The DOT FMCSA Updates Medical Examination Report Forms MCSA-5875 and MCSA-5876 for Commercial Driver Medical Certification

The FMCSA has released revised MCSA-5875 and MCSA-5876 forms, effective April 1, 2025, for DOT physicals and commercial driver medical certification.
While the FMCSA allows a grace period during which both the old and new forms may be used, the duration of this period is not specified. WFQA encourages medical examiners to begin using the revised MCSA-5875 and MCSA-5876 forms (Expiration Date: 3/31/2028) as soon as possible. This will help prevent issues where State Driver’s License Agencies (SDLA’s) reject the MCSA-5876 due to the expiration date on the previous version.
Key Updates to the Forms:
- MCSA-5875:
- New Expiration Date: 3/31/2028 (top right corner).
- Updated address in the Public Burden Statement at the top of the form.
- Revised REV date (bottom left corner of page 1).
- All other information remains unchanged from the previous version (Expiration Date: 3/31/2025).
- MCSA-5876:
- The only change is the new Expiration Date: 3/31/2028 (top right corner).
- All other information remains the same as the previous version (Expiration Date: 3/31/2025).
Additionally, FormFox has notified WFQA that they will update their electronic versions of the MCSA-5875 and MCSA-5876 forms the week of April 7, 2025.
Medical Examiner’s Certificate (MEC), Form MCSA-5876
Document
Medical Examiner’s Certificate Form MCSA-5876 508.pdf (100.87 KB)
Last updated: Tuesday, April 1, 2025 with Expiration Date 3/31/2028
Medical Examination Report (MER) Form, MCSA-5875
Document
Medical Examination Report Form MCSA-5875 508pdf.pdf (473.96 KB)
Last updated: Tuesday, April 1, 2025 with Expiration Date 3/31/2028
About the Medical Examination Report (MER) Form, MCSA-5875 and MCSA 5876:
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.
If you have any questions, please contact the WFQA team.