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Get the free Medical Examiner's Certificate (MEC), Form MCSA-5876

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Expiration: 01/31/2018 OMB No. 21330510U. S. Department of Transportation Maritime AdministrationAPPLICATION FOR REVIEW OF WAIVER/DEFERMENT DECISIONPART I. INSTRUCTIONS: Applicant must complete Part
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01
To fill out a Medical Examiners Certificate (MEC), follow these steps:
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Begin by filling out the driver information section. This includes the driver's full name, address, date of birth, and driver's license number.
03
Next, provide information about the examining medical professional. This includes the examiner's name, address, and phone number.
04
In the medical examination section, record the driver's medical history, including any current or past health conditions, surgeries, or medications being taken.
05
Perform a thorough physical examination and record the findings. This may include measuring blood pressure, hearing and vision tests, and assessing overall physical fitness.
06
Document any medication or treatment prescribed during the examination.
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Finally, provide a brief summary of the driver's overall health status and fitness to operate a motor vehicle.
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Ensure all sections are completed accurately and legibly. Sign and date the certificate once it is filled out.
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Keep a copy for your records and provide the original to the driver.

Who needs medical examiners certificate mec?

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A Medical Examiners Certificate (MEC) is needed by individuals who operate commercial motor vehicles (CMVs) as defined by federal regulations.
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This includes drivers of vehicles that meet any of the following criteria:
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- Weighing or having a gross combination weight rating (GCWR) of 10,001 pounds (4,536 kilograms) or more
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- Designed or used to transport 8 or more passengers (including the driver) for compensation
05
- Designed or used to transport 15 or more passengers (including the driver) without compensation
06
- Transporting hazardous materials in quantities requiring placarding
07
Drivers need to have a MEC issued by a medical professional listed on the Federal Motor Carrier Safety Administration's National Registry of Certified Medical Examiners.
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The medical examiner's certificate (MEC) is a document required by the Department of Transportation (DOT) for commercial driver's license (CDL) holders to confirm that they are physically fit to operate a commercial motor vehicle.
Commercial driver's license (CDL) holders are required to file the medical examiner's certificate (MEC).
The medical examiner's certificate (MEC) must be completed by a qualified medical examiner after conducting a physical examination of the CDL holder.
The purpose of the medical examiner's certificate (MEC) is to ensure that CDL holders are physically fit to safely operate commercial motor vehicles.
The medical examiner's certificate (MEC) must include the CDL holder's personal information, results of the physical examination, and the medical examiner's certification.
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