Fillable endocrinologist evaluation checklist form

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Endocrinologist Annual Evaluation Checklist Federal Diabetes Exemption Program Driver Identifying Information Name: First MI Last Address: DOB (MM/DD/YYYY): This applicant was granted an exemption from the Federal diabetes standard to operate a commercial motor vehicle (CMV) in interstate commerce. ANNUAL medical monitoring and reporting is a condition of the exemption from the diabetes standard of 49 CFR 391
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endocrinologist evaluation checklist
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