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Driver Qualification

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2015MC Medical Examination Certificate MCSA-5876

  • $1.00
  • Quantity:

Beginning December 22, 2015 this form may be used in accordance with 49 CFR §391.43 with an overlapping 120-day grace period during which Medical Examiners can use the previous version as well.  Grace Period ends April 19, 2016

  • Complies with Final Rule published April 23, 2015 Form MCSA-5876
  • Helps you comply with 49 CFR §391.43
  • Two plies
  • Measures 4-1/4” x 5-1/4”
  • Both the Medical Examination Report and Medical Examination Certificate/DOT Medical Card are required by the DOT
2015MC Medical Examination Certificate MCSA-5876
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