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J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

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J. J. Keller protects people and the businesses they run. You can trust our expertise across a wide range of subjects relating to labor, transportation, environmental, and worker safety. Our deep knowledge of federal and state agencies is built on a strong foundation of more than 100 editors and consultants and 70+ years of regulatory compliance experience.

Medical Examination Certificate, Unlaminated - 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:67602
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Regulatory 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.

Material: Unlaminate
Unlaminate
Laminate
  • 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

Country Of Origin: USA

Need to Purchase a Case?: 500

Industry: Transportation, Human Resources

Average Rating: 4.3, 4.5, 4.4

BVNumberOfReviews: 23, 25, 26, 27, 24

Advantage Savings: Advantage Savings