May 26, 2016 the electroniconly cmv driver medical examination results form mcsa5850 that examiners complete through the national registry website to report exam results to the fmcsa. These specifications were developed combining medical examiner survey results and consensus of. Department of transportation dplqhuv certification. Fmcsa mandated dot examination process changes 5875. As part of the physical, drivers are required to fill out the medical history portion of the medical examination report mer. The cmv driver medical examination results, form mcsa5850, is a secure, online form that is only available through your national registry account. They know that they must complete and submit form mcsa5850, cmv driver medical examination results and that they must retain each original paper or electronic completed medical examination. New dot physical exam forms for 2016 finalized dot. Federal register medical examiners certification integration. Fmcsa rule change medical examiners reporting submitted on jun 10, 20 in addition, mes would be required to report results of all completed commercial drivers physical examinations including the. May 21, 2014 is just around the corner and on that date you will be required to complete and submit all driver medical examination forms for the previous month using the online mcsa5850 form available through your national registry account. Maintain certification by completing periodic training every 5 years, and recertify by passing the fmcsa medical examiner certification test every 10 years. Fmcsa proposes to require certified medical examiners mes performing physical examinations on drivers of commercial motor vehicles cmv to use a newly developed.
Reporting driver examination results as a certified medical examiner listed on the national registry, you are required to complete and submit form mcsa5850, cmv driver medical examination results. The federal motor carrier safety administration requires that interstate commercial motor vehicle drivers maintain a current medical examiners certificate mec, form mcsa5876 to drive. The date of the examination is not on the mec, form mcsa5876, nor has it ever been, because it is not needed. Are mes required to complete the cmv driver medical examination results form, mcsa5850 as it appears in the sample, or is the sample a representation of what the form looks like on the national. Therefore, when entering results for examinations conducted on or after. A third new form, the cmv driver medical examination results form mcsa5850, is an onlineonly form that examiners complete through the national registry. This has been added to the cmv driver medical examination results form, mcsa5850. Are mes required to complete the cmv driver medical examination results form, mcsa5850. If updating an existing exam, you must resubmit exam results, via the medical examination results form, mcsa5850. Reporting driver examination results as a certified medical examiner listed on the national registry, you are required to complete and submit form mcsa5850, cmv driver medical examination results form for each driver exam you perform during the month once the may 21, 2014 compliance date is reached.
Added optional collection of cmv driver examination results when performed in accordance with the fmcsrs with any applicable state variances for electronic transmission at the request of several states. Examination results will be reported by completing a cmv driver medical examination results form, mcsa5850, via the mes individual passwordprotected national registry. Fmcsa would consider any cmv driver medical examination results form, mcsa5850. December 22, 2015, the national registry system will automatically present the me with the revised version of the. The me must provide the qualified cmv driver with a paper copy of the mcsa5876 form so that the commercial learners. Cmv in interstate commerce according to the requirements in 49 cfr 391. The form would also add a place for an me to amend the certification decision if the driver did not require a completely new examination. Medical examination report form dot fmcsafaauscgrules. A medical examination report form, mcsa 5875, cannot be amended after an examination has been in determination pending status for more than 45 days or after a final qualification determination has been made. Mcsa5876 and cmv driver medical examination results form mcsa5850 beginning april 20, 2016. As a result of these added collections, the drivers address, optional email address, and results of examinations performed in accordance with the fmcsrs with any applicable state variances, have been added to the cmv driver medical examination results form, mcsa5850. The driver is required to obtain a new phys ical examination and a new medical examination report form, mcsa 5875, should be completed.
Departmentof transportation privacy impact assessment. In addition, fmcsa allows mes to designate a third party that. May 21, 2014 cmes must report driver examination results on nrcme form mcsa5850 by randolph rosarion m. New fmcsa medical exam forms and certificates now mandatory. As a certified medical examiner listed on the national registry, you are required to complete and submit form mcsa5850, cmv driver medical examination results form for each driver exam you perform during the month once the may 21, 2014 compliance date is reached. What fmcsa requires of certified medical examiners dot. New dot physical exam forms for 2016 finalized dot fmcsa.
