Medical Examination Certificate - Small (011709)
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Medical Examination Certificate - Small

Helps you comply with 49 CFR §391.43 DOT medical card requirements. Read more.

$1.74
Product Code: 47377
List Price: $1.74
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Overview

  • Helps you comply with 49 CFR §391.43
  • Two plies
  • Measures 4-1/4” x 5-1/4”
  • Both the Medical Examination Report and Medical Examination Certificate/DOT Medical Card are required by the DOT

Volume Pricing

Volume Pricing
Product Code Description 1 - 9 10 - 49 50 - 99 100 - 249 250 - 499
47377
Small
$1.74
$1.63
$0.86
$0.81
$0.67

Specification

Specification
Product Code Description Size Format Alternate Product Code Carbon Type Number of Plies
47377
Small
4.25" x 5.25"
Snap-out
753FS L 3
Carbonless
2

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View a sample Medical Examination Certificate - Small.

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