Dallas Fort Worth ... Medical Examiner's Certificate (MEC), Form MCSA-5876; Medical Examination .... Form MCSA-5875 ... and my Medical Examiner's Certificate, that submission of fraudulent or intentionally false information is a violation of 49 CFR 390.35, .... Download FMCSA dot physical medical forms and State department of motor vehicles ... Form (MER): MCSA-5875; Medical Examiner's Certificate (MEC): MCSA-5876 .... 2016. 10. 26. — Examiners (MEs) to use the Medical. Examination Report (MER) Form,. MCSA–5875, and Medical Examiner's. Certificate (MEC), Form MCSA–5876,.. Dr. Jeffrey Dysart is registered as a Certified Medical Examiner by the National ... your portion of the Medical Examination Report (MER) Form (MCSA-5875).. 2015. 4. 23. — FMCSA websites: • Medical Examination Report (MER) Form,. MCSA-5875. • Medical Examiner's Certificate (MEC), Form. MCSA-5876.. The average cost of a medical marijuana card in Oklahoma is 100 US dollars. ... Medical Examiner's Certificate (MEC), Form MCSA-5876 - This form is an .... Drug Abuse Support Groups Drug Abuse is a form of physical addiction ... Medical Examiner's Certificate (MEC), Form MCSA-5876 - This form is an example of .... Upon completion of your physical examination, you will receive the Medical Examiner's Certificate (MEC) MCSA-5876 and Medical Examination Report Form (MER) .... 2020. 4. 25. — The Medical Examiner's Certificate, MCSA-5876, also known as the “wallet card” or “fed med card” provided to drivers who are medically .... 2018. 7. 19. — Certified medical examiners must continue issuing the original paper Medical Examiner's Certificate, Form MCSA-5876, to all qualified .... (2) A certified VA medical examiner must only perform medical examinations ... accordance with the following Form MCSA-5876, Medical Examiner's Certificate:.. 2018. 12. 10. — The date found on the top right corner of the Medical Examination Report Form, MCSA-5875 and Medical Examiner's Certificate, MCSA-5876, .... 2016. 4. 14. — The FMCSA reminds medical examiners and commercial drivers to use revised ... and the Medical Examiner's Certificate (MEC) Form (MCSA–5876).. The Medical Examiner's Certificate, MCSA-5876, also known as the “wallet card” or “fed med card” provided to drivers who are medically certified.. and my Medical Examiner's Certificate, that submission of fraudulent or ... Cer-tificate, Form MCSA-5876, as well as on the Medical Examination Report Form, .... 2016. 4. 20. — ... on the new DOT Medical Examination Report form MCSA-5875 and drivers will be issued the new Medical Examiner's Certificate MCSA-5876, .... Certified Medical Examiners: · Continue issuing the original paper Medical Examiner's Certificate, Form MCSA-5876 to all qualified drivers including Commercial .... Certified medical examiners present the MCSA-5876, Medical Examiner's ... Form – For Commercial Driver Medical Certification must also be completed by the .... This NPRM proposes to require MEs to use a new Medical Examination Report (MER) Form, MCSA-5875; Medical Examiner's Certificate (MEC), Form MCSA-5876; .... Commercial Driver Medical Examinations: FAQ's. ... MCSA-5875 and 2) a valid (original or copy) Medical Examiner's Certificate (MEC) Form, MCSA-5876, .... Medical Examiner's Certificate (Form MCSA-5876), for non-excepted drivers. This Notice of Action is issued to an applicant to replace Form I-94.. 2016. 7. 