Medical Examination Certificate, Laminated - Snap-Out, 2-Ply, Carbon, 3-1/2" W x 7-1/8" L
Helps you comply with 49 CFR §391.43 DOT medical card requirements.
Product Code:47379Regulatory Alert
The FMCSA Medical Examiner’s Certificate and Medical Examination Report expiration date in the upper-right corner is 3/31/2025. Sometime in March, FMCSA is expected to communicate the new expiration date (no other changes are expected per FMCSA) and whether existing forms with the expiration date of 3/31/2025, can continue to be used beyond that date. FMCSA in the past has allowed the use of forms past the expiration until the current supply is exhausted, but that is not a guarantee.
- Helps you comply with 49 CFR §391.43
- Laminated or Unlaminated
- Two plies
- Tri-fold
- Overall measurement 3-1/2" x 7-1/8", Certificate detached 3-1/2" x 6-1/2"
- Folded measurement 3-1/2" x 2-3/16"
- Both the Medical Examination Report and Medical Examination Certificate/DOT Medical Card are required by the DOT
View Sample
View a sample Medical Examination Certificate - Laminated.
Carbon Type: Carbon
Number of Plies: 2
Compliance Topic: Injury & Illness Recordkeeping, Driver Qualification & Hiring
Size: Ply 1 - 3.5" x 7.125", Ply 2 - 3.5" x 7.125"
Format: Snap-out, self-laminating
Need to Purchase a Case?: 500 per case
Industry: Transportation, Human Resources
Average Rating: 4.4, 4.3, 4.5
BVNumberOfReviews: 27, 23, 24, 26, 25
UNSPSC Number: 14111812, Examination booklets or forms - 14111533
Advantage Savings: Advantage Savings
Country Of Origin: USA