How have the commercial motor vehicle cmv driver examination forms, including the cmv driver medical examination results form, mcsa5850, changed. A third new form, the cmv driver medical examination results form mcsa5850, is an onlineonly form that examiners complete through the national registry website to report exam results to the fmcsa. Medical examiners certificate mec form, mcsa5876 c. A third new form, the cmv driver medical examination results form mcsa 5850, is an onlineonly form that examiners complete through the national registry. Department of transportation office of the secretary. Electronically transmit the examination results to the fmcsa. Fmcsa form mcsa5875 us department of transportation.
Medical examiners certification integration final rule. Why is the examination date not on the cmv driver medical examination results form, mcsa5850 or the mec form, mcsa5876. As part of the physical, drivers are required to fill out the medical history portion of the medical examination report mer form, mcsa5875. Fmcsa proposes to require certified medical examiners mes performing physical examinations on drivers of commercial motor vehicles cmv to use a newly developed medical examination report mer form, mcsa5875, in place of the current mer form and to use form mcsa5876 for the medical examiners certificate mec. Because the cmv driver medical examination results form, mcsa5850 is an electronic form and only available through the mes national registry account, the sample is a representation of. Results form, mcsa5850, to the national registry, and the most recent. Check all items on the medical from to indicate if the driver is medically qualified, medically disqualified or temporarily medically disqualified. Complete the certification section on the dot form. May 21, 2014 is just around the corner and on that date you will be required to complete and submit all driver medical examination forms for the previous month using the online mcsa5850. Fmcsa would consider any cmv driver medical examination results form, mcsa5850, displaying a pending determination status as an incomplete examination. Department of transportation office of the secretary privacy.
When entering results of examinations conducted on or after december 22, 2015, the national registry system will automatically present the me with the revised version of the cmv driver medical examination results form, mcsa5850. Cmv driver medical examination results form, mcsa5850 2 these new forms are all formally approved by omb and must be used as approved. Even if no exams were performed during the month, you must report. Medical examiners certificate mcsa5876, a short form usually referred to as the department of transportation dot card. There is no need for examiners or motor carriers to have paper copies of this form. December 22, 2015 must be reported using the revised electronic cmv driver medical examination. National registry of certified medical examiners frequently. A once every calendar month, beginning may 21, 2014 and ending on june 22, 2018, the medical examiner must electronically transmit to the director, office of carrier, driver and vehicle safety standards, via a secure web account on the national registry, a completed cmv driver medical examination results form, mcsa5850. May 21, 2014 cmes must report driver examination results. Medical examiners are required to complete the medical examination report form for every driver physical examination performed in accordance with 49 cfr 391. Complete guide to medical certification dot health systems. The proposed mer form, mcsa5875, is an updated version of the mer form currently being used by mes and its use is a requirement of the medical examiners certification integration nprm.
Cmv driver medical examination results form, mcsa5850. Update regarding posting and use of driver examination. Instructions for completing the medical examination report form. To submit the cmv driver medical examination results, follow these steps. Update on commercial driver medical examination rules and. Local changes are not authorized and company logos or symbols are not allowed. Medical examiners are required to complete the medical examination report form for every driver physical. To record results of a drivers physical examination, to determine qualification.
Enter the date the drivers medical examiners certificate mec expires 11. This has been added to the cmv driver medical examination results form, mcsa5850 21260006. As a certified medical examiner listed on the national registry, you are required to complete and submit form mcsa5850, cmv driver medical examination results form for each driver exam you perform. Therefore, when entering results for examinations conducted on or after december 22, 2015, the national registry system will automatically present the me with the revised version of the cmv driver medical examination results form, mcsa5850.
