Pre-order new medical forms with 9/30/19 expiration date now!

Confidential All-In-One Driver Qualification Packet (Snap-Out) (01445)
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Confidential All-In-One Driver Qualification Packet (Snap-Out)

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

Product Code: 9649
List Price: $24.34
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Overview

NOTICE: The latest Medical Examiner’s Certificates show an OMB expiration date of 9/30/2019 in the upper-right corner. On Oct. 18, 2018, in a change of position, the Federal Motor Carrier Safety Administration (FMCSA) announced that older certificates are still acceptable. The FMCSA has “requested that SDLAs [state driver’s license agencies] continue to accept the old versions with the 08/31/2018 expiration date,” according to the agency’s medical office. The FMCSA is “encouraging” use of the updated forms dated 9/30/2019, but those dated 8/31/2018 are still accepted.


  • Allows you to keep Alcohol & Drug Forms, Safety Performance History Forms and Driver Qualification Forms secure and in one convenient location
  • Each file packet includes a 9-1/2" W x 11-3/4" file folder and the following forms:

    Driver Qualification

    • (1) Driver Qualification File Contents Sheet – Bond (647-F-P)
    • (1) Checklist for Qualification of New Drivers – 2-ply snap-out (865)
    • (1) Driver’s Application for Employment – Bond (691)
    • (1) Request for Check Of Driving Record – 2-ply snap-out (732)
    • (1) Medical Examination Report – Bond (47375)
    • (1) Medical Examiner's National Registry Verification – 2-ply snap-out (27034)
    • (1) Record and Certification of Road Test –  Bond (1 White/1 Canary) (652)
    • (1) Certification of Compliance with Driver License Requirements – 2-ply snap-out (1619)
    • (1) Driver Statement of On-Duty Hours-New Hire – 2-ply snap-out (3688)
    • (1) Certification of Violations/Annual Review of Driving Record - 2-ply snap-out (3686)
    • (1) Employment Eligibility Verification (Form I-9) – Bond (50306)
    • (1) Certification of Road Test Pocket Card (006-BC)
    • (1) Driver Qualification and Identification Certificate Pocket Card (007-BC)
    • (1) Medical Examination Certificate – Laminated Wallet Card (47379) 
  • Alcohol and Drug
    • (1) Previous Pre-Employment Employee Alcohol & Drug Test Statement - 2-Ply Snap-out (6801)
    • (1) Alcohol and Drug Records Request - 3-Ply Snap-out (6826)
    • (1) Alcohol and Drug Employee's Certified Receipt - 2-Ply Snap-out (6793)
    • (1) Alcohol and/or Drug Test Notification - 2-Ply Snap-out (3048)
    • (1) Drug Test Results - 4-Ply Snap-out (6794)
    • (1) Observed Behavior Reasonable Suspicion Record - 3-Ply Snap-out (7218)
    • (1) U.S. Department of Transportation Alcohol Testing Form - 3-Ply Snap-out (6849)
    • (1) Federal Drug Testing Custody and Control Form – 5-ply Continuous Pinfed (6520)
    • (1) Alcohol and Drug Recordkeeping Log – Bond (001-F-P)
  • Safety Performance History
    • (3) Safety Performance History Records Request – 3-ply Snap-out (9620)
    • (1) Previous Employee Safety Performance History – Bond (9619)

    Volume Pricing

    Volume Pricing
    Product Code Description 1 - 9 10 - 24 25 - 49 50 - 99 100 - 199
    9649
    File Packet
    $24.34
    $18.26
    $17.18
    $15.38
    $12.72

    Specification

    Specification
    Product Code Description Format Size Units Per Case Number of Plies
    9649
    File Packet
    Folder
    11.75" x 9.5"
    60 per case
    1

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