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Medical Exam Report - 47375
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Member Price$5.81
Non-Member Price$6.45
Merchandise Description



Beginning December 22, 2015 this form may be used in accordance with 49 CFR §391.43. On December 21, 2015, the FMCSA announced a 120-day grace period during which Medical Examiners can use either the current form or this newly revised version.

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  • Complies with Final Rule published April 23, 2015
  • Helps you comply with 49 CFR §391.43
  • Both the Medical Examination Report and Medical Examination Certificate are required by the DOT
  • This DOT medical examination report is 9 pages long
  • Contains applicable regulations, instructions to the medical examiner, and the form itself
  • Measures 8-1/2" x 11”