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$10.75
Free pickup
in 2-3 days or less
We'll ship it to your local storeMedical Examination Report
Helps you comply with 49 CFR §391.43 - The Medical Examination Report, Medical Examination Certificate/DOT Medical Card, and the Medical Examiners 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"
- 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"
| Weight | 1 |
| Brand | JJ Keller |
| Part Number | 47999 |
| Line Code | JJK |
| UPC | 10805510213585 |
| Terminology | Medical Examination Report |
| Weight | 1 |
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