Shopping Cart - $0.00

You have no items in your shopping cart.

Welcome to WTB, LLC.
Return to Previous Page

Medical Examiner's National Registry Verification - Padded Format

Medical Examiner's National Registry Verification - Padded Format

Be the first to review this product

$10.44
Product code: 758F (27033)
Volume Pricing
3-5 $8.91
6+ $6.90

Quick Overview:

Includes 50 single-ply forms (8-1/2" x 11") per pad.
OR
Interactive Training Courses

Bring you the power and confidence of an entire e-learning training library, anywhere you have a connection to the internet. Buy Points

 

 

 

Details

The Final Rule published April 20, 2012 requires the motor carrier to verify that the medical examiner was qualified to conduct a CDL driver's physical exam. This form meets that requirement.
•Helps you comply with DOT's 49 CFR §391.23 and §391.51
•Form can be used now, though it s required to be used as of May 21, 2014
•Includes fields to enter the following information:
◦Driver's Name and Identification Number
◦Medical Examiner and National Registry Number
◦Motor Carrier and Location
◦Motor Carrier Representative Signature and Date
•Padded format; 50 sheets per pad
•Single-ply
•Bond white paper
•Measures 8-1/2" x 11"

Write Your Own Review

You're reviewing: Medical Examiner's National Registry Verification - Padded Format