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Medical Reporting - PennDOT Driver & Vehicle Services

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/MedicalReporting.aspx
    Medical Reporting Forms Reporting of Medical Conditions Affecting Driver Safety (PDF) Talking with Older Drivers (PDF) What to Expect When My Medicial Condition has been …

Medical Examination Report (MER) Form, MCSA-5875

    https://www.fmcsa.dot.gov/regulations/medical/medical-examination-report-form-commercial-driver-medical-certification
    About the Medical Examination Report (MER) Form, MCSA-5875: The Federal Motor Carrier Safety Administration requires that interstate commercial motor …

Self-Certification / Medical Examiner's Certification

    https://www.dmv.pa.gov/Driver-Services/Commercial-Driver/Pages/Sample-Medical-Examiners-Certificate.aspx
    Self-Certification / Medical Examiner's Certification. As part of the Motor Carrier Safety Improvement Act, the Federal Motor Carrier Safety Administration (FMCSA) amended the Federal Motor Carrier Safety …

Medical Examination Report Form Federal Motor …

    https://www.fmcsa.dot.gov/sites/fmcsa.dot.gov/files/2022-03/Medical%20Examination%20Report%20Form%20MCSA-5875.pdf
    Medical Examination Report Form (for Commercial Driver Medical Certification) Last Name: Middle Initial: Street Address: Driver’s License Number: E-Mail (optional): CLP/CDL …

Medical Criteria - PennDOT Driver & Vehicle Services

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/Medical-Criteria.aspx
    PennDOT has a Medical Advisory Board that is responsible for the formulation of physical and mental criteria, including vision standards, for the licensing of drivers. The board …

DOT Medical Exam and Commercial Motor Vehicle …

    https://www.fmcsa.dot.gov/medical/driver-medical-requirements/dot-medical-exam-and-commercial-motor-vehicle-certification
    A Department of Transportation (DOT) physical examination must be conducted by a licensed "medical examiner" listed on the Federal Motor Carrier Safety …

Medical Applications and Forms | FMCSA

    https://www.fmcsa.dot.gov/medical/driver-medical-requirements/medical-applications-and-forms
    Medical Examinations. The expiration date on the Medical Examination Report Form, MCSA-5875, Medical Examiner's Certificate, MCSA-5876, Insulin …

Medical Reporting FAQ - PennDOT Driver & Vehicle …

    https://www.dmv.pa.gov/Pages/FAQ%20Pages/Medical-Reporting-FAQ.aspx
    For a complete list, including a summary of the regulations, visit PennDOT’s Medical Reporting Information Center at www.dmv.state.pa.us. Physical Criteria: Visual acuity …

Online Forms - Pennsylvania Department of Transportation

    https://www.penndot.pa.gov/ContactUs/Pages/Online-Forms.aspx
    PennDOT is committed to providing its customers with services in an eco-friendly and accessible manner. To that end, most of our forms, publications, and maps are available …



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