DO NOT SEND COMPLETED FORM TO THE DEPARTMENT OF LABOR;
RETURN TO ... medical certification issued by the employee's health care
Form MCSA-5876. OMB No. 2126-0006 Expiration Date: 8/31/2018. Medical
Examiner's Certificate. (for Commercial Driver Medical Certification).
The FAA MedXPress system allows anyone requiring an FAA Medical Certificate
or Student Pilot Medical Certificate to electronically complete the FAA Form ...
Applicants are required to complete one of the following forms for medical
certification. Texas Commercial Driver Application - Interstate Driver Certification
About the Medical Examiner's Certificate (MEC), Form MCSA-5876:If the Medical
Examiner determines that the driver examined is physically qualified to drive a ...
Certification for Commercial Driver's License form checkmark CDL application ...
Commercial driver's license (CDL) certification and medical certificate. Federal ...
Form MCSA-5876 (Revised: 12/06/2015). OMB No. 2126-0006 Expiration Date: 8
/31/2018. Medical Examiner's Certificate. (for Commercial Driver Medical ...
Commercial Driver's License (CDL) Holders. Medical Certification Requirements.
DL-405A. (Rev. 7/15). THIS ENTIRE FORM MUST BE COMPLETED BY THE ...
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
(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.