Additional Information

Last updated December 3, 2022
Created December 11, 2021
Format application/pdf
Form Number
Form File Identifier 023-5080F
Name French - 5080f - FMCSA Medical Report
Form File Status Available

This form is for drivers that are requesting proof of medical fitness to comply with the Federal Motor Carrier Safety Administration (FMCSA) requirement.

Language French
Functionality Fill and Print
Form File Content Type Form
Edition Date 2022-11