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Confidential All-In-One Driver Qualification Packet (Single Copy) (00101)
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Confidential All-In-One Driver Qualification Packet (Single Copy)

Helps you comply with the Safety Performance History recordkeeping requirement Read more.

Alert: The FMCSA has updated its medical exam forms effective December 15, 2021. See Overview for details.

Product Code: 9647
List Price: $27.87
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Overview

Reg Alert: The FMCSA has updated its medical exam forms effective December 15, 2021. The new versions of its Medical Examination Report Form and Medical Examiner’s Certificate include an OMB expiration date of 12/31/2024 printed in the upper-right corner. The FMCSA announced that medical examiners should transition to the new forms as soon as possible. However, the agency is encouraging state licensing agencies to continue accepting older medical cards from CDL drivers until medical examiners use up their existing stock of the older forms.

*Not sold separately


Interested in a license to use these forms electronically?
For a quote to use these forms electronically, such as on your company intranet, or with form-fillable fields, contact us at customsolutions@jjkeller.com or 1-800-327-6868 to discuss. Learn more.

Volume Pricing

Volume Pricing
Product Code Description 1 - 9 10 - 24 25 - 49
Higher quantities available. Pricing reflected in shopping cart or call 1-877-564-2333 to order.
9647
File Packet
$27.87
$20.94
$19.71

Specification

Specification
Product Code Description Format Number of Plies Size Need to Purchase a Case? Country Of Origin
9647
File Packet
Folder
1
11.75" x 9.5"
60 per case
USA

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