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Jjkeller. com Printed in the United States 651-FS-L2 MEDICAL EXAMINER S CERTIFICATE I certify that I have examined in accordance with the Federal Motor Carrier Safety Regulations 49 CFR 391. SIGNATURE OF MEDICAL EXAMINER TELEPHONE MD DATE DO Physician Assistant Chiropractor Advanced Practice Nurse DRIVER S LICENSE NO. ADDRESS OF DRIVER MEDICAL CERTIFICATE EXPIRATION DATE DISTRIBUTION 1 COPY TO THE DRIVER 1 COPY TO THE MOTOR CARRIER STATE. ALL WRITTEN OR PRINTED INFORMATION MUST BE LEGIBLE Published by J* J* KELLER ASSOCIATES INC. Neenah WI USA 800 327-6868 www. 41-391. 49 and with knowledge of the driving duties I find this person is qualified and if applicable only when wearing corrective lenses driving within an exempt intracity zone 49 CFR 391. 62 wearing hearing aid accompanied by a waiver/exemption qualified by operation of 49 CFR 391. 64 The information I have provided regarding this physical examination is true and complete. A complete examination form with any attach....

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If the Medical Examiner determines that the driver examined is physically qualified to drive a commercial motor vehicle in accordance with the physical qualification standards, the Medical Examiner will complete and provide the driver with a Medical Examiner's Certificate (MEC), Form MCSA-5876.

About the Exam A DOT physical exam is valid for up to 24 months. The medical examiner may also issue a medical examiner's certificate for less than 24 months when it is desirable to monitor a condition, such as high blood pressure.

The original FMCSA waiver, set to expire June 30, recognized that state licensing facilities and medical offices that perform DOT physicals may be closed or have restricted hours or staffing, making it difficult or impossible for drivers to renew CDLs or physicals. The waiver is now extended until Sept. 30.

CDL drivers must take the DOT physical every two years. If you have a condition that needs monitoring, such as high blood pressure, you may be required to get a physical more often. Once you have passed your DOT physical the doctor in charge will give you a certificate.

To become DOT certified, a driver must undergo a physical exam and a series of safe-driving tests. The U.S. Department of Transportation administers DOT certification. Commercial motor vehicle operators must reapply for DOT certification every two years.

Yes, the employer can require you to take a new physical exam, if is company policy. They also usually will pay for the exam if they require it.

If a driver's medical certificate expires before providing a new one, the Department of Revenue will notify the driver that he/she is no longer medically certified to operate a CMV and remove the CDL privileges from the driver's license.

Register with the NRCME and get your unique identifier number. ... Complete an accredited NRCME Training Course and print your certificate of completion. ... Schedule to sit for the Certification Exam at a Certification Testing Center.

Register with the NRCME and get your unique identifier number. ... Complete an accredited NRCME Training Course and print your certificate of completion. ... Schedule to sit for the Certification Exam at a Certification Testing Center.

How Much Does DOT Physical Exam Cost? On MDsave, the cost of DOT Physical Exam ranges from $95 to $140 . Those on high deductible health plans or without insurance can shop, compare prices and save. Read more about how MDsave works.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232