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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 …

Medical Reporting Forms - PennDOT Driver & Vehicle …

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/Medical-Reporting-Forms.aspx
    The driver submits to a diabetic examination every 6 months, and submits the …

Documentation for CDL Drivers - PennDOT Driver

    https://www.dmv.pa.gov/Driver-Services/Commercial-Driver/Pages/Acceptable%20Documents-Commercial%20Drivers%20License.aspx
    Acceptable Documentation for CDL Drivers. If you are licensed as a non-commercial driver in Pennsylvania and want to obtain a CDL, you would apply for your permit (s) using a …

PennDOT - Self-Certification Form - Pennsylvania …

    https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-11CD.pdf
    Please mail the Self-Certification form and medical certificate (if applicable) to: Bureau of Driver Licensing • P.O.Box 69008 • Harrisburg, PA 17106-9008 To ensure the prompt …

Commercial Drivers - PennDOT Driver & Vehicle Services

    https://www.dmv.pa.gov/Driver-Services/Commercial-Driver/Pages/default.aspx
    HAZMAT Endorsement Manual (PDF) Language Assistance Services (PDF) License Types & Restrictions. Motor Carrier Safety Improvement Act (MCSIA) (PDF) Pennsylvania …

Medical Reporting - PennDOT Driver & Vehicle Services

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/MedicalReporting.aspx
    Medical Reporting and PennDOT Review Process (PDF) Medical Reporting FAQ Medical Reporting Forms Reporting of Medical Conditions Affecting Driver Safety (PDF) Talking …

Online Forms - Pennsylvania Department of Transportation

    https://www.penndot.pa.gov/ContactUs/Pages/Online-Forms.aspx
    Online Forms. 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 …

Medical Examination Report (MER) Form, MCSA-5875

    https://www.fmcsa.dot.gov/regulations/medical/medical-examination-report-form-commercial-driver-medical-certification
    The Federal Motor Carrier Safety Administration requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner’s Certificate …

DL-102 (4-22) REPORT OF EYE EXAMINATION

    https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Medical-Protected/DL-102.pdf
    Bureau of Driver Licensing • P.O. Box 68682 • Harrisburg, PA 17106-8682 • (717) 787-9662. Return this form to the address listed above, FAX to (717) 705-4415, or email to …

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 …



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