NOTICE: This form may only be used until new medical forms are required on April 20, 2016, in accordance with 49 CFR §391.43. On December 21, 2015, the FMCSA announced a 120-day grace period during which Medical Examiners can use either this current form or the newly revised version.
Need the revised version? Click here.
Medical Examination Report - 6045 (649F):
- Helps you comply with DOT's 49 CFR 391.43
- Both the Medical Examination Report and Medical Examination Certificate are required by the DOT
- This DOT medical examination report is 8 pages long
- Contains applicable regulations, instructions to the medical examiner, and the form itself
- Measures 11" x 8-1/2"
Interested in an electronic version of this form?
Contact us at firstname.lastname@example.org or 1-800-327-6868 to discuss. Learn more.