DOT Driver Examination Forms Update
Written by Editor   
Friday, January 08, 2016 12:00 AM

FMCSA will allow the use of either the new ME form OR the old ME form until April 20, 2016.


As a result of the unexpected delays in posting the final versions of the newly revised driver examination forms and recognizing that MEs need to have access to the forms prior to the effective date for a number of reasons, FMCSA will allow MEs to use both the current and newly revised versions of the Medical Examination Report Form and Medical Examiner's Certificate from December 22, 2015 until April 20, 2016.

The Agency has published a Federal Register notice announcing this guidance which is accessible by clicking the link below.

Federal Register Notice Use of Driver Examination Forms

Both the current and newly revised versions of the driver examination forms are available on the FMCSA website. In addition, the final versions of the newly revised driver examination forms have been posted in the Resource Center of the National Registry website and are accessible by clicking on the links below.

Medical Examination Report (MER) Form, MCSA-5875

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

A sample CMV Driver Medical Examination Results Form, MCSA-5850 has been posted in the Resource Center of the National Registry website and is accessible by clicking on the link below. Because the CMV Driver Medical Examination Results Form, MCSA-5850 is an electronic form and only available through the ME's National Registry account, the sample is a representation of what MEs will see when entering CMV driver examination results into the National Registry system. MEs are required to continue to report CMV driver medical examination results by accessing their National Registry accounts and completing the MCSA-5850 online.

CMV Driver Medical Examination Results Form, MCSA-5850 (Sample)


Source:  Federal Motor Carrier Safety Administration

Website: www.fmcsa.dot.gov

Medical Review Board Website: mrb.fmcsa.dot.gov

National Registry of Certified Medical Examiners Website: nrcme.fmcsa.dot.gov