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Dot Physical Form For Ups Drivers11/14/2022 ![]() ![]() Massachussetts: CDL Self certification form Mail forms to: MassDOT, RMV Division, Driver Licensing PO Box 55889 Boston, MA 02205 Submit forms in person to: Any RMV branch office.Box 698Į-mail: ( must be scanned as a word document or pdf) Mail: Delaware Division of Motor Vehicle. Maryland Intrastate Waiver Program: CDL Medical Waiver Information Packet Maryland: CDL Self Certification Form Frequently asked questions.Please mail the Self-Certification form and medical certificate (if applicable) to: Bureau of Driver Licensing Pennsylvania CDL: Self Certification Forms DL-11CD.MAIL TO: NJ Motor Vehicle Commission Driver Review Bus Application Unit PO Box 127 Trenton, NJ 08666 For further assistance, contact the MVC Bus Application Unit by phone at (609) 292-7500 ext. New Jersey CDL: nj_med_cert_affidavit CDL_FAQs.Connecticut CDL: Self Certification Form (electronic) DOT Physical form R-323 Medical Examiner’s Certificate.NYC TLC Medical Certification Forms: Medical Certification Form-New Application Medical Certification Form For-Hire Vehicle Renewing Applicants.NYC Board of Education Office of Pupil Transportation Medical Examination.Supplement To: Medical Examination of Driver Under Article 19-A.DS874- Medical Examination of Driver Under Article 19-A.NYS DMV Article 19-A Information and Forms.New York: NYS DMV mc11a – Medical Certification Requirements For Commercial Driver Medical Certification Unit Contact Information:įax: 51 or 51 Email: Mail to: NYS Department of Motor Vehicles.Marshall Island Physical Exam Form Guidance on Medical Exams and Certificates for Seafarers MG-7-47-1ĭriver Medical Examination Forms by State/Region.SPE- Skill Performance Evaluation Certificate Application.Diabetes-Annual-Endo-Vision-Evaluation-Checklist-508.Quartely-Endocrinologist-Evaluation-Form-508.Federal Diabetes Exemption (application package).Insulin Treated Diabetes Mellitus, Assessment Form: MCSA-5870įMCSA Federal Exemption Programs For Commercial Drivers. ![]() Medical Examiner’s Certificate (MEC): MCSA-5876.Medical Examination Report Form (MER): MCSA-5875. ![]() DOT Medical Examination Forms-Certificate (download)įMCSA Commercial Driver Fitness Determination (truck & bus drivers). ![]()
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