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Get In Cdl-phy Sf 49867 2004-2025
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How to fill out the IN CDL-PHY SF 49867 online
This guide provides clear and detailed instructions on how to fill out the IN CDL-PHY SF 49867 form online. It is essential for individuals seeking a medical examination report for commercial driver fitness determination.
Follow the steps to successfully complete the form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out the Driver's Information section. Enter your full name (Last, First, Middle), address, city, state, and zip code, followed by your age and social security number. Indicate the state where your driver's license is issued.
- In the Health History section, choose whether you are obtaining a New Certification, Recertification, or Follow Up. Specify your license type as either OP or CH, and enter your Driver License Number.
- Respond to the health questions regarding any illnesses or injuries in the last five years by checking ‘Yes’ or ‘No’. If you answer ‘Yes’ to any question, provide additional information, including the onset date, diagnosis, treating physician's name and address, and any current limitations.
- List all medications you are currently using, including over-the-counter options. This information is necessary for the medical examiner's review.
- Confirm the accuracy of your information by signing the Driver's Signature field and entering the date.
- If you are completing this form online, ensure all sections are filled appropriately. Once completed, you can save your changes, download the form, print it for your records, or share it if necessary.
Complete your forms online today for a smoother processing experience.
Related links form
A CLP, or Commercial Learner's Permit, allows you to practice driving a commercial vehicle under supervision. CLP CDL applicant holders are in the process of obtaining their full CDL. In CDL-PHY SF 49867, this permit indicates that you are learning and preparing to meet the necessary requirements for a full license. It’s an essential step for those looking to enter the commercial driving industry.
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