NOTICE: This form can only be used through December 21, 2015. On December 22, 2015, Certified Medical Examiners will be required to use the revised Medical Examiner’s Certificate in accordance with 49 CFR §391.43.
Need a certificate to use after December 21, 2015? 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"
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