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    **Email:**FMCSAMedical@dot.gov**Phone:** (202) 366-4001**Business Hours:**9:00am-5:00pm ET, M-F
    If you are deaf, hard of hearing, or have a speech disability, please dial 7-1-1 to access telecommunications relay services.
                
                Medical Examination Report (MER) Form, MCSA-5875
		

		
		
					
							
		
					
  Document
              Medical Examination Report Form MCSA-5875 23.pdf (470.2 KB)

		
					About the Medical Examination Report (MER) Form, MCSA-5875:

The Federal Motor Carrier Safety Administration requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner’s Certificate (MEC), Form MCSA-5876 to drive. As part of the physical, drivers are required to fill out the medical history portion of the Medical Examination Report (MER) Form, MCSA-5875.
		
		

    
		
    
					Last updated: Wednesday, December 20, 2023 U.S. DEPARTMENT OF TRANSPORTATION

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