FMCSA Announces Decision on Medical Examination Report Forms
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On Oct. 27, 2016, the Federal Motor Carrier Safety Administration (FMCSA) announced its decision to allow certified Medical Examiners (MEs) to use the Medical Examination Report (MER) Form MCSA-5875, and Medical Examiners Certificate (MEC) Form MCSA-5876 with October, November, and December, 2015 revision dates until existing stocks are depleted.  MEs are also encouraged to use the current versions of the forms that no longer include the Privacy Act Statement or a revision date in the top left corner, which can be found on the FMCSA and National Registry websites.  MEs will be allowed to continue to use the versions of the MER Form, MCSA–5875, that include the Privacy Act Statement on page one until stocks are depleted. MEs with an office with an electronic system are advised by FMCSA to begin IT programming as soon as practicable.

Commercial motor vehicle drivers operating vehicles that require a commercial drivers license (CDL) or commercial learners permit (CLP) are required to provide State Drivers Licensing Agencies (SDLAs) with an original or a copy of the MEC, MCSA-5876 form for entry of the medical certification status on the driver record. 

FMCSA has learned that some SDLAs are refusing to accept forms from drivers with an October or November 2015 revision date.  By way of this decision, FMCSA is directing SDLAs to accept the following:   

  • MEC, MCSA-5876 forms with October, November, and December 2015 revision dates;

  • Versions that no longer include a revision date in the top left corner; and

  • The current version of the MER, MCSA–5875 form, that no longer includes the Privacy Act Statement on page one.

The final versions of the forms are published on the FMCSA and National Registry websites, and are also included in the FMSCA decision on page 74702.

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