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Medical Examination Report

Medical Examination Report

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Medical Examination Report is available for purchase in increments of 50
$1.90
Product code: 20A (47375)
Volume Pricing
100-249 $1.65
250-499 $1.49
500-999 $1.38
1000-2499 $1.10
2500+ $1.05

Quick Overview:

Helps you comply with DOT's 49 CFR 391.43.
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Details

The Federal Motor Carrier Safety Administration (FMCSA) announced its decision to allow certified Medical Examiners (MEs) to use the Medical Examination Report (MER) Form, MCSA-5875, and Medical Examiner's Certificate (MEC), Form MCSA-5876, with October, November, and December, 2015 revision dates that are located in the top left corner of the forms until existing stocks are depleted.

•Helps you comply with 49 CFR §391.43
•Both the Medical Examination Report and Medical Examination Certificate are required by the DOT
•Contains applicable regulations, instructions to the medical examiner and the form itself
•This DOT medical examination report is 9 pages long
•Measures 8-1/2" x 11”

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