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DS 326, Driver Medical Evaluation - California …

    https://www.dmv.ca.gov/portal/uploads/2020/06/DS326.pdf
    Before giving this form to your medical professional, complete and sign Sections 1-3. PLEASE PRINT LEGIBLY. INSTRUCTIONS TO THE MEDICAL PROFESSIONAL: …

Medical Examination Report - California DMV

    https://www.dmv.ca.gov/portal/dmv-virtual-office/medical-examination-report/
    Before you begin: As a Commercial Driver’s License (CDL) holder, you are required to submit a medical report dated within the last two years, every two years. You are required …

Medical Examination Submission Form - California DMV

    https://www.dmv.ca.gov/portal/dmv-virtual-office/medical-examination-report/medical-examination-submission-form/
    Medical Examination Submission Form About The History of the Department of Motor Vehicles Department of Motor Vehicles Strategic Plan: 2021-2026 Rulemaking Actions …

DL 546, Health Questionnaire - California …

    https://www.dmv.ca.gov/portal/uploads/2020/03/dl546.pdf
    ca dmv Subject: index-ready This form may be used by individuals to self-certify for a Noncommercial Fire Fighter restricted Class A or B license or a Noncommercial Class A …

CUSTOMER MEDICAL REPORT - Virginia Department …

    https://www.dmv.virginia.gov/webdoc/pdf/med2.pdf
    If you have questions related to DMV's requirement for you to submit a MED 2, you may contact DMV Medical Review Services: Mail - send your request in writing to Medical …

Forms - California DMV

    https://www.dmv.ca.gov/portal/forms/
    Forms - California DMV Home Forms Forms Featured Forms slide 1 to 6 of 6 Application for Disabled Person Placard or Plates (REG 195) Preview & Download Form Application …

Medical Reporting Forms - PennDOT Driver & Vehicle …

    https://www.dmv.pa.gov/Information-Centers/Medical-Reporting/Pages/Medical-Reporting-Forms.aspx
    Generic Initial Reporting Form (PDF) (DL-13 DS - Click Here to Complete Online) The Initial Reporting Form can be used by emergency rooms or other health care …

New York DMV | Medical Certification Requirements

    https://dmv.ny.gov/commercial-drivers/cdl-medical-certification-requirements
    How to submit a Medical Certificate to the Medical Certification UnitEmail: [email protected] Put your first and last name in the subject line. In …

Medical Examiner's Certificate (MEC), Form MCSA-5876

    https://www.fmcsa.dot.gov/regulations/medical/medical-examiners-certificate-commercial-driver-medical-certification
    If the Medical Examiner determines that the driver examined is physically qualified to drive a commercial motor vehicle in accordance with the physical qualification …

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 …



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