Medical Examiners Self Laminating Wallet Card and Report

The current expiration date of these MCSA forms is 3/31/2025.

The Medical Examiner's Certificate is available on cardstock and is self-laminating. The Medical Examiner's Certificate card is required to be carried by every driver of a commercial motor vehicle as proof of medical qualification per 49 CFR 391.41. The driver card fits any standard size wallet. The Medical Examiner's Certificate on cardstock is an integral part of the driver qualification file.

• MCSA-5876 Self Laminating Wallet Card
• MCSA-5875 Medical Examination Report

• Help stay in compliance with the Medical Examination Report.
• An integral part of the driver qualification file, this form for commercial driver fitness determination contains information required by 49 CFR 391.41.
• Report measures 8.5" x 11".

This Medical Examiner's Certificate is printed on tri-fold business cardstock with a UV protected laminating overlay. It features a writeable matte finish inside. This certificate measures 6"W x 3.5"H unfolded. Once completed it folds down to 3.5" x 2" (business card size) to fit any standard size wallet. This unique MCSA-5876 Medical Examiner's Certificate is 100% driver preferred!

This is the official MCSA-5876 Medical Examiner's Certificate and the official MCSA-5875 Medical Examination Report for all 50 states:

Alabama, Alaska, Arizona, Arkansas
California, Colorado, Connecticut, Delaware
Florida, Georgia, Hawaii, Idaho
Illinois, Indiana, Iowa, Kansas
Kentucky, Louisiana, Maine, Maryland
Massachusetts, Michigan, Minnesota, Mississippi
Missouri, Montana, Nebraska, Nevada
New Hampshire, New Jersey, New Mexico, New York
North Carolina, North Dakota, Ohio, Oklahoma
Oregon, Pennsylvania, Rhode Island, South Carolina
South Dakota, Tennessee, Texas, Utah
Vermont, Virginia, Washington, West Virginia, Wisconsin
Wyoming.

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