A medical certificate is a statement from a physician or other health care provider
that attests to .... a certificate". Falsifying a medical certificate is a form of fraud.
The FAA MedXPress system allows anyone requiring an FAA Medical Certificate
or Student Pilot Medical Certificate to electronically complete the FAA Form ...
Form MCSA-5876 (Revised: 12/06/2015). OMB No. 2126-0006 Expiration Date: 8
/31/2018. Medical Examiner's Certificate. (for Commercial Driver Medical ...
DO NOT SEND COMPLETED FORM TO THE DEPARTMENT OF LABOR;
RETURN TO ... medical certification issued by the employee's health care
Certification for Commercial Driver's License form checkmark CDL application ...
Commercial driver's license (CDL) certification and medical certificate. Federal ...
Please correctly fill out your Medical Self Certification form and include a copy of
your DOT physical card. You can mail or fax this information to: Driver Licensing
The DMV will send CLP holders a notification if their medical certification .... For
your convenience, many DMV PDF forms can be filled in online and then printed.
(Required to have a DOT medical card/certificate and license has restriction “K")
... 2) Mail this form and copies of medical card/certificate to: NCDMV.
Lansing, MI 48918; Fax the completed and signed self-certification form and, if
required, include a copy of your completed and signed Medical Examiner's ...
Commercial Driver's License (CDL) Holders. Medical Certification Requirements.
DL-405A. (Rev. 7/15). THIS ENTIRE FORM MUST BE COMPLETED BY THE ...