Medical Examination Report, 9-Part, 8.5" x 11"

Item No. DQF65R4
Qty. List Price
1-4 $16.37
5-9 $14.47
10-19 $11.56
20+ $10.55
Pack 25
Your Price
price per Pack 25
excl. tax
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Item Available Available
Item Description

Help stay in compliance with Labelmaster's Medical Examination Report. An integral part of the driver qualification file, this form for commercial driver fitness determination contains information required by 49 CFR 391.41. There are 5 pages of information to fill in and 4 pages of instructions, for a total of 9 pages. It measures 8.5 x 11 in. and is sold in packs of 25.

Width 8.5 "
Height 11 "
Format Pack
Format Unit Of Measure 25
UPC Code 887277965276
Manufacturer Number DQF65R4
Manufacturer Name Ameriprint Corporation
Regulatory Agency DOT
Regulatory Standard Part 391.43 (h)
Material Polypropylene/Cellulose
Country Of Origin US
Harmonized Tariff Code 4820400000
Weight 1.5 lbs