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

Driver Qualification File Packet (Two-Copy Forms) - Retail Packaging (011642)
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Driver Qualification File Packet (Two-Copy Forms) - Retail Packaging

Helps satisfy the driver qualification requirements of 49 CFR §391.51. Read more.

Product Code: 47997
List Price: $14.15
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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.


  • Retail packaged - Shrinkwrapped with header card
  • Complete package of forms required by 49 CFR 391.51
  • Includes folder pre-printed with file contents and instructions for each form
  • Each folder contains the following forms:
    • (1) DQ File Contents Sheet - one-ply bond only - 3694
    • (1) Checklist for Qualification of New Drivers - 506541
    • (1) Driver's Application for Employment - 691
    • (1) Employment Eligibility Verification Form I-9 - 50306
    • (2) Request for Check of Driving Record - 506540
    • (1) Certification of Compliance with Driver License Requirements - 1617
    • (1) Record of Road Test - two-ply bond only; includes 6-B Certification of Road Test - 652
    • (1) Driver Statement of On-Duty Hours - New Hire - 3687
    • (1) Certification of Violations/Annual Review of Driving Record - 3685
    • (1) Medical Examination Report - 47375
    • (1) Medical Examiners Certificate - 2-ply - 47379
    • (1) Medical Examiners National Registry Verification Form - 27033
    • (1) Certification of Road Test (6-BC) Wallet Card - 279
    • (1) DQ & Identification Certificate (7-BC) Wallet Card - 324
    • (1) Folder

Volume Pricing

Volume Pricing
Product Code Description 1 - 48 49 - 999999
47997
Complete File Packet - Retail Packaging
$14.15
$8.71

Specification

Specification
Product Code Description Format Size Units Per Case Number of Plies
47997
Complete File Packet - Retail Packaging
File Packet
9.5" x 11.75"
12 per case
1

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