JJ KELLER part description

Medical Exam Form and Medical Examination Certificate required by the DOT

Form and certificate combo pack includes:

  • Medical Examination Certificate – Laminated (47379)
    • Medical Exam Certificate helps you comply with 49 CFR §391.43
    • Features front laminate to protect driver's copy
    • Certificate is two ply and self-laminating
    • Tri-fold format allows certificate to fit in wallet
    • Overall measurement: 3-1/2" x 7-1/8"
    • Certificate detached measures: 3-1/2" x 6-1/2"
    • Folded measurement: 3-1/2" x 2-3/16"
    • Quantity: 50
  • Medical Examination Report Form (47375)
    • Medical Examination Report Form helps you comply with 49 CFR §391.43
    • DOT medical exam form is 9 pages long
    • Contains form, applicable regulations and instructions to medical examiner
    • Measures 8-1/2" x 11"
    • Quantity: 50

JJ Keller® is an industry expert in safety and compliance. It provides organizations of all sizes with the right tools and expert advice to create productive, safe, and compliant workplaces. While it does offer managed and consulting services regarding safety and compliance for DOT regulations, it also supplies a wide range of training materials and tools and a comprehensive list of digital and printed publications, forms, and supplies. DOT compliance for fleets has never been easy with JJ Keller. Its wide assortment of decals, placards, and flags helps keep employees and drivers safe and in compliance while on the job.

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