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Form MCSA (Revised: 12/06/) OMB No. Expiration Date: 8/31/ Medical Examiner's Certificate (for Commercial Driver Medical Certification) U.S. Department of Transportation Federal Motor Carrier Safety Administration. Public Burden Statement. Dot Medical Examiners Foldable Wallet. Dot Medical Certificates Cards Mcsa 1 Ply Pack Of Form Mcsa Download Fillable Pdf Or Fill Online. Form MCSA M No Eiration Date MEDICAL EXAMINER’S CERTIFICATE (for Commercial Driver Medical Certification) Public Burden Statement. A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless.