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Form MCSA-5876

  1. Language English
  2. Country USA
  3. Activity Driver's License
  4. State Washington
Form MCSA-5876

Medical Examiner's Certificate (MEC)

If the Medical Examiner determines that the driver examined is physically qualified to drive a commercial motor vehicle in accordance with the physical qualification standards, the Medical Examiner will complete and provide the driver with a Medical Examiner's Certificate (MEC), Form MCSA-5876. The Medical Examiner will keep a copy of the Medical Examiner's Certificate (MEC), Form MCSA-5876 on file for at least 3 years.

This document is a Medical Examiner's Certificate for Commercial Driver Medical Certification. It contains instructions on the Paperwork Reduction Act and OMB Control Number for responding to this collection of information. The certificate includes fields for the medical examiner to fill out, including the certifier's name, signature, telephone number, and state license number. The document also includes sections for the driver to provide their personal information, such as name, address, and driver's license number. The medical examination report findings must be true and complete, with a complete Medical Examination Report Form, MCSA-5875, on file in the medical examiner's office.

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ABOUT

Driving License Application Forms

Form MCSA-5876 is one of Driver's license forms that are documents used in the process of obtaining or renewing a driver's license, which is an official government-issued document that permits individuals to operate a motor vehicle on public roads. These forms may vary depending on the jurisdiction, but they generally include the following:

Application Form: This form is used to apply for a driver's license and typically asks for personal information such as name, address, date of birth, and Social Security number.

Identification Documentation: Along with the application form, individuals are usually required to provide specific identification documents to prove their identity, residency, and legal presence in the country. These may include a valid passport, birth certificate, Social Security card, or other government-issued identification.

Proof of Residency: Many jurisdictions require applicants to provide proof of residency, such as a utility bill, lease agreement, or bank statement, to verify their address.

Medical Examination Form: Some jurisdictions may require a medical examination to ensure that the applicant meets the necessary physical and mental requirements for safe driving. A medical professional typically completes this form.

Driver's Education Completion Form: For first-time drivers, completion of a driver's education program may be required. A form or certificate indicating successful completion is often necessary to apply for a driver's license.

Vision Test Form: A vision test is commonly conducted during the driver's license application process. An eye care professional or authorized personnel will assess the applicant's visual acuity and complete the required form.

These forms are typically available at the local Department of Motor Vehicles (DMV) or equivalent government agency responsible for driver licensing. It's important to check the specific requirements and forms applicable to your jurisdiction, as they can vary.

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