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Overview
- Helps you comply with 49 CFR §391.43
- The Medical Examination Report, Medical Examination Certificate/DOT Medical Card, and the Medical Examiner’s National Registry Verification are required by the DOT
- Medical Examination Report - 47375 (761-F)
- Complies with Final Rule published April 23, 2015
- Helps you comply with 49 CFR §391.43
- 9 pages long
- Contains applicable regulations, instructions to the medical examiner, and the form itself
- Measures 8-1/2" x 11"
- Medical Examiner's Certificate - Laminated Paper Format (DOT Medical Card) - 47379
- Complies with Final Rule published April 23, 2015
- Helps you comply with 49 CFR §391.43
- Self-laminating; front laminate protects the driver copy
- Two plies
- Tri-fold
- Overall measurement 3-1/2" x 7-1/8", Certificate detached 3-1/2" x 6-1/2"
- Folded measurement 3-1/2" x 2-3/16"
- Medical Examiner’s National Registry Verification – 27034 (758-FS-C2)
- Snap out format
- Two plies
- Carbonless
- Complies with DOT's 49 CFR §391.23 and §391.51
- Required to be used as of May 21, 2014
- Measures 8-1/2" x 11-3/4"
Volume Pricing
| Product Code | Description | 1 - 9 | 10 - 149 | 150 - 999999 |
|---|---|---|---|---|
|
47999
|
(1) Report, (1) Certificate, & (1) Verification Form
|
$7.44
|
$6.17
|
$5.54
|
Specification
| Product Code | Description | Size | Alternate Product Code |
|---|---|---|---|
|
47999
|
(1) Report, (1) Certificate, & (1) Verification Form
|
6" x 10.5"
|
019MP
|
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