Land, Sea & Air
Medical Review Specialists
910 Route 109
North Lindenhurst, NY 11757
(631) 225-3060


How to Set Up An Account for Your Company

FAA affected company

USCG affected company

Federal Motor Carrier affected company

Please access a Company Set-up Form on-line.  Please print out, complete and fax back to our office.
Company Set-up Form (standard format)

Company Set-up Form (adobe version)

If you do not have Adobe Acrobat Reader
or need to upgrade to the newest version,
please click below:

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Page last updated:  July 09, 2001

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Send e-mail to: cmsperoni@limcpc.com