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Medical Examiners Self Laminating Card

Medical Examiners Self Laminating Card

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Price: $0.62

This DOT Self Laminating Medical Examiner's Certificate features a clear protective overlay and folds to business card size, quantity pricing.

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The Expiration Date on this MCSA-5876 Medical Examiners Certificate is 11/30/2021.

This New DOT Approved Design is Driver Preferred.

This Medical Examiner's Certificate is available on cardstock and is self-laminating. The Medical Examiner's Certificate card is required to be carried by every driver of a commercial motor vehicle as proof of medical qualification per 49 CFR 391.41. The Medical Examiner's Certificate is an integral part of the driver qualification file. This design self laminates and folds to 2" x 3.5" to fit any size wallet. 

The Self Laminating Medical Examiners Certificate Wallet Card includes:

  • Driver Name (last/first)
  • National Registry Number
  • Signature of Driver
  • Medical Examiner's Telephone Number
  • Date Certificate Signed
  • Medical Examiners Name
  • Certificate Number
  • License Number
  • Registration Number
  • Issuing State
  • Signature of Driver
  • Drivers License Number
  • State Issued
  • Address of Driver
  • Expiration Date
  • Public Burden Statement
  • Quantity Pricing Available.

This is the official MCSA-5876 Medical Examiner's Certificate for the following states:

Alabama, Alaska, Arizona, Arkansas
California, Colorado, Connecticut, Delaware
Florida, Georgia, Hawaii, Idaho
Illinois, Indiana, Iowa, Kansas
Kentucky, Louisiana, Maine, Maryland
Massachusetts, Michigan, Minnesota, Mississippi
Missouri, Montana, Nebraska, Nevada
New Hampshire, New Jersey, New Mexico, New York
North Carolina, North Dakota, Ohio, Oklahoma
Oregon, Pennsylvania, Rhode Island, South Carolina
South Dakota, Tennessee, Texas, Utah
Vermont, Virginia, Washington, West Virginia, Wisconsin

Quantity pricing applied in cart.

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Medical Examination Report

The MCSA-5875 Medical Examination Report is an integral part of the driver's qualification file and is up to date with the latest DOT revisions.

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dqf22l MCSA-5876

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