Marshfield clinic wants employers of commercial drivers to know there are changes to the commercial driver medical examination cdmecdl process, medical examiners certificate mec and cdme forms. Medical certification requirements as part of the cdl. Commercial drivers license nm motor vehicle division. Medical examination report for commercial driver fitness determination 649f 6045 1. Fmcsrs to require commercial drivers license cdl holders, subject to the physical qualification requirements of the fmcsrs, to provide a current copy of their medical examiners certificate to their state driver licensing agency. Dot dmv commercial drivers physical examination at the cohc. About the medical examination report mer form, mcsa5875the federal motor carrier safety administration requires that interstate commercial motor vehicle drivers maintain a current medical examiners certificate mec, form mcsa5876 to drive. Pass a dot physical examination and provide the bmv with an valid medical examination report mer and medical examiners certificate mec. Submit only the medical doctor or osteopathic physician evaluation page, located at the end of this form, to employer for drivers 70 years of age and older. This document contains statebystate tnstructions for submitting medical certificates for cdl drivers to the state licensing agencies. Medical examination report mer form, mcsa5875 fmcsa. Kansas state department of education school bus driver.
These changes are directed by the federal motor carrier. Drivers medical examination report dmer province of. The driver medical examination report dmer is the primary tool used by the superintendent to assess the severity, progression, treatment or effects of a medical condition, if. Medical examination report mer form, mcsa5875 federal. The form, mcsa5875, includes a medical examiners certificate mcsa5876 that is signed by a health care professional, when the driver meets the federal requirements. There are four commerce types, two of which require a certified medical status. Duplicate fee a duplicate driver license is required to accurately reflect any changes in driving restrictions based on your tier selection if you are a new commercial driver, you will certify a. The report will be on mcsa5875, provided by the federal motor vehicle safety administration fmcsa. You will need to carry a copy of this certificate with you when operating a commercial motor vehicle.
Medical examination report instructions to the driver. Send this form and a complete copy of your most current medical examination report the dot medical card is not sufficient to. To obtain a cdl, the applicant must provide a valid medical examination report for commercial driver fitness determination and medical examiners certificate medical report and medical examiners certificate, pass applicable vision and. Commercial driver license cdl medical certification faqs all commercial driver license cdl or commercial learners permit clp applicants and current cdl or clp holders must provide a selfcertification to the department of revenue regarding the type of commercial motor vehicle cmv operation they do or expect to do. Driver completes this section, but medical examiner is encouraged to discuss wi th driver. Medical examination form to be completed by a licensed medical doctor or osteopathic physician. Therefore, canadian and mexican cmv drivers are not required to have in their possession a medical examiners certificate if the driver has been. A department of transportation dot physical examination must be conducted by a licensed medical examiner listed on the federal motor carrier safety administration fmcsa national registry. The staff and me has deep understanding of the regulation and the role and responsibility of. Medical examination reports must meet the requirements of 391. National registry driver examination forms frequently asked. You will need to fill out the health history portion of the medical examination report a. Commercial driver license intrastate medical waiver. Medical examination report for commercial driver fitness determination.
Medical examination report form\n\for commercial driver medical certification\ created. Kansas state department of education school bus driver medical examination report. Federal medical examiner certificate fed med card if certifying tier 1 or tier 3. A cdl skills exam must be taken at one of the authorized cdl driving skills exam. This medical examination report must remain on file with the department. Commercial drivers operating in certain types of commerce are required to obtain a certified medical status and maintain the status to avoid losing their commercial driver license.
Dot medical examination report for commercial driver fitness determination. Medical examination report for commercial driver fitness. Our driver friendly dot physical doctors will get your cdl medical card right, first time. Commercial driver medical examination report georgia. Drivers information driver completes this section drivers name last. As part of the physical, drivers are required to fill out the medical history portion of the medical examination report mer form, mcsa5875. Before we issue the medical examination report that you need, we put you through driver fitness determination tests that include a series of medical exams. The medical certificate and medical report must be signed by the medical examiner who performs the examination. Visit us at the miami dot exams for appointments and physical exam with our dotcertified doctor. If a state accepts mailed in medical certificates, faxed medical certificated, andor emailed medical certificates. Cdl dot medical department of revenue motor vehicle. To complete the selfcertification process, you may. The driver is required to obtain a new phys ical examination and a new medical examination report form, mcsa5875. Obtain a commercial drivers license learners permit.
