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Csc consent form sample

Csc form 665 civil service 2025

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The document is a form from the United States Civil Service Commission designed for applicants seeking positions as motor vehicle and mobile equipment operators. It requires personal information, details about traffic violations and accidents over the past five years, driver's license information, and any safety awards received. The form emphasizes the importance of providing accurate and complete information regarding driving history.

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Click ‘Get Form’ to open the csc form 665 in the editor.
Begin with Section A: General Information. Fill in your title of the position applied for, date, full name, birth date, and address. Ensure all details are accurate.
Move to Section B: Traffic Violations. List any violations from the past five years, including type, date, location, and whether it occurred while on the job. Indicate if you were fined or if your license was revoked.
In Section C: Driver's License Information, provide details about your driver's license including the state of issuance and expiration date.
Proceed to Section D: Accident Records. Document any accidents in the last five years, detailing damages and fault status.
Complete Section E: Safety Awards by indicating any safety awards received and providing relevant details.
Finally, certify your application by signing and dating at the bottom of the form.

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