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Medical Examination Report Form 5-pk. - 8.5" x 11" - Commercial Driver Medical Certification to Comply with 49 CFR 391.43 DOT Medical Card Requirements, J. J. Keller & Associates, Inc.
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Product details
| Management number | 215832307 | Release Date | 2026/04/19 | List Price | $21.54 | Model Number | 215832307 | ||
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- Complies with OSHA 49 CFR 391.43 - Stay in compliance with FMCSA regulations using this Medical Examination Report Form (Form MCSA-5875), as required under 49 CFR 391.43 for commercial driver fitness evaluations.
- DOT Required Report– Medical Examination Report is essential for DOT compliance and commercial driving eligibility.
- Complete 9-Page Format – This comprehensive 9-page form includes all necessary sections: driver information, health history, examination findings, and examiner certification.
- Standard Size, Made in the USA – Printed on 8.5" x 11", 1-ply in a convenient sheet format; proudly made in the USA for reliable quality and consistency.
- Note- Both the Medical Examination Report Form and Medical Exam Certificate/DOT Medical Card are required by the DOT. DOT medical exam card sold separately.
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