The commercial motor vehicle driver medical examination aafp. To locate a medical professional on this list please go to national registry web site located here. Note that the cdl physical and medical requirements for a commercial drivers license are regulated by the federal motor carrier safety administration fmcsa of the u. It will remain valid in the system for two years from the date of issuance, unless you have a medical condition that requires more frequent examination. Faqs commercial driver license cdl medical certification. How have the commercial motor vehicle cmv driver examination forms. After receiving your driver medical examination form, youll have 45 days to complete and submit it. A medical examination report form, mcsa5875, cannot be amended after an examination has been in determination pending status for more than 45 days or after a final qualification determination has been made.
Drivers information driver must complete this section. Driver certification for issuance of a commercial drivers permit or license mvd11222 download pdf. You will need to carry evidence of a clean medical exam report i. Driver s information driver must complete this section. Have you or someone you know been asked to take a drivers medical examination. Cdl medical information florida department of highway. If your physician chooses to use this process, be sure that you complete the form prior to returning it to the driver safety office. A medical examiner on the national registry will need to complete the fmcsa medical examination report for commercial driver fitness determination as well as the certificate at the end of the packet.
Temporary permit for transportation of hazardous materials. Vehicle light permit amber, red, blue publications and reports. Where can i get a dot medical exam click here to find a fmcsa certified medical examiner in your area. Scroll to the go online link below and click to enter site. Health history driver completes this section, but medical examiner is. The federal motor carrier safety administration requires that interstate commercial motor vehicle drivers maintain a current medical examiners certificate mec, form mcsa5876 to drive. Texas department of public safety courtesy, service. California dot physical exam locations, medical certification. Residents of mexico and canada may be certified by doctors.
Federal guidelines for holding a commercial driver license require you to keep a good driving record and to pass a physical exam every two years. Dot medical exam and commercial motor vehicle certification about the exam. The federal motor carrier safety administration requires that interstate commercial motor vehicle drivers maintain a current medical examiners. Its important to submit it on timeif you miss that deadline your licence may be cancelled.
Commercial driver medical examination certificate all commercial driver medical examination certificates will be accepted as long as as the issuing medical professional is on the national registry of certified medical examiners. Starting may 21, 2014, all commercial motor vehicle drivers must have a physical performed by a medical examiner listed on the national registry of certified medical examiners. Due to the strict dot physical requirements, commercial operators are generally required to pass the cdl physical exam on a regular basis. All commercial drivers must submit medical reports to the department on original applications and at least every two years thereafter. Drivers information driver completes this section date of exam m recertification m d y. All commercial drivers of vehicles in interstate commerce with a maximum gross vehicle weight rating of over 10,000 pounds 4,536 kilograms are required to obtain and maintain a valid medical examiners certificate me certificate commercial drivers who drive vehicles requiring a cdl have two additional requirements. You must still provide your employer with the medical examination report for commercial driver fitness determination long form. Drivers information driver completes this section date of exam m recertification m d y drivers name last, first, middle social security no. A commercial drivers license may be issued to an individual eighteen 18 years of age who holds a valid automobile class d drivers license who has passed the vision and knowledge test required for a commercial drivers license of the class vehicle to be driven, if. I am submitting this medical examination report to apply for or retain a certi. Commercial driver license medical eligibility california. If medical certification is required, you will need to scan and.
Pass a skills test in a vehicle class you intend to operate. View your current cdl certification and expiration date. Commercial driver medical examination data from 88,246. Federal motor carrier safety regulations require all commercial driver license holders to certify with the states driver license agency in one of the four categories below prior to the issuance or renewal of a cdl. The information that will be provided in this document is as follows. Wisconsin dmv official government site upload your. If the form is available in electronic format, click on name of the form to open. Drivers information driver completes this section drivers name last, first, middle social security no. Alternatively, medical providers with access to the internet can print the dme, complete and sign it, and forward it to the driver. What is a dot medical exam it is an exam that indicates an individual is physically qualified to operate a commercial motor vehicle in accordance with 49 cfr 391. If you have medical conditions requiring waiver we guide you through and make sure you are in contact with the appropriate authority handling the federal waiver programs.