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Quartely Endocrinologist Evaluation Form for Exempted Drivers

About this Document

Quarterly monitoring checklist to be completed for Federal Diabetes Exemption Program.

DOT is committed to ensuring that information is available in appropriate alternative formats to meet the requirements of persons who have a disability. If you require an alternative version of files provided on this page, please contact Christine.hydock@dot.gov.
Last updated: Friday, April 13, 2018