Commercial motor vehicle cmv driver medical examination results form mcsa5850. Because the cmv driver medical examination results form, mcsa5850. In addition, fmcsa allows mes to designate a third party that simultaneously uploads bulk upload multiple cmv driver medical examination results from their medical system to the national registry. National registry driver examination forms frequently asked. The examination date is on the data collection screen of the cmv driver medical examination results form, mcsa5850. Fmcsa mandated dot examination process changes 5875 mcsa5876. Select submit cmv driver exam results, input driver information and exam data, and click submit. To support certified medical examiners in managing their registry account, they may authorize administrative assistants to access the national registry system and perform certain activities on. May 21, 2014 cmes must report driver examination results on. Mes are required to continue to report cmv driver medical. Fmcsa will not accept submissions by any other means. Commercial motor vehicle cmv driver medical examination results form mcsa5850, an electronic form. When entering results for examinations conducted on or after december 22, 2015, you will be presented with a revised version of the cmv driver medical examination results form, mcsa5850 attached.
Fmcsa rule change medical examiners reporting mobile. The cmv driver medical examination results form, mcsa5850, found in appendix a is a representation of the electronic form. Sample fmcsa medical examiner certification test items 35 appendix d. Dec 22, 2015 because the cmv driver medical examination results form, mcsa5850 is an electronic form and only available through the mes national registry account, the sample is a representation of what mes will see when entering cmv driver examination results into the national registry system. Update regarding posting and use of driver examination forms. Fmcsa medical examiner certification test questions. A third new form, the cmv driver medical examination results form mcsa5850, is an onlineonly form that examiners complete through the national registry website to report exam. These tips will make your examination process go smoother and help you receive the maximum certification length. Cmv driver medical examination results form, mcsa5850 2 these new forms are all. A medical examination report form, mcsa5875, cannot be amended after an examination has been in determination pending status for more than 45 days or after a final qualification determination has. Fmcsa rule change medical examiners reporting submitted on jun 10, 20 in addition, mes would be required to report results of all completed commercial drivers physical examinations including the results of examinations where the driver was found not to be qualified to fmcsa by close of business on the day of the examination.
Fmcsa form mcsa5850, cmv driver medical examination results 43 page 3 of 43. Nov 26, 2018 the federal motor carrier safety administration requires that interstate commercial motor vehicle drivers maintain a current medical examiners certificate mec, form mcsa5876 to drive. A sample cmv driver medical examination results form, mcsa5850 has been posted in the resource center of the national registry website and is accessible by clicking on the link below. What this means to individuals seeking dot certification. Medical examination report form mcsa5875, a long form completed as part of the exam. National registry driver examination forms frequently. New dot medical exam forms to be required april 20 catto.
As a certified medical examiner listed on the national registry, you are. The new forms are part of a larger fmcsa effort that will launch in 2018 to streamline medical certification information from medical examiners to the fmcsa and back to. For applicantsholders of clpcdls interstate and intrastate, fmcsa will electronically transmit from the national registry system to the sdlas driver identification. Results form, mcsa5850, to the national registry, and the most recent dated exam will take. They know that they must complete and submit form mcsa5850, cmv driver medical examination results and that they must retain each original paper or electronic completed medical examination report and a copy or electronic version of each medical examiners certificate on file for at least 3 years from the date of the of examination. The intrastateonly option on the cmv driver medical examination results form, mcsa5850. To support certified medical examiners in managing their registry account, they may authorize administrative assistants to access the national registry system and perform certain activities on their behalf. Jun 17, 2015 may 21, 2014 cmes must report driver examination results on nrcme form mcsa5850 by randolph rosarion m.
The electroniconly cmv driver medical examination results form mcsa5850 that examiners complete through the national registry website to report exam results to the fmcsa. In addition, if you have not completed any exams during the month, you must. To begin this enrollment process, the medical examiners support staff must enroll on the national registry system and create their own. Medical examination report mer form, mcsa5875 fmcsa. Because the cmv driver medical examination results form, mcsa5850 is an electronic form and only available through the mes national registry account, the sample is a representation of what mes will see when entering cmv driver examination results into the national registry system.