Medical Examination Report And Medical Examiners Certificate

Helps you comply with 49 CFR s391.43
Both the Medical Examination Report and Certificate are required by the DOT
Medical Examination Report

• 8 pages long
• Contains applicable regulations, instructions to the medical examiner, and the form itself
• Measures 11" W x 8-1/2" L

• Medical Examiner's Certificate - Paper Format
• Snap-out format
• Two plies
• Carbonless
• Measures 4-1/4" W x 6-7/8" L

• Overall Dimensions: 6" x 10-1/2"