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Medical Reporting Forms - PennDOT Driver & Vehicle …

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/Medical-Reporting-Forms.aspx
    In addition, § 71.3(b)(6) states that a person who has no established medical history or clinical diagnosis of other cardiovascular disease resulting in syncope, …

Medical Reporting - PennDOT Driver & Vehicle Services

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/MedicalReporting.aspx
    Medical Reporting Forms Reporting of Medical Conditions Affecting Driver Safety (PDF) Talking with Older Drivers (PDF) What to Expect When My Medicial Condition has been …

Medical Applications and Forms | FMCSA

    https://www.fmcsa.dot.gov/medical/driver-medical-requirements/medical-applications-and-forms
    Medical Examinations. The expiration date on the Medical Examination Report Form, MCSA-5875, Medical Examiner's Certificate, MCSA-5876, Insulin-Treated …

Medical Examination Report (MER) Form, MCSA-5875

    https://www.fmcsa.dot.gov/regulations/medical/medical-examination-report-form-commercial-driver-medical-certification
    The Federal Motor Carrier Safety Administration requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner’s Certificate …

PennDOT - Self-Certification Form - Pennsylvania …

    https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Form/DL-11CD.pdf
    • Please enlarge your Medical Examiner’s Certificate to 5 inches by 7 inches and make sure that all of the health care provider information is complete and legible. EI I drive a …

DL-102 (4-22) REPORT OF EYE EXAMINATION

    https://www.dot.state.pa.us/public/dvspubsforms/BDL/BDL%20Medical-Protected/DL-102.pdf
    Bureau of Driver Licensing • P.O. Box 68682 • Harrisburg, PA 17106-8682 • (717) 787-9662Return this form to the address listed above, FAX to (717) 705-4415, or email to …

Online Forms - Pennsylvania Department of Transportation

    https://www.penndot.pa.gov/ContactUs/Pages/Online-Forms.aspx
    DOT > Contact Us > Online Forms. Online Forms. PennDOT is committed to providing its customers with services in an eco-friendly and accessible manner. To that end, most of …

DOT Medical Exam and Commercial Motor Vehicle …

    https://www.fmcsa.dot.gov/medical/driver-medical-requirements/dot-medical-exam-and-commercial-motor-vehicle-certification
    Medical Driver Medical Requirements DOT Medical Exam and Commercial Motor Vehicle Certification About the Exam A Department of Transportation (DOT) …

Driver Exemption Programs | FMCSA

    https://www.fmcsa.dot.gov/medical/driver-medical-requirements/driver-exemption-programs
    Medical Release Form (Seizure) SAMPLE; Medical Release Form; Interstate Commerce. Interstate Commerce is trade, traffic, or transportation involving the …

Documentation for CDL Drivers - PennDOT Driver

    https://www.dmv.pa.gov/Driver-Services/Commercial-Driver/Pages/Acceptable%20Documents-Commercial%20Drivers%20License.aspx
    Acceptable Documentation for CDL Drivers. If you are licensed as a non-commercial driver in Pennsylvania and want to obtain a CDL, you would apply for your permit (s) using a DL …



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