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MC027 (04/2023) Michigan State Police Commercial Vehicle Enforcement Division Page 1 of 2AUTHORITY: MCL 480.13; COMPLIANCE: Voluntary; however, failure to complete this form will result in inability

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How to fill out application for intrastate medical

01

Obtain the application form for intrastate medical.

02

Fill out all required personal information including name, address, contact information, and date of birth.

03

Provide information about your medical history and any current health conditions.

04

Submit any required documentation such as medical records or doctor's notes.

05

Review the completed application for accuracy and completeness before submitting it.

Who needs application for intrastate medical?

01

Anyone who is seeking medical services within their state of residence may need to fill out an application for intrastate medical.

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What is application for intrastate medical?

An application for intrastate medical is a form that individuals must complete in order to obtain medical certification for intrastate commercial driving.

Who is required to file application for intrastate medical?

Individuals who engage in intrastate commercial driving are required to file an application for intrastate medical.

How to fill out application for intrastate medical?

To fill out an application for intrastate medical, individuals must provide personal information, medical history, and undergo a medical examination by a certified medical examiner.

What is the purpose of application for intrastate medical?

The purpose of the application for intrastate medical is to ensure that individuals are physically fit to operate commercial vehicles within state boundaries.

What information must be reported on application for intrastate medical?

Information such as personal details, medical history, medication use, and results of the medical exam must be reported on the application for intrastate medical.

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