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2015MC Medical Examiners Certificate


Product Description

Beginning December 22, 2015 this form may be used in accordance with 49 CFR §391.43. On December 21, 2015, the FMCSA announced a 120-day grace period during which Medical Examiners can use this newly revised version.  The previous version may no longer be used after April 19, 2016.


  • Complies with Final Rule published April 23, 2015 - MCSA-5876
  • 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

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