21. — and my Medical Examiner's Certificate, that submission of ... Form MCSA-5876, as well as on the Medical Examination Report Form, MCSA-5875.. Report Forms collected by FMCSA will be stored in FMCSA's automated National Registry of ... driver's Medical Examiner's Certificate, Form MCSA-5876, .... The following comes directly from the MD DMV department: CDL Medical/Physical Requirements. You must have a valid MCSA-5876 - Medical Examiner Certificate .... A: All Medical Examiner autopsy reports are automatically sent to . The San Diego County Medical ... Medical Examiner's Certificate Form, (MEC) MCSA-5876.. Medical examiners are required to complete the Medical Examination Report Form for ... Cer-tificate, Form MCSA-5876, as well as on the Medical Examination .... Fill mcsa 5876 fmcsa instantly, Edit online. Sign, fax and printable from PC, iPad, ... Instructions and Help about mcsa5876 medical examiner form.. 2018. 6. 27. — Certified Medical Examiners: Continue issuing the original paper Medical Examiner's Certificate, Form MCSA-5876 to all qualified drivers .... All medical examiners performing Department of Transportation physicals (DOT) must be ... Revised Medical Examiner's Certificate (MEC) form MCSA-5876. Our medical examiners are certified by the FMCSA and our exam meets DOT and FMSCA ... Form, MCSA-5875; Medical Examiner's Certificate (MEC) Form, MCSA-5876 .... 2021. 3. 19. — Medical Examiner's Certificate (MEC), Form MCSA-5876 - This form is an example of what certified drivers can expect. DOT Physical Forms and .... 2015. 8. 6. — Which Forms Do I Use for the DOT Driver Exams? ... Report (MER) Form, MCSA-5875 and Medical Examiner's Certificate (MEC) Form, MCSA-5876.. ... requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner's Certificate (MEC), Form MCSA-5876 to drive.. The only time a DL-51 is used is if you FAIL your MCSA-5876, you bring that in, and then you file a California Intrastate Restricted Medical Certificate (DL-51B .... Form MCSA-5876. OMB No. 2126-0006. Expiration Date: 8/31/2018. Public Burden Statement. A Federal agency may not conduct or sponsor, and a person is not .... Form MCSA-5876. OMB No. 2126-0006 Expiration Date: 8/31/2018. Medical Examiner's Certificate. (for Commercial Driver Medical Certification).. If this information is not provided, the medical examiner will not be able to determine ... driver's Medical Examiner's Certificate, Form MCSA-5876, .... A DOT physical exam is valid for up to 24 months. Sometimes, a medical examiner may issue a medical examiner's certificate for less than 24 months when it is .... Medical Examiner's Certificate Form, (MEC) MCSA-5876. These forms need to be completed by a United States (U.S.) licensed doctor of medicine (M.D.), .... All medical electronically transmit to the Director , Driver and Vehicle Safety ... Medical Examiners the Medical Examiner's Certificate . form MCSA SEX5 .... Step 1: Schedule your appointment with our certified DOT medical examiner ... you will be given a Medical Examiner's Certificate (MEC) form MCSA-5876 .... Bring your Medical Examiner's Certificate ... listed on the National Registry of Certified Medical Examiners to have that examiner complete form MCSA-5876.. Use Form MCSA–5876 for the Medical Examiner's. Certificate (MEC). • Report results (pass & fail) to FMCSA by midnight (local.. In looking at how our current program would coincide with form MCSA-5876 (MEC) and ... Click Medical Examiners' Certificate helps you to fill in the blanks.. 2018. 7. 2. — Certified medical examiners must continue issuing the original paper Medical Examiner's Certificate, Form MCSA-5876, to all qualified .... 2016 Instructions for Form FTB 3539 Complete the form below to connect with a ... Medical Examiner's Certificate (MEC), Form MCSA-5876 - This form is an .... 2015. 12. 