391.41 CMV Driver Medication Form, MCSA-5895 (optional)

MCSA-5895 Form 4-10-2020 508.pdf

About the 391.41 CMV Driver Medication Form, MCSA-5895 (optional):

The 391.41 CMV Driver Medication Form, MCSA-5895, requests additional information regarding medications prescribed by the treating physician as an optional tool for Medical Examiners to use in determining if a driver is medically qualified under 49 CFR 391.41.

For background information, click here

Last updated: Friday, April 10, 2020