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CT R-323 2007 free printable template

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EXAMINATION TO DETERMINE PHYSICAL CONDITION OF DRIVER R-323 REV. 8-2007 STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES On The Web At ct.gov/dmv 1. DRIVER'S INFORMATION Driver completes this section.
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How to fill out cdl medical card ct

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How to fill out a CDL medical card in CT:

01
Ensure you have the necessary forms and documentation. You will need to have a completed and signed Medical Examination Report, a Medical Examiner's Certificate (Form MCSA-5876), and any additional documentation required by the state of Connecticut.
02
Locate a certified medical examiner. In order to fill out the CDL medical card, you must visit a medical examiner who is listed on the National Registry of Certified Medical Examiners. You can find a list of certified examiners on the Federal Motor Carrier Safety Administration website.
03
Schedule an appointment with the medical examiner. Contact their office and arrange a time that works for both parties. It is important to complete this step in advance as some medical examiners may have limited availability.
04
Attend the appointment and provide the necessary information. The medical examiner will ask you about your medical history, perform a physical examination, and review any relevant medical records. Be prepared to provide information about any medical conditions and medications you are currently taking.
05
Pay any required fees. Some medical examiners may charge a fee for the completion of the CDL medical card. Make sure to inquire about the cost beforehand, so there are no surprises.
06
Obtain your completed CDL medical card. Once the medical examiner has completed the examination and all necessary forms, they will fill out the Medical Examination Report and provide you with a copy. This document serves as your CDL medical card and should be carried with you while operating a commercial vehicle.

Who needs a CDL medical card in CT:

01
Commercial Drivers: Any individual in Connecticut who operates a commercial motor vehicle (CMV) must possess a valid CDL (Commercial Driver's License) medical card. This requirement applies to drivers of trucks, buses, tractor-trailers, and other CMVs.
02
Intrastate and Interstate Drivers: Both intrastate drivers (those who operate solely within Connecticut) and interstate drivers (those who drive across state lines) must have a CDL medical card.
03
Specific Vehicle Classes: Regardless of the type of CMV being driven, if the vehicle falls within a specific class that requires a CDL, the driver must also possess a valid medical card. Different vehicle classes have different requirements, so it is essential to understand which class your vehicle falls under.
In summary, to fill out a CDL medical card in CT, you need to gather the necessary forms, visit a certified medical examiner, provide the required information, pay any fees, and obtain the completed card. It is important to remember that all commercial drivers in Connecticut, both intrastate and interstate, driving different classes of CMVs, are required to have a valid CDL medical card.

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CDL Medical Card CT refers to a medical certification required for commercial drivers in the state of Connecticut. A Commercial Driver's License (CDL) is needed to operate commercial motor vehicles, and part of the licensing process includes obtaining a medical card. This card is issued after a driver undergoes a medical examination conducted by a licensed medical examiner to ensure the driver's fitness for operating commercial vehicles safely. The medical examination assesses various health conditions such as the driver's vision, hearing, blood pressure, and overall physical health. The CDL medical card is proof that the driver meets the medical requirements necessary for obtaining or renewing a commercial driver's license in Connecticut.
In Connecticut, any individual operating a Commercial Motor Vehicle (CMV) that requires a CDL (Commercial Driver's License) is required to file a CDL Medical Card. This includes individuals operating vehicles that weigh over 10,000 pounds, transport hazardous materials, or vehicles designed to carry 16 or more passengers. The CDL Medical Card serves as proof of meeting the medical requirements necessary to operate a CMV.
To fill out a CDL medical card in Connecticut, follow these steps: 1. Obtain the necessary forms: Visit the Connecticut Department of Motor Vehicles (DMV) website or your local DMV office to download or pick up the Medical Examination Report (Form MCSA-5875) and the Medical Examiner's Certificate (Form MCSA-5876). 2. Schedule a medical examination: Make an appointment with a certified medical examiner (CME) who is listed on the National Registry of Certified Medical Examiners. The examiner will assess your physical and mental health to ensure you meet the medical standards required for a CDL. 3. Attend the medical examination: During the examination, the CME will review your medical history, conduct a physical examination, check your vision, and perform any required tests or screenings. They may also collect a urine sample for drug testing. 4. Complete the Medical Examination Report form (MCSA-5875): The CME will complete the majority of the form based on the examination findings. However, you will need to provide personal information such as your name, address, date of birth, CDL number, and any relevant medical conditions or medications. 5. Review and sign the form: Carefully review the medical examiner's findings and ensure that all information is accurate. Sign and date the form. 6. Receive the Medical Examiner's Certificate (MCSA-5876): If you are found to meet the medical standards, the CME will provide you with a Medical Examiner's Certificate. Make sure your certificate is signed, dated, and includes the CME's National Registry number. 7. Submit the forms to the DMV: Make copies of both the completed Medical Examination Report and the Medical Examiner's Certificate for your records. Submit the originals to the Connecticut DMV in person, by mail, or electronically, based on the DMV's instructions.
The purpose of a Commercial Driver's License (CDL) medical card in Connecticut, as well as in many other states, is to ensure that commercial drivers are physically fit and healthy enough to safely operate a commercial vehicle. This card verifies that the driver has undergone a thorough medical examination and has met the minimum health standards required by the Department of Transportation (DOT) regulations. It helps in promoting overall road safety by reducing the risks associated with health-related issues while driving commercial vehicles.
In Connecticut, the following information must be reported on a CDL medical card: 1. The driver's full name 2. Date of birth 3. Driver's license number 4. Date of issuance of the medical examination certificate 5. Name, address, and phone number of the medical examiner who conducted the examination 6. Medical examiner's certificate or national registry number 7. The date the examination was conducted 8. The driver's height, weight, blood pressure, and pulse rate 9. Eyesight (with or without corrective lenses) 10. Other relevant medical conditions, such as diabetes, heart disease, respiratory conditions, etc. 11. Restrictions or limitations on the driver's ability to operate a commercial vehicle, if applicable. It is important to note that these requirements may be subject to change, so it is advisable to consult the Connecticut Department of Motor Vehicles (DMV) or a medical examiner for the most up-to-date information.
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