As of April 20, 2016 all medical examiner are required to use the form MCSA-5875 Medical Examination Form.  Previous versions of the form will not be accepted by the FMCSA or the state drivers license offices. All drivers in the state of Arizona are required to present a copy of the medical examination report and the medical certificate upon completion of the exam to the State of Arizona MVD. If the driver fails to submit a copy to the MVD before the expiration of the current medical certificate the driver may face suspension of the CDL portion of the license. 

Changes To The FMCSA Medical Forms