Get the free wallet size dot medical card form

FOR WALLET-SIZE CARD CUT OUT ON DOTTED LINES. MEDICAL EXAMINER'S CERTIFICATE I certify that I have examined VT ONLY (Driver's name Print) In accordance with the Federal Motor Carrier Safety Regulations

How to fill out wallet size dot medical

How to fill out wallet size dot medical:

1. Gather all necessary personal information such as full name, date of birth, and contact information.
2. Fill in the required medical information such as any pre-existing conditions or medications being taken.
3. Provide emergency contact information in case of any medical emergencies.
4. Include any relevant medical history or previous surgeries.
5. Make sure to sign and date the form before submitting.

Who needs wallet size dot medical:

1. Individuals who are required to provide proof of their medical conditions or medications on a regular basis, such as truck drivers or individuals with specific medical conditions.
2. People who want to have their medical information easily accessible in case of emergencies.
3. Anyone who needs a compact and convenient way of carrying their medical information with them at all times.

People Also Ask about wallet size dot medical card

Is there a grace period for DOT physicals in MN?

Currently MN Driver Vehicle Services allows a 30 day grace period for an expired medical certificate, medical variance, or a SPE certificate before downgrading a CDL.

Can I keep my CDL without a medical card in Florida?

You are required to maintain current medical documentation on file. Failure to do so may result in CDL disqualification.

Can I keep my CDL without a medical card in MN?

Commercial drivers are required to maintain current medical information on their driving record. Failure to do so may result in no CDL privileges and downgrade to a class D license.

Can I keep my CDL without a medical card in PA?

Nearly every commercial driver, unless the type of commerce you drive qualifies as 'Excepted', is required to submit their valid Medical Examiner's Certificate to PennDOT. You must meet the Federal DOT medical certificate requirements. You must meet Pennsylvania requirements under Title 67, Chapter 231.

Will I lose my CDL if my medical card expires in Texas?

CDL or CLP holders required to have a “certified” medical status who fail to provide and maintain an updated medical examiner's certificate with the Department will become “not-certified” and they may lose their CDL.

Do local CDL drivers need medical card?

All commercial drivers of vehicles in interstate commerce with a maximum gross vehicle weight rating of over 10,000 pounds (4,536 kilograms) are required to obtain and maintain a valid Medical Examiner's Certificate (ME Certificate) Commercial drivers who drive vehicles requiring a CDL have two additional requirements.

Can DOT cards be laminated?

These 2025 DOT Medical Examiners Self Laminating Wallet Card and Report Forms for CDL Commercial Truck Drivers Qualification File are up to date with the new revisions. The current expiration date of these MCSA forms is 3/31/2025. The Medical Examiner's Certificate is available on cardstock and is self-laminating.

For pdfFiller’s FAQs

What is wallet size dot medical?

Wallet size dot medical is a card that displays important medical information about a person, including allergies, medications, and emergency contacts. It is designed to fit in a wallet or purse and can be easily carried at all times. This card can be extremely useful in the event of an emergency, as it provides medical personnel with information that can help provide better care.

What is the purpose of wallet size dot medical?

Wallet size dot medical cards are issued by the Department of Transportation (DOT) to certify that a driver is certified to operate a commercial motor vehicle (CMV). The card contains the driver’s name, medical examiner's name, medical certificate number, and expiration date. This card is to be carried by drivers at all times while operating a CMV.

Who is required to file wallet size dot medical?

A wallet-sized DOT (Department of Transportation) medical card is required to be filed by commercial drivers who are operating vehicles that require a CDL (Commercial Driver's License). This includes individuals driving commercial trucks, buses, and other large vehicles weighing over a certain threshold. The DOT medical card serves as proof that the driver meets the physical requirements necessary to safely operate these vehicles.

How to fill out wallet size dot medical?

To fill out a wallet-sized DOT (Department of Transportation) medical card, follow these steps: 1. Obtain the DOT Medical Examination Report (also known as the "DOT physical form") from a qualified medical examiner. This form is typically available at clinics and healthcare facilities that provide DOT physical exams. 2. Start by filling out the personal information section at the top of the form. This includes your full name, date of birth, address, contact number, and driver's license number. 3. Move on to the medical examiner's section, where the examiner will review your medical history. Answer all the questions honestly and accurately regarding any pre-existing conditions, surgeries, or medical treatments. Provide detailed information if necessary. 4. Next, the medical examiner will assess your general health and conduct a physical examination. The examiner will measure your height, weight, blood pressure, and conduct a vision and hearing test. If you have any known medical conditions, provide details about the treatments or medications you are currently undergoing. 5. Once the physical examination is complete, the medical examiner will fill out the remainder of the form, including the results of the examination. The examiner will determine if you are fit to operate a commercial vehicle and indicate any restrictions or limitations if applicable. 6. Review the completed form together with the medical examiner to ensure accuracy and sign it as required. The examiner will also sign the form and provide their contact information, including their name, address, phone number, and medical license/certification number. 7. Keep a copy of the filled-out form for your records. Ensure that all the information is accurate and complete. 8. Reduce the physical size of the form to wallet size if needed by photocopying and resizing it to fit. Alternatively, you can laminate the regular-sized form and trim it down to wallet size. Remember, it's vital to complete your DOT medical card accurately and honestly, as failing to do so may have legal and safety consequences for you and others on the road.

What is the penalty for the late filing of wallet size dot medical?

The penalty for the late filing of a wallet size DOT medical card can vary depending on the regulations and policies of the specific jurisdiction or organization involved. In some cases, there may be a grace period during which the late filing incurs no penalty, while in others, there may be a fixed fine or fee imposed for filing after the designated deadline. It is best to consult the relevant regulatory body or organization to determine the exact penalty for late filing of a wallet size DOT medical card.

How do I complete wallet size dot medical card online?

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How do I make changes in printable dot medical card?

pdfFiller not only lets you change the content of your files, but you can also change the number and order of pages. Upload your printable wallet dot medical card to the editor and make any changes in a few clicks. The editor lets you black out, type, and erase text in PDFs. You can also add images, sticky notes, and text boxes, as well as many other things.

Can I edit medical card pdf on an iOS device?

No, you can't. With the pdfFiller app for iOS, you can edit, share, and sign dot medical card printable form right away. At the Apple Store, you can buy and install it in a matter of seconds. The app is free, but you will need to set up an account if you want to buy a subscription or start a free trial.