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Get R360 Training Certificate 2006-2024

MI) OPERATOR LICENSE NUMBER NAME AND ADDRESS OF CARRIER/EMPLOYER DATE OF BIRTH (MM/DD/YYYY) NAME OF INSTRUCTOR: DATE TRAINING COMPLETED: INSTRUCTOR ID# TYPE OF TRAINING: (Check One) 10 HOUR PRE-SERVICE TRAINING (For Pre-service training this form expires 60 days after issue) 6 HOUR ANNUAL IN-SERVICE TRAINING (For renewals, this form is valid for one year from date of completion) I DECLARE AS A CONNECTICUT LICENSED SCHOOL BUS DRIVER INSTRUCTOR THAT THE ABOVE NAMED OPERATOR HAS SUCCESS.

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