What is Dot Medical Card Form?

The Dot Medical Card Form is a document required by the Department of Transportation (DOT) for commercial motor vehicle drivers to prove they meet the medical standards for operating a vehicle.

What are the types of Dot Medical Card Form?

There are different types of Dot Medical Card Forms based on the class of commercial driver's license (CDL) you hold. Some common types include Form MCSA-5876 for Class A drivers and Form MCSA-5875 for Class B and C drivers.

Form MCSA-5876 for Class A drivers
Form MCSA-5875 for Class B and C drivers

How to complete Dot Medical Card Form

To complete the Dot Medical Card Form, follow these steps:

01
Download the appropriate form from the DOT website
02
Fill in your personal information accurately
03
Have a licensed medical examiner complete the medical information section
04
Submit the form to the DOT for review and approval

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Video Tutorial How to Fill Out Dot Medical Card Form

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Questions & answers

To apply for an Ambulance Driver Certificate, you will need to: Be at least 18 years of age. Hold a driver license that is valid in California. Visit a DMV office (appointments are recommended). Pay an application fee. $25 for an original certificate. Pass an Ambulance Driver Certification examination.
Driving recklessly, as defined by State or local law or regulation, including but, not limited to, offenses of driving a motor vehicle in willful or wanton disregard for the safety of persons or property. Making improper or erratic traffic lane changes. Following the vehicle ahead too closely.
DL51 Medical Examination and Reporting A Department of Transportation (DOT) physical examination must be conducted by a licensed “medical examiner” listed on the Federal Motor Carrier Safety Administration (FMCSA) National Registry. We have a team dedicated to Occupational Services in house.
Commercial Driver Medical Examination, DL-51 and DOT Examination all refer to the medical evaluation that is required to operate commercial vehicles in the United States. The California Commercial Motor Vehicle Safety Program was enacted in the interest of improving traffic safety on our roadways.
OMB 2126-0006. The revision to the ICR is due to the Agency's development of a final rule titled Qualifications of Drivers. Diabetes Standard to revise its regulations to eliminate the blanket prohibition against insulin-dependent diabetic individuals' operation of CMVs in interstate commerce.
In Person: At your local PennDOT Driver License Center. PennDOT will mail you a receipt indicating that the Medical Examiner's Certification and/or Self-Certification Form has been processed.