
Das Ct Medical Certificate Form


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People also ask
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How do I submit my dot medical card in CT?
All medical exams MUST be completed on a form MCSA- 5876. The only way to submit your medical certificate is by using this system.
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How to apply for family medical leave in CT?
Apply at .ctpaidleave.org or call toll-free, 877-499-8606, at least 30 days in advance for a foreseeable leave (for example, maternity leave, a planned medical treatment, or placement of an adopted or foster child). You do need to tell your employer as soon as you have applied for state paid leave.
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Where do I send my CDL medical card in CT?
You are required to send to DMV an updated medical certificate MCSA-5876 prior to the expiration date. By Mail: Department of Motor Vehicles. Driver Services. 60 State Street. Wethersfield, CT 06161. By Fax: 860-263-5568. By Email: Other Contact Information: Website: http://.ct.gov/dmv/
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What is a medical certification letter?
Medical certificates are sometimes required to obtain certain health benefits from an employer, to make an insurance claim, for tax purposes, or for certain legal procedures. Medical certificates are used to indicate eligibility of activity, such as the use of disabled parking.
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How long is a CT-DOT medical card good for?
If the exam goes well, the examiner will issue a DOT medical card that is good for the next two years. In some cases, however, medical conditions are identified during the physical exam that disqualifies a driver from operating a commercial motor vehicle — or require more frequent monitoring.
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Can I keep my CDL without a medical card in Connecticut?
All Commercial Driver License (CDL) holders and Commercial Learner Permit (CLP) holders must provide DMV with a valid Medical Examiner's Certificate. You must go to a certified medical examiner listed on the National Registry of Certified Medical Examiners to have that examiner complete form MCSA-5876.
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What is a bonding certification form CT?
If the employee is requesting Paid Family And Medical Leave (PFML) to bond with a newborn, an adopted child or a foster child, the employee must submit the Bonding Certification (Form PFML-2) with the Request For Paid Family And Medical Leave (Form PFML-1). BONDING CERTIFICATION (to be completed by the employee)
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How do I submit my medical certificate to the DMV NY?
Contact Contact us by email: dmv.sm.cdlmedcertunit@dmv.ny.gov. Mailing Address: Medical Certification Unit. PO Box 2601. Albany, NY 12220-0601. Contact us by fax: 518-486-4421 or 518-486-3260.
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