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