Mandatory compliance December 22, 2015 Certificate CANNOT be used prior to December 22, 2015 Complies with Final Rule published April 23, 2015 Helps you comply with 49 CFR §391.43 Two plies Measures 4-1/4" x 5-1/4" Both the Medical Examination Report and Medical Examination Certificate/DOT Medical Card are required by the DOT
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