Feb 20, 2024 · The expiration date on the Medical Examination Report Form, MCSA-5875, Medical Examiner's Certificate, MCSA-5876, Insulin-Treated Diabetes Mellitus Assessment Form, MCSA-5870, and the Vision Evaluation Report, Form MCSA–5871 has been updated to 12/31/2024, and all forms are posted below.

You must submit a Form Form MCSA-5850 for any driver exam you perform on or after May 21, 2014, by the end of the following month. For example, if you perform a driver exam on May 21, you must report that exam by June 30, 2014.

Jan 8, 2021 · Please note, the expiration date as stated on this form relates to the process for renewing the Information Collection Request for this form with the Ofice of Management and Budget. This requirement to collect information as requested on this form does not expire.

Form MCSA-5875 OMB No.: 2126-0006 Expiration Date: /3 /202 Page 1 U.S. Department of Transportation Federal Motor Carrier. Safety Administration Rev 3/27/2025. ... Results Form, MCSA-5850, to the National Registry, and the most recent dated exam will take precedence. III. To obtain additional information regarding this form go to the Medical ...

Apr 23, 2015 · Driver Medical Examination Results Form, MCSA-5850. Provide Driver with MEC MEs are required to provide medically qualified CMV drivers with a paper copy of the MEC, Form MCSA-5876 so that Commercial Learner’s Permit (CLP)/Commercial Driver’s License (CDL) applicants/holders are able to provide a copy to the

How have the commercial motor vehicle (CMV) driver examination forms, including the CMV Driver Medical Examination Results Form, MCSA-5850, changed? Specific details regarding changes to all of the driver examination forms are included in the sample forms that are located in the Resource Center of the National Registry website.

Form MCSA-5850, is a secure, online form that is only available through your National Registry account. FMCSA will not accept submissions by any other means. Certified medical examiners may submit the CMV Driver Medical Examination Results by following these steps: 1. Go to the National Registry website at https://nationalregistry.fmcsa.dot.gov 2.

(A) Once every calendar month, beginning May 21, 2014 and ending on June 22, 2018, the medical examiner must electronically transmit to FMCSA, via a secure Web account on the National Registry, a completed CMV Driver Medical Examination Results Form, MCSA-5850.

FMCSA has provided the following scenario and directions describing how to fill out the MER, MCSA-5875 and submit the results of the examination using the CMV Driver Medical Examination Results Form, MCSA-5850 when the determination pending qualification category is used:

Jan 8, 2021 · Form MCSA-5850 CMV Driver Medical Examination Results Form ⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2126-0006 can be found here: