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PHYSICAL EXAMINATION REPORT Clear Form For S or P Endorsement MV3030B 1/2013 Ch. 343 Wis. Stats. Trans. 112 Admin. Code Incomplete forms will be returned for completion. Wisconsin Department of Transportation Medical Review PO Box 7918 Madison WI 53707-7918 Telephone 608 266-2327 FAX 608 267-0518 Email dmvmedical dot.

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