Form MCSA-5875, Medical Examination Report Form (For Commercial Driver Medical Certification), is a document released for those individuals who work as commercial motor vehicle drivers and need to go through a medical examination. The purpose of the application is to gather information about a filer's medical history.
The document is used by commercial motor vehicle drivers all over the U.S. since they are required to pass a physical in order to start driving. The application is a part of the physical and contains a large amount of data about a driver's health.
MCSA-5875 was issued by the U.S. Department of Transportation, Federal Motor Carrier Safety Administration, and was last revised on . An MCSA-5875 printable form is available for download below.