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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 to apply for a driver's license or to request various services related to driver's licenses. These forms are typically provided by the department or agency responsible for issuing driver's licenses in a specific jurisdiction, such as the Department of Motor Vehicles (DMV) in the United States.

Common driver's license forms include:

Driver's License Application: This form is used to apply for a new driver's license or to renew an existing one. It typically requires personal information such as name, address, date of birth, and Social Security number.

Identification Documents: Some jurisdictions require specific identification documents to verify the applicant's identity and residency. These may include forms such as a birth certificate, passport, or social security card.

Vision Examination: Many driver's license applications require a vision examination form, where an authorized medical professional or eye care specialist certifies that the applicant meets the minimum vision requirements for driving.

Driver's Education Forms: In some cases, individuals may need to provide proof of completing a driver's education course, such as a driver's education completion certificate or a form signed by an instructor.

Medical Evaluation: Certain medical conditions may require additional forms to be completed by a healthcare professional. These forms verify the applicant's physical and mental fitness to drive.

Address Change Form: If a driver's license holder moves to a new address, they may need to fill out an address change form to update their driver's license information.

Driver's license forms can be obtained from the local DMV office or downloaded from their website. It is important to carefully complete and submit the required forms along with any supporting documents to ensure a smooth application or service process.

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