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OMB No. for FDIC 30640015; Expiration Date: June 30, 2021, OMB No. for Federal Reserve 71000171; Expiration Date: May 31, 2021, OMB No. for OCC 15570014; Expiration Date: February 28, 2021Federal
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To fill out a medical examiners certificate, follow these steps:
02
Start by entering the driver's full legal name.
03
Provide the driver's date of birth.
04
Specify the driver's gender.
05
Enter the driver's address, including street, city, state, and ZIP code.
06
Provide the driver's telephone number.
07
Enter the driver's social security number.
08
Indicate the type of driver's license held by the driver.
09
Specify the expiration date of the driver's license.
10
Enter the driver's license issuing state.
11
Provide the driver's height, weight, and eye color.
12
Indicate the driver's blood pressure reading.
13
Enter the driver's pulse rate and rhythm.
14
Specify the driver's hearing and vision status.
15
Indicate if the driver has any neurological conditions or disorders.
16
Provide information about the driver's medications and medical history.
17
Sign and date the medical examiners certificate.
18
Provide the examiner's full legal name, address, and telephone number.
19
Include the examiner's medical license number and the date of issuance.
20
Specify the name and address of the medical examiner's office.
21
Finally, indicate any additional comments or remarks, if necessary.

Who needs medical examiners certificate?

01
A medical examiners certificate is required for individuals who operate commercial motor vehicles (CMVs) in the United States.
02
Specifically, it is needed by professionals such as truck drivers, bus drivers, and those operating vehicles transporting hazardous materials.
03
This certificate serves as proof that the driver is physically qualified to perform their duties and ensures compliance with the Federal Motor Carrier Safety Administration (FMCSA) regulations.
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The medical examiners certificate is a document that certifies a commercial driver's medical fitness for duty.
All commercial drivers who operate vehicles that require a CDL (Commercial Driver's License) are required to file a medical examiners certificate.
To fill out a medical examiners certificate, a commercial driver needs to visit a certified medical examiner and undergo a medical examination.
The purpose of the medical examiners certificate is to ensure that commercial drivers are physically fit to operate vehicles safely.
The medical examiners certificate must report the driver's medical history, current medications, any medical conditions that may affect driving ability, and the examiner's findings from the physical examination.
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