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MEDICAL EXAMINER IS CERTIFICATE I certify that I have examined In accordance with the Federal Motor Carrier Safety Regulations (49 CFR 391.41 39) and with knowledge of the driving duties, I find this
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How to fill out medical examiner39s certificate card

How to fill out a medical examiner's certificate card:
01
Begin by obtaining the official medical examiner's certificate card. This can typically be obtained from a medical examiner's office or a local health department.
02
Fill out the personal information section. This includes your full name, date of birth, gender, and contact information. Make sure to provide accurate and up-to-date information.
03
Provide information about your medical history. This may include any pre-existing conditions, medications you are currently taking, surgeries or procedures you have undergone, and any allergies you may have.
04
Indicate your blood type and any applicable blood transfusions or donations you have received.
05
Provide information about any vision or hearing impairments you may have.
06
Declare any physical or mental health conditions that may affect your ability to perform certain tasks or operations.
07
Indicate any current restrictions or limitations on your driver's license. This may include wearing glasses or hearing aids, using specialized equipment, or certain time limitations.
08
Answer all additional questions on the certificate card accurately and truthfully.
09
Sign and date the certificate card to certify that all the information provided is correct and complete.
10
Keep a copy of the filled-out certificate card for your records.
Who needs a medical examiner's certificate card:
01
Commercial drivers: Individuals who operate commercial vehicles, such as trucks or buses, are required to have a valid medical examiner's certificate card. This is mandated by the Department of Transportation (DOT) and is necessary to ensure that drivers meet the physical and mental standards required for safe operation.
02
Pilots: Aviation pilots, whether for commercial airlines or private flights, may be required to possess a medical examiner's certificate card. This card ensures that pilots are in good health and fit to operate aircraft safely.
03
Individuals seeking certain types of employment: Some jobs, particularly those involving safety-sensitive positions or physically demanding tasks, may require applicants to submit a medical examiner's certificate card to demonstrate their fitness for the role.
04
Athletes: Certain sports organizations or teams may require athletes to undergo a medical examination and possess a medical examiner's certificate card to ensure their physical well-being and ability to participate in sports activities.
05
Others as determined by specific regulations or requirements: Depending on local laws and regulations, there may be additional individuals or professions that require a medical examiner's certificate card for various purposes. It is advisable to consult relevant authorities or organizations for specific requirements in your area.
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What is medical examiner's certificate card?
The medical examiner's certificate card is a document that verifies that a commercial driver is physically qualified to operate a commercial motor vehicle.
Who is required to file medical examiner's certificate card?
All commercial drivers who operate a commercial motor vehicle are required to file a medical examiner's certificate card.
How to fill out medical examiner's certificate card?
The medical examiner's certificate card must be filled out by a licensed medical examiner after conducting a physical examination of the commercial driver.
What is the purpose of medical examiner's certificate card?
The purpose of the medical examiner's certificate card is to ensure that commercial drivers are physically capable of safely operating a commercial motor vehicle.
What information must be reported on medical examiner's certificate card?
The medical examiner's certificate card must include the driver's name, the date of the physical examination, the results of the examination, and the medical examiner's signature.
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