CSC Form 665 free printable template

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Driver s License Information Driver s permit or license number Restrictions listed in present license State in which it was issued Date it expires Other States where you obtained license during the past 5 years CSC Form 665 D. Form Approved Budget Bureau No* 50-R0279. United States Civil Service Commission ABILITY TO DRIVE SAFELY Experience Statement Sheet for Motor Vehicle and Mobil Equipment Operators Please fill in both sides of this Form* You may have someone help you complete it if you...wish. A. General Information 1. Title of position applied for 2. Date 3. Name First middle last 4. Birth date Month day year 5. Address Number and street or RD number city state and ZIP Code B. Traffic Violations. Supply the information requested below for each time you were given a ticket or arrested for breaking a driving law during the past 5 years. Do not include any record where you were found no guilty. Also do not include parking tickets. Type of violation Mo/Yr. City County State Fined...or forfeited collateral Sentenced Yes No License revoked or suspended While on job Details of action taken Length of suspension amount of fine etc* C. Accident Record. Complete the information requested for each accident you have had during the past 5 years whether your fault or not. Type of accident Head-on collision hit a tree etc* job Amount of damage to your car Amount of damage to the other party s car Did you or your insurance company make payment to the other party Yes No If Yes give...amount. Was anyone killed Describe charges placed against you if any Were you judged at fault amount of fine etc* E* Safety Awards Have you ever received a safety award If yes give details including date received driving or for being a safe worker If you had more than three traffic violations or two accidents within the last 5 years provide the information requested in Band D above for each on additional sheets. I certify that all of the statements made in this application are true complete and...correct to the best of my knowledge and belief and are made in good faith. Form Approved Budget Bureau No* 50-R0279. United States Civil Service Commission ABILITY TO DRIVE SAFELY Experience Statement Sheet for Motor Vehicle and Mobil Equipment Operators Please fill in both sides of this Form* You may have someone help you complete it if you wish. A. General Information 1. Title of position applied for 2. Date 3. Name First middle last 4. Birth date Month day year 5. A. General Information 1....Title of position applied for 2. Date 3. Name First middle last 4. Birth date Month day year 5. Address Number and street or RD number city state and ZIP Code B. Traffic Violations. Supply the information requested below for each time you were given a ticket or arrested for breaking a driving law during the past 5 years. Address Number and street or RD number city state and ZIP Code B. Traffic Violations. Supply the information requested below for each time you were given a ticket or arrested...for breaking a driving law during the past 5 years. Do not include any record where you were found no guilty. Also do not include parking tickets. Type of violation Mo/Yr.

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Understanding the CSC Form 665 Printable Form

What is the CSC Form 665 Printable Form?

The CSC Form 665 is a document used primarily in the employment landscape within the United States, focusing on collecting detailed personal information from job applicants. It is part of the hiring process utilized by various employers, particularly in government and public service roles, to evaluate candidates' qualifications, history, and suitability for specific positions.

Key Features of the CSC Form 665 Printable Form

This form includes essential sections for personal details, employment history, and educational background. Unique features include sections dedicated to traffic violations and accident records, which help employers assess an individual's driving record and its relevance to specific job roles. The form is designed for clarity, ensuring applicants can provide complete and accurate responses.

When to Use the CSC Form 665 Printable Form

The CSC Form 665 should be completed when applying for positions that require a thorough background check, particularly in roles involving transportation or operational duties. It is often requested during the initial stages of employment applications, especially in government sectors or organizations that prioritize safety and compliance.

Who Needs the CSC Form 665 Printable Form

Job applicants seeking positions in fields such as transportation, public safety, or any roles where driving is a key responsibility must complete the CSC Form 665. Additionally, employers in these industries require this form to ensure that candidates meet safety requirements and have a clean driving record.

How to Fill the CSC Form 665 Printable Form

Filling out the CSC Form 665 involves providing accurate personal information, including name, address, and birthdate. Applicants should carefully detail their driving record, including any past violations or accidents. Each section must be completed to avoid delays in processing the application, and it may be beneficial to consult with someone for assistance if needed.

Common Errors and Troubleshooting

Common mistakes on the CSC Form 665 include incomplete sections, inaccuracies in providing violation details, and failing to disclose past incidents. To minimize errors, applicants should review their entries thoroughly and consider reconfirming any legal aspects of their driving history before submission.

Security and Compliance for the CSC Form 665 Printable Form

Ensuring the security and compliance of the information submitted on the CSC Form 665 is critical. Personal information must be submitted through secure platforms to protect against unauthorized access. Compliance with federal and state regulations regarding data handling and background checks is also essential for both employers and candidates.

Frequently Asked Questions about csc form

Can I access the CSC Form 665 online?

Yes, the CSC Form 665 is available as a printable form that can be completed and submitted online using platforms like pdfFiller.

What should I do if I make a mistake on the form?

If a mistake is made on the form, it is advisable to correct it, initial the change, and ensure that the corrected information is clearly stated for clarity.