Employer's Report of Medical Exam Failure Request for Reexamination of Driver

Form Template

California Vehicle Code (CVC) requires employers to report commercial class A or B drivers who fail to qualify for a medical certificate on reexamination to the Department of Motor Vehicles (DMV).

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CVC allows the DMV to investigate the qualifications of any driver when it appears necessary upon receiving information or upon a showing of its records. The Employer's Report of Medical Exam Failure Request for Reexamination of Driver app may be used to request the DMV to investigate the qualifications of any driver when a driver’s condition or behavior may impair his or her ability to safely operate a motor vehicle. To have a driver’s qualifications reevaluated by the department, users must identify the driver by filling out the applicable driver information in the app and briefly describe the condition or actions of the driver which make you believe a reexamination by the department is necessary. This app may be used to report a commercial class A or B driver to the DMV when the driver fails to qualify for renewal of a medical certificate.

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