11. — ... copies of the revised Medical Examination Report Form (MCSA-5875) and Medical Examiner's Certificate (MCSA-5876) on the FMCSA website.. Form MCSA-5876. OMB No. 2126-0006 ... Medical Examiner's State License, Certificate, or Registration Number. National Registry Number. Driver's Signature.. Form MCSA-5875. OMB No. 2126-0006 ... Has your USDOT/FMCSA medical certificate ever been denied or issued for less than 2 years? Yes O No 0 Not Sure.. record that on the driver's Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical. Examination Report Form, MCSA-5875. Testing:.. Medical-Examiners-Certificate-(MEC)-Form-MCSA-5876 · Leave a Reply Cancel Reply · CONTACT INFO · FOLLOW US.. Form MCSA-5876. OMB No. 2126-0006 Expiration Date: 11/30/2021. Medical Examiner's Certificate. (for Commercial Driver Medical Certification).. Commercial drivers are required to certify using PennDOT's Self-Certification Form (DL-11CD)(PDF). This webpage contains information and instructions to .... ... licensed firefighters must submit a Medical Examination Report Form, (MER) MCSA-5875 and Medical Examiner's Certificate Form, (MEC) MCSA-5876.. Once your physical is complete, the medical examiner will give you a Medical Examiners Certificate (Form MCSA-5876). To report a death or matters requiring .... Medical Examiner's Certificate (MEC), Form MCSA-5876; 391. MIS Package. 21 thg 12, 2020 . Image 9: X-ray image of a QFN reflowed onto aflexible circuit showing .... 2019. 6. 5. — Based on that self-certification, you may need to submit a current Medical Examiner's Certificate (MEC), Form. MCSA-5876, and any Federal or .... IC Title: IC-6, Medical Examiner's Certification Integration Final Rule, Agency IC Tracking ... Form, MCSA-5876, Medical Examiner's Certificate Revised .... 2017. 6. 14. — Provide a licensed, certified or registered medical examiner to perform ... on the driver's Medical Examiner's Certificate, Form MCSA-5876, .... 2016. 10. 27. — Examiners (MEs) to use the Medical. Examination Report (MER) Form,. MCSA–5875, and Medical Examiner's. Certificate (MEC), Form MCSA–5876,.. 2019. 4. 16. — Extension of Compliance Dates for Medical Examiner's. Certification Integration ... their Medical Examiner's Certificate, Form MCSA-5876.. You must go to a certified medical examiner listed on the National Registry of Certified Medical Examiners to have that examiner complete form MCSA-5876. All .... o Question: Has your USDOT/FMCSA medical certificate ever been denied or ... Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical.. Often a Medical Examiner's Certificate expires before it is time to renew your ... with a paper copy of the Medical Examiner's Certificate – Form MCSA-5876, .... record that on the driver's Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical. Examination Report Form, MCSA-5875.. Avance Care's DOT medical examiners are specially trained to understand specific regulations ... Revised Medical Examiner's Certificate (MEC form MCSA-5876).. driver's Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical Examination. Report Form, MCSA-5875. • Testing: o Pulse rate and rhythm, .... Medical Examination Report Form. Health. Details: Form MCSA-5876. OMB No. 2126-0006 Expiration Date: 11/30/2021. Medical Examiner's Certificate (for .... 2020. 8. 21. — For Certified Medical Examiners, the paper trail will continue. ... the original paper Medical Examiner's Certificate (Form MCSA-5876) to .... and my Medical Examiner's Certificate, that submission of fraudulent or ... Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical.. What is a DOT medical examiner's certificate?. This DOT Medical Examiners Certificate 2-Part Wallet Card is an integral ... This unique MCSA-5876 Medical Examiner's Certificate is 100% driver preferred!. Form MCSA-5876. OMB No. 2126-0006 Expiration Date: 11/30/2021. Medical Examiner's Certificate. (for Commercial Driver Medical Certification).. 2016. 1. 21. — (i.e., Medical Examination Report (MER) Form, MCSA-5875 and Medical Examiner's Certificate. (MEC), Form MCSA-5876)?. The Medical Examiner's .... Form MCSA-5876. OMB No. 2126-0006 Expiration Date: 11/30/2021. Medical Examiner's Certificate. (for Commercial Driver Medical Certification).. 