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Yes â–¡ No â–¡ Yes â–¡ No â–¡ â–¡ Yes â–¡ No Details of action taken (sentenced length of suspension, amount of fine, etc.) Yes â–¡ No â–¡ E. Safety Awards Have you ever received a safety award? Yes â–¡ No â–¡ If yes, give details, including date received Have you ever received a citation for safe driving or for being a safe worker? Yes â–¡ No â–¡ If yes, give details, including date received If you had more than three traffic violations or two accidents within the last 5 years, provide.

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How to fill out and sign Csc form 665 online?

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