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IN CDL-PHY SF 49867 2004-2025 free printable template

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Kiosk CDL-PHY Indiana Department of Revenue State Form #49867 (10-04) Medical Examination Report for Commercial Driver Fitness Determination Commercial Driver's License, Medical Section 5252 Decatur
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Who needs IN CDL-PHY SF 49867?

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Individuals applying for a specific license or certification that requires IN CDL-PHY SF 49867.
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Candidates who need to provide proof of eligibility for a commercial driving license.
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Professionals or workers in industries regulated by the CDL requirements in Indiana.

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Affordable DOT physical exams: Just $95!
$60 DOT / CDL PHYSICAL DOCTOR - $ 60 DOT / CDL Physical Exam.
All Indiana CDL holders are required to file their current physical examination form with the Indiana Department of Revenue. Mail your physical examination form to: Indiana Department of Revenue, Motor Carrier Services, CDL Section, 5252 Decatur Blvd., Suite R, Indianapolis, IN 46241; or fax to: (317) 821-2340.
A dot physical exam will include an evaluation of an employee's vision, hearing, blood pressure and overall physical ability. It will also test for illegal drugs. If drivers take any medications, they'll need to bring a complete list to the exam, including the doses and doctors' information.
A dot physical exam will include an evaluation of an employee's vision, hearing, blood pressure and overall physical ability. It will also test for illegal drugs. If drivers take any medications, they'll need to bring a complete list to the exam, including the doses and doctors' information.

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IN CDL-PHY SF 49867 is a specific form used for reporting certain physical conditions or disabilities for compliance with regulatory requirements in Indiana.
Individuals applying for a commercial driver's license (CDL) in Indiana who have certain medical conditions must file IN CDL-PHY SF 49867.
To fill out IN CDL-PHY SF 49867, applicants must provide personal information, medical history, and any relevant documentation from healthcare providers regarding their physical condition.
The purpose of IN CDL-PHY SF 49867 is to ensure that individuals with medical conditions are assessed to determine their eligibility for operating commercial vehicles safely.
The form requires reporting personal identification details, medical history, any medications being taken, and specifics of the physical condition that may affect driving capability.
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