FL 725-030-11 2009-2024 free printable template
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Rule 1490.0041, F.A.C.1.
DRIVERS INFORMATION
Drivers Name (Last, First, Middle)Driver completes this section.
Birthdate/
/
MM/DD/BY
Address72503011
Transit
05/09FLORIDA DEPARTMENT OF TRANSPORTATION
MEDICAL
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How to fill out can i submit my
How to fill out fl dot medical card:
01
Obtain the fl dot medical card form from the Department of Transportation website or a local DMV office.
02
Fill out personal information such as your full name, date of birth, and contact details.
03
Provide your current address and any previous addresses for the past three years.
04
Include information about your medical history and any existing medical conditions.
05
Complete the section regarding drug and alcohol use, including any past convictions or violations.
06
Answer the questions related to your vision acuity and any corrective lenses you may require.
07
Sign and date the fl dot medical card to confirm the accuracy of the information provided.
Who needs fl dot medical card:
01
Commercial vehicle drivers who operate vehicles weighing over a certain threshold, typically 10,001 pounds or more.
02
Individuals who transport hazardous materials that require placards.
03
Drivers engaged in interstate commerce, crossing state lines as part of their job.
Please note that specific requirements may vary by state, so it is essential to verify the exact regulations applicable in your area.
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What happens if you let your DOT medical card expire in Florida?
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What is fl dot medical card?
FL.dot Medical Card is an electronic medical card program for Florida residents. It is designed to provide access to quality healthcare and reduce healthcare costs. It allows residents to access their medical records, schedule appointments, receive health insurance information, and handle other health-related tasks. The program is administered by the Florida Department of Health.
How to fill out fl dot medical card?
To fill out a Florida DOT Medical Card, you will need to provide information about your medical history and medical exam results. You will need to include information such as your name, address, birthdate, medical condition, any medications you are taking, and the results of your medical exam. You will also need to sign the form to certify that the information provided is accurate.
What is the purpose of fl dot medical card?
The purpose of the Florida DOT Medical Card is to provide proof of medical certification from a qualified medical examiner to the Florida Department of Transportation (DOT). The card is required for commercial motor vehicle (CMV) drivers to ensure they are medically fit to safely operate a CMV.
Who is required to file fl dot medical card?
In the state of Florida, commercial drivers who operate vehicles that weigh over 10,000 pounds, transport hazardous materials, or carry more than a specific number of passengers are required to obtain a DOT (Department of Transportation) medical card. The medical card certifies that they meet the physical requirements to safely operate a commercial vehicle.
What information must be reported on fl dot medical card?
When applying for a Florida Department of Transportation (FL DOT) medical card, the following information must be reported:
1. Personal Information: Full name, date of birth, social security number, address, and contact details.
2. Medical History: Information about any existing medical conditions, including diabetes, cardiac issues, respiratory disorders, mental health conditions, and other chronic illnesses.
3. Medications: Any prescription medications being taken regularly.
4. Vision and Hearing: Details about vision acuity, including whether corrective lenses are used. Any hearing impairments should also be noted.
5. Substance Abuse: Disclosure of any history of substance abuse or treatment.
6. Certifying Statement: Certification that the applicant meets the physical and medical requirements outlined by the FL DOT.
7. Doctor's Signature: The medical examination must be conducted and certified by a licensed healthcare professional, who will provide their signature on the form.
It is important to accurately report this information as it contributes to the determination of one's eligibility to operate commercial motor vehicles in line with FL DOT regulations.
What is the penalty for the late filing of fl dot medical card?
The penalty for the late filing of a Florida Department of Transportation (FDOT) medical card can vary. However, failure to submit a valid medical card can result in the suspension of your Commercial Driver's License (CDL).
How do I complete can i submit my dot physical online in florida online?
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