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Amalgamated Transit Union Local 1593
Working for the Professional Bus, Streetcar Operators, Mechanics and Support Personnel at Hart!
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DOT Physical Exam Notification
Updated On: Apr 04, 2012

Attention all members:

Below is information that is extremely important regarding DOT physicals.  Please read carefully.  You all will be recieiving a notice similiar to this when its time for your physical to be renewed.  This is being posted as a heads up for everyone.  You may also download a copy of this if you wish to do so. The download link is at the bottom of this article.

If you have any further questions you can contact Kelli White:

Kelli White
Human Resources Consultant
1201 East 7th Avenue
Tampa, FL 33605
Tel: (813) 384-6404
FAX: (813) 626-9643


TO:                Employee Name and PR#

FROM:            Kelli White

                      Human Resources Consultant

DATE:            March 28, 2012

SUBJECT:      D.O.T. Physical Examination  

You are due to have your Department of Transportation physical examination.  In addition to the standard D.O.T. tests, you may be required to take a respiratory/pulmonary function test depending on your job classification.

Your DOT card expires on DATE. Failure to complete the physical requirement by this date, will result in your driving privileges being suspended.

During your off time, you must call to make your appointment. You may be allowed between 2 and 2 1/2 hours pay, again, depending on your classification.  You must complete your physical examination prior to your expiration date during a time you are not scheduled for work, and you must provide 24-hour notice to dispatch (all operators).

Florida Hospital (formerly UCH),                               US Healthworks

 Occupational Health Services                                     Occupational Services

Carrollwood                                                  Tampa East                                       Tampa West

7001 N. Dale Mabry Hwy, #5                                    3012 N US Hwy 301 #100                 5927 Webb Road

Tampa, FL 33614                                            Tampa, FL 33619                                Tampa, FL 33615

Phone: 813-558-8095                                      Phone: 813-615-7676                          Phone: 813-490-8231

Fax: 813-558-8096                                          Fax: 813-615-7671                              Fax: 813-615-7671

8 AM to 5 PM/ Mon – Fri…                                                   8AM to 5PM/ Mon – Fri

Remember, you must follow the instructions below in order to be paid for your time at this physical:

(1)    You must present this memo to the OHS receptionist at the time of your appointment.

(2)    You must request that a OHS staff member sign the bottom portion of this memo.

(3)    You must return this memo to the Human Resources Department.

The Department of Transportation requires you to have this physical completed in a timely manner. Failure to comply will result in disciplinary action.

If you have any questions, please feel free to call the Human Resource Department at ext. 6404 or 6429.



            If checked, perform respiratory/pulmonary function test.


Date of Physical exam______________ Time of physical exam_______________


Completion time___________________ Authorized Signature________________



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