Medical Examination Certificate & Report Combo Pack (015800)
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Medical Examination Certificate & Report Combo Pack

Certificate and report combo pack helps you comply with 49 CFR §391.43 DOT medical card requirements. Read more.

Product Code: 59603
List Price: $187.18
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Overview

Medical Exam Form and Medical Examination Certificate required by the DOT

Form and certificate combo pack includes:

  • Medical Examination Certificate – Laminated (47379)
    • Medical Exam Certificate helps you comply with 49 CFR §391.43
    • Features front laminate to protect driver's copy
    • Certificate is two ply and self-laminating
    • Tri-fold format allows certificate to fit in wallet
    • Overall measurement: 3-1/2" x 7-1/8"
    • Certificate detached measures: 3-1/2" x 6-1/2"
    • Folded measurement: 3-1/2" x 2-3/16"
    • Quantity: 50
  • Medical Examination Report Form (47375)
    • Medical Examination Report Form helps you comply with 49 CFR §391.43
    • DOT medical exam form is 9 pages long
    • Contains form, applicable regulations and instructions to medical examiner
    • Measures 8-1/2" x 11"
    • Quantity: 50

Volume Pricing

Volume Pricing
Product Code Description 1 - 1 2 - 4 5 - 9 10 - 19 20 - 49
59603
Certificate & Report Combo Pack
$187.18
$165.68
$146.28
$125.31
$103.81

Specification

Specification
Product Code Description Quantity
59603
Certificate & Report Combo Pack
50 each

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