Driver Medical Examination Report (MCSA-5875)

Medical Examiner's Certificate (MCSA-5876)

Regulations requiring an extensive redesign of the truck driver physical form and certificate became effective April 20, 2016. These changes were brought about to standardize the design of the form and certificate. The new form is longer and more involved. L & L Transportation Services, LLC has developed the form into an 8 page booklet which is very user friendly for both physician and driver. The certificate is now a 2 part carbonless form which allows the physician to satisfy the requirement to provide the driver the original copy of the certificate in a convenient manner.

Our forms and certificates comply with the October 27, 2016 changes as set forth in the Federal Register.

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