2015. 12. 9. — Medical examiners are required to complete the Medical Examination Report Form for every driver physical examination performed in accordance .... Form MCSA-5876 (Revised: 10/07/2015). OMB No. 2126-0006 Expiration Date: 8/31/2018. Medical Examiner's ... (for Commercial Driver Medical Certification).. 2018. 6. 20. — Certified medical examiners must continue issuing the original paper Medical Examiner's Certificate, Form MCSA-5876, to all qualified drivers, .... 2021. 7. 18. — For 15 days after being issued a MEC (MCSA 5876), commercial drivers must have a copy of the MEC…. Medical Examiners Certificate (MEC) Form Dec .... 2021. 7. 22. — Medical Examiner's Certificate (MEC), Form MCSA-5876. Commercial drivers must be certified by a professional medical examiner who is listed .... Commercial motor vehicle drivers must maintain an up-to-date Medical Examiner's Certificate (MEC), Form MCSA-5876 to drive. Visit the DOT physical doctors .... Certified Medical Examiners must continue issuing the original paper Medical Examiner's. Certificate, Form MCSA-5876 to all qualified drivers including .... Has your USDOT/FMCSA medical certificate ever been denied or issued for less than 2 years? ... Examination Report (to be filled out by the medical examiner).. 2015. 12. 21. — ... Report (MER) Form and Medical Examiner's Certificate (MEC) ... use of the newly developed MEC Form MCSA-5876 for thecurrent MEC form, .... Ref-06476 Form MCSA-5876, Medical Examiner's Certificate. MCSA-5876.pdf. Form used determine if someone is physically capable of operating the vehicle.. Form MCSA 5876 helps you comply with 49 CFR Section 391.43 DOT medical card requirements. DOT medical card overall measures 3-1/2" x 7-1/8". With certificate .... Therefore, the expiration date on the Medical Examination Report Form, MCSA-5875 and Medical Examiner's Certificate, MCSA-5876, has been updated to .... View, download and print fillable Mcsa-5876 - Medical Examiner's Certificate in PDF format online. Browse 1 Form Mcsa-5876 - Medical Examiners Certificate .... You must have a valid Medical Examiner's Certificate (MCSA-5876), or a photographic copy of your valid Certificate, to receive a commercial driver's license .... 2017. 10. 31. — and my Medical Examiner's Certificate, that submission of fraudulent ... Examiner's Certificate, Form MCSA-5876, as well as on the Medical.. FMCSA Amends Medical Exam Form Rules ... Form MCSA-5875 in place of the current MER form and to use form MCSA-5876 for the Medical Examiner's Certificate.. 2021. 6. 29. — About the Medical Examiner's Certificate (MEC), Form MCSA-5876If the Medical Examiner determines that the driver examined is physically .... Once your physical is complete, the medical examiner will give you a Medical Examiners Certificate (Form MCSA-5876). To avoid a downgrade or cancellation of .... As of December 22, 2015, a newly revised version of the MEC (Form MCSA-5876) should be used by medical examiner's. Faxed and mailed medical certificate .... 2015. 11. 12. — Medical Examiner's Certificate (MEC), Form. MCSA-5876. Results of examinations conducted on or after. December 22, 2015 must be reported .... ... time such as a 3-month Medical Examination Certificate (MEC), Form MCSA-5876. ... A “Determination Pending” status is courtesy that the Medical Examiner .... DOT medical examiners are specifically trained to understand the regulations and help ... Revised Medical Examiner's Certificate (MEC) form MCSA-5876 .... Form MCSA-5876 (Revised: 12/02/2015). OMB No. 2126-0006 Expiration Date: 8/31/2018. Medical Examiner's Certificate. (for Commercial Driver Medical .... (2)(i) Before June 22, 2018, if the medical examiner finds that the person ... with the following Form MCSA–5876, Medical Examiner's Certificate: (i) Each ... 3f8ff32283 44