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Medical Examination Report FOR COMMERCIAL DRIVER FITNESS DETERMINATION 649-F (6045) 1. DRIVER'S INFORMATION Driver completes this section Driver's Name (Last, First, Middle) Social Security No. Birthdate
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What is medical examiner's certificate?
A medical examiner's certificate is a document issued by a medical examiner or healthcare professional certifying that an individual meets the physical qualifications to operate a commercial motor vehicle.
Who is required to file medical examiner's certificate?
Commercial motor vehicle drivers are required to file a medical examiner's certificate to demonstrate their physical fitness to safely operate a commercial vehicle.
How to fill out medical examiner's certificate?
To fill out a medical examiner's certificate, the driver needs to visit a certified medical examiner who will conduct a physical examination, review the driver's medical history, and complete the required sections of the certificate.
What is the purpose of medical examiner's certificate?
The purpose of the medical examiner's certificate is to ensure that commercial motor vehicle drivers are physically fit and capable of safely performing their duties, reducing the risk of accidents and promoting public safety.
What information must be reported on medical examiner's certificate?
The medical examiner's certificate must include the driver's name, date of birth, driver's license number, the name and address of the certified medical examiner, the certification date, and the expiration date of the certificate.
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