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Form MCSA5875OMB No.: 21260006 Expiration Date: 03/3 /2025Public Burden Statement A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject

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How to fill out dot physical exam information

01

Gather all necessary documents such as driver's license, medical history, and any medical certificates.

02

Complete the driver information section on the form including name, address, date of birth, and social security number.

03

Fill out the medical history section honestly and accurately, disclosing any relevant medical conditions or medications.

04

Undergo the physical examination with a certified medical examiner, including tests for vision, hearing, blood pressure, and general health.

05

Review the completed form for accuracy and sign where required to certify that all information provided is true and complete.

Who needs dot physical exam information?

01

Commercial truck drivers who operate vehicles weighing over 10,000 pounds, transport hazardous materials, or carry more than 8 passengers for compensation are required to have a DOT physical exam.

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What is dot physical exam information?

Dot physical exam information is a medical examination report for commercial motor vehicle drivers, required by the Department of Transportation.

Who is required to file dot physical exam information?

Commercial motor vehicle drivers are required to file dot physical exam information.

How to fill out dot physical exam information?

Dot physical exam information can be filled out by a certified medical examiner during a physical examination of the driver.

What is the purpose of dot physical exam information?

The purpose of dot physical exam information is to ensure that commercial motor vehicle drivers are physically and mentally fit to operate a vehicle safely.

What information must be reported on dot physical exam information?

Dot physical exam information must include the driver's medical history, current medications, physical and mental health status, and any restrictions or limitations on driving.

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