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Medical Reporting Forms - PennDOT Driver & Vehicle …

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/Medical-Reporting-Forms.aspx
    In addition, § 71.3(b)(6) states that a person who has no established medical history or clinical diagnosis of other cardiovascular disease resulting in syncope, …

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 …

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 …

INITIAL REPORTING FORM - Pennsylvania …

    https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-13.pdf
    INITIAL REPORTING FORM DL-13 (5-22) INITIAL REPORTING FORM Bureau of Driver Licensing • P.O. Box 68682 • Harrisburg, PA 17106-8682 • (717) 787-9662 PLEASE …

Medical Examination Report (MER) Form, MCSA-5875

    https://www.fmcsa.dot.gov/regulations/medical/medical-examination-report-form-commercial-driver-medical-certification
    Medical Examination Report Form MCSA-5875.pdf (457.22 KB) About the Medical Examination Report (MER) Form, MCSA-5875: The Federal Motor Carrier …

PennDOT - Self-Certification Form - Pennsylvania …

    https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-11CD.pdf
    • Please enlarge your Medical Examiner’s Certificate to 5 inches by 7 inches and make sure that all of the health care provider information is complete and legible. EI I drive a …

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-Treated …

Pennsylvania CDL and DOT Medical Card Requirements

    https://dotphysicaldoctor.com/pa/
    Making this change to the driving record will automatically disqualify you from operating in any form of non-excepted transportation. If and when your driving type changes, you will …

Online Forms - Pennsylvania Department of Transportation

    https://www.penndot.pa.gov/ContactUs/Pages/Online-Forms.aspx
    DOT > Contact Us > Online Forms. Online Forms. PennDOT is committed to providing its customers with services in an eco-friendly and accessible manner. To that end, most of …

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 …



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