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Medical Examiner's Certificate

Medical Examiner's Certificate

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Medical Examiner's Certificate is available for purchase in increments of 50
$0.83
Product code: 202B (47379)
Volume Pricing
100-249 $0.77
250-499 $0.58
500-999 $0.44
1000+ $0.40

Quick Overview:

Complies with Medical Examiner’s Certification Integration Final Rule Beginning December 22, 2015.
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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
•Self laminating; front laminates protects the driver copy
•Two plies
•Tri-fold
•Overall measurement 3-1/2" x 7-1/8". Certificate detached is 3-1/2" x 6-1/2"
•Folded measurement 3-1/2" x 2-3/16"
•Both the Medical Examination Report and Medical Examiner's Certificate are required by DOT

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