Medical Examination Certificate & Report Combo Pack
Certificate and report combo pack helps you comply with 49 CFR §391.43 DOT medical card requirements.
Product Code:59603Product Information
Medical Exam Form and Medical Examination Certificate required by the DOT
Form and certificate combo pack includes:
- Medical Examination Certificate – Laminated (47379)
- Medical Exam Certificate helps you comply with 49 CFR §391.43
- Features front laminate to protect driver's copy
- Certificate is two ply and self-laminating
- Tri-fold format allows certificate to fit in wallet
- Overall measurement: 3-1/2" x 7-1/8"
- Certificate detached measures: 3-1/2" x 6-1/2"
- Folded measurement: 3-1/2" x 2-3/16"
- Quantity: 50
- Medical Examination Report Form (47375)
- Medical Examination Report Form helps you comply with 49 CFR §391.43
- DOT medical exam form is 9 pages long
- Contains form, applicable regulations and instructions to medical examiner
- Measures 8-1/2" x 11"
- Quantity: 50
Specifications
Compliance Topic: Injury & Illness Recordkeeping, Driver Qualification & Hiring
Industry: Human Resources, Transportation
Quantity: 50 each
Advantage Savings: Advantage Savings
Country Of Origin: USA
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