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Get NY Medical Certification Form 2013-2024

_____________________________________________________________________________________________ MEDICAL CERTIFICATION FORM Medallion (Yellow and Green Taxicab) applicants only are required to complete the Medical Form This is to certify that I have examined (name of applicant) the applicant for a NYC Taxi and Limousine Commission TLC Driver’s License, on , and based on my examination reported herein, (date of exam) it is my opinion that s/he: is medically fit to safely operate a TLC licensed.

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