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47375 Medical Examiner's Report Form

  • $5.75
  • Quantity:

Helps you comply with DOT's 49 CFR 391.43.

Mandatory compliance December 22, 2015
Report CANNOT be used prior to December 22, 2015

Any reports of the previous version may be used only until April 20, 2016.  At that time please dispose of any leftover reports and use only the new 2015 version.  

Shipments will ship December 2015.

  • 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”

National Registry of Certified Medical Examiners

47375 Medical Examiner's Report Form
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