Section I - To Be Completed By Applicant (Forest Service Employees Only) 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Original Authorization' section. Select whether you are requesting a new authorization, renewal, replacement, or temporary request.
3. Enter your name and job title in the designated fields. Ensure accuracy as this information is crucial for identification.
4. Provide the name and address of your employing office. This helps in verifying your employment status.
5. List your driving and operating experience over the past five years. Include details such as months of experience, type of equipment or vehicle, size, yearly estimate of hours/miles, and any special training or endorsements.
6. Complete the medical conditions section by listing any known issues from your state-issued driver's license.
7. Document any restrictions on your license and any violations or accidents you've had in the last five years.
8. Finally, certify that all statements are true by signing and dating the form before submitting it to your supervisor.

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