Close
Pre-order new medical forms with 9/30/19 expiration date now!
-
-
Medical Examination Certificate - LaminatedHelps you comply with 49 CFR §391.43 DOT medical card requirements.
(13)
-
Medical Examination Certificate - SmallHelps you comply with 49 CFR §391.43 DOT medical card requirements.
(1)
-
Medical Examination Report FormHelps you comply with 49 CFR §391.43 DOT medical card requirements.
(2)
-
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.
- Includes the following forms:
- Medical Examiner's Certificate
- Medical Examination Report
- Certificate Of Road Test
- Driver Qualification & ID Certificate
- Driver Application Form
- Record Of Road Test
- Medical Examiner's National Registry Verification
- Previous Pre-Employment Employee Alcohol & Drug Test Statement
- Motor Vehicle Driver's Certification Of Violations/Annual Review Of Driving Record
- Safety Performance History Records Request
- Also includes 9-1/2" x 11-3/4" file folder
Volume Pricing
| Product Code | Description | 1 - 9 | 10 - 24 | 25 - 49 | 50 - 99 | 100 - 199 |
|---|---|---|---|---|---|---|
|
6791
|
File Packet
|
$9.54
|
$8.47
|
$7.77
|
$7.21
|
$6.60
|
Specification
| Product Code | Description | Format | Units Per Case | Number of Plies | Size |
|---|---|---|---|---|---|
|
6791
|
File Packet
|
Folder
|
160 per case
|
1
|
11.75" x 9.5"
|
;){kind=link}