CT DMV B-328 2008 free printable template
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MEDICAL EXAMINER'S CERTIFICATE B-328 Rev. 10-2008 STATE OF CONNECTICUT DMV On The Web At ct.gov/dmv In accordance with the Federal Motor Carrier Safety Regulations (49 CFR 391.41-391.49) and with
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How to fill out dot medical card ct
How to fill out dot medical card ct?
01
Obtain the appropriate form: Start by acquiring the DOT medical card application form specific to Connecticut. This form can be obtained from your employer, a local DMV office, or by downloading it from the Connecticut DMV website.
02
Provide personal information: Fill in your personal information accurately, including your full name, address, telephone number, date of birth, and social security number. Ensure that all information is legible and correct.
03
Answer health-related questions: The DOT medical card application will have a section where you need to answer questions related to your medical history and current health condition. Provide accurate and truthful information regarding any medical conditions, medications you may be taking, and any previous surgeries or treatments.
04
Undergo a medical examination: Schedule an appointment with a certified medical examiner. This medical professional will conduct a comprehensive physical examination to assess your fitness for driving commercial vehicles. They will evaluate your vision, hearing, blood pressure, diabetes management (if applicable), and overall physical health. Make sure to bring any relevant medical records or medications to the examination.
05
Submit the completed form: Once you have filled out the DOT medical card application form and successfully undergone the medical examination, submit the form to the appropriate authority. This could be your employer, the DMV office, or another designated location. Ensure that you keep a copy of the completed form for your records.
06
Renewal: The DOT medical card is typically valid for a period of two years. Make a note of the expiration date and plan accordingly for the renewal process. You will need to undergo another medical examination and complete a new application form to maintain a valid DOT medical card.
Who needs dot medical card ct?
01
Commercial drivers: Individuals who operate commercial vehicles, such as trucks or buses, and engage in interstate commerce are required to hold a valid DOT medical card. This card serves as proof that they are physically fit to safely operate these vehicles.
02
Specific weight and passenger capacity: The requirement for a DOT medical card in Connecticut applies to commercial drivers operating vehicles with a gross vehicle weight rating (GVWR) above 10,000 pounds, vehicles designed to transport 16 or more passengers, or vehicles used to transport hazardous materials. If your job involves operating a vehicle falling under any of these categories, you will need a DOT medical card.
03
Interstate travel: If you drive across state borders as part of your commercial driving activities, you will need a DOT medical card to comply with federal regulations set by the Department of Transportation (DOT). It ensures that commercial drivers are physically qualified to operate vehicles safely and minimizes the risk of accidents or health-related emergencies while on the road.
Video instructions and help with filling out and completing dot medical card ct
Instructions and Help about ct dmv fax number for medical card form
Hello my name is Laurie Order a nurse practitioner with multi care centers of occupational medicine I've been performing d-o-t exams over the past twelve years today I'd like to speak with you about how best to prepare for your next d-o-t physical and what to bring some things may have changed since your last d-o-t physical as of May 21st 2014 exams are completed by a nationally registered provider like myself being held to more stringent requirements per FMCSA and using best practice guidelines upon completion of your exam you will be entered into the national registry for a maximum of two years here are a few things to remember if you wear prescription glasses contacts or a hearing aid bring them with you, you should also carry a spare pair in your truck at all times bring a list of current medications with dosage as well as the name and contact information of the provider who prescribed the medication upon completion of your health history portion of the long form do your best to explain any current or previous medical conditions along with dates be as accurate as possible as it is fraudulent to intentionally falsify information be prepared to supply medical records or compliance data from your primary provider for conditions such as heart disease diabetes neurological conditions or sleep apnea a review of any diagnostic studies you have had in the past may require a new test such as an exercise stress test or an echocardiogram after heart attack sleep apnea is common, and we will screen accordingly if you take certain medications for pain mental illness or ATD will require a letter from your treating provider please limit your smoking sweets and caffeine prior to your exam to avoid raising your blood pressure and blood sugar and finally try to relax our examiner's want you to be successful in passing your DoD exam and are here to help in any way we can
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People Also Ask about dot medical card ct
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How do I submit my DOT medical card in CT?
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How to fill out dot medical card ct?
To fill out a DOT medical card in Connecticut, you will need to provide information such as your name, address, date of birth, phone number, and social security number. You will also need to provide information about your medical history, such as any medical conditions or medications you are taking. You will also need to have an eye exam and provide the results of that exam. Lastly, you will need to sign the form to certify that all the information you have provided is accurate.
What is the purpose of dot medical card ct?
The purpose of a DOT Medical Card CT is to ensure that drivers are physically and mentally fit to safely operate commercial motor vehicles. This card is issued by the Federal Motor Carrier Safety Administration (FMCSA) and must be renewed every two years. The medical card is used to verify that drivers have been evaluated and cleared by a certified medical examiner and meet the minimum standards for physical and mental fitness.
What information must be reported on dot medical card ct?
A DOT medical card in Connecticut requires the driver’s name, date of birth, and address, as well as a physical exam by a certified medical examiner. The medical examiner must also provide information on any vision or hearing issues, medical conditions, medications, and any other medical restrictions that may affect the driver’s ability to drive safely.
When is the deadline to file dot medical card ct in 2023?
The deadline to file your DOT Medical Card in Connecticut in 2023 has not yet been determined. However, the U.S. Department of Transportation (DOT) recommends that all drivers submit their medical cards at least 45 days prior to the expiration of their current medical card.
What is the penalty for the late filing of dot medical card ct?
The penalty for the late filing of a DOT Medical Card in Connecticut is a fine of up to $50.
What is dot medical card ct?
A DOT medical card in CT (Connecticut) refers to a medical certificate issued to commercial motor vehicle (CMV) drivers who are required to meet certain medical fitness standards set by the Department of Transportation (DOT). This card is also known as a CDL (Commercial Driver's License) medical card and is mandatory for drivers who operate vehicles with a gross vehicle weight rating (GVWR) of 10,001 pounds or more, vehicles carrying hazardous materials, or vehicles designed to transport more than 8 passengers (including the driver) for compensation. It serves as proof that the driver is physically fit to operate a CMV and ensures the safety of both the driver and others on the road.
Who is required to file dot medical card ct?
In Connecticut, any driver who operates a commercial motor vehicle (CMV) that requires a commercial driver's license (CDL) is required to have a valid DOT medical card. This includes drivers of trucks, buses, and other large vehicles.
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