JJ Keller Medical Examiner's National Registry Verification - Snap-Out Format (Pack of 100)
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.
- Snap out format.
- Two plies.
- 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.
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