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Transmission Operations

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Page 1: Transmission Operations

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Page 7: Transmission Operations

16a. TYPE OF IDENTIFICATION CARD (Check)

APPLICATION FOR VEHICLE OPERATOR'S IDENTIFICATION CARDNAVFAC 11240/10 (REV. 10-75) S/N 0105-LF-012-4055

NEW RENEWAL

(See Privacy Act statement and instructions on reverse)

*IF "NO" EXPLAIN UNDER REMARKS

9. WEIGHT

5. DATE OF BIRTH

10. HEIGHT 11. COLOR OF HAIR

6. PLACE OF BIRTH

2. RANK/RATE/GRADE AND TITLE

14. SUPERVISOR (Name)

VEHICLE TYPE/SIZESTATE OTHER

LICENSES ISSUED NO. YRS.DRIVING

EXP.

1. SCORES IN DRIVING TESTSSAT UNSAT

a. WRITTEN

b. PHYSICAL

c. PSYCHOPHYSICAL

2. SCORES ACHIEVEDIN TESTS SAT UNSAT

3. GOVERNMENT VEHICLES AUTHORIZEDTO OPERATE (List)

a. ROAD TEST

b. EQUIPMENT INSPECTION

1. IDENTIFICATION CARD ISSUED 2. IDENTIFICATION CARD NUMBER DATE ISSUED (Mo., Day, Yr.) EXPIRATION DATE (Mo., Day, Yr.)

3. IDENTIFICATION CARD MARKED "VOID UNLESS ACCOMPANIED BY VALID STATE LICENSE

4. OPERATOR INSTRUCTED TO TURN IN IDENTIFICATION CARD UPON LOSS OR SUSPENSION OF STATE DRIVER'S LICENSE

5. SIGNATURE OF ADMINISTERING OFFICIAL Date

PART I - APPLICATION

LIST ACCIDENTS, VIOLATIONS, ARRESTS(If any) AND ACTION TAKEN

REMARKS

PART III - EXAMINATION RESULTS

DATESIGNATURE OF APPLICANT7. I CERTIFY THE ABOVE TO BE CORRECT.

DATE

PART II - OPERATOR'S PAST PERFORMANCE RECORD

18. VALID STATE VEHICLE OPERATOR'S LICENSE(S)

Date19. SIGNATURE OF REQUESTING OFFICIAL

17. EXPLANATION

1. NAME (Last, First, Middle Initial)

4. AGE

8. SEX

15. PHONE NUMBER13. SHOP NAME/NUMBER AND APPLICANT'S BADGE NUMBER

REGULAR

RESTRICTED

EXPLOSIVE

EMERGENCY VEHICLE

AVGAS REFUELER

PASSENGER CAR

PICKUP TRUCK

TRUCKS TO 2 TONS

TRUCKS TO 5 TONS

TRUCKS TO 10 TONS

BUS (GAS AND DIESEL)

TRUCK TRACTOR & SEMITRAILER

FIRE TRUCK

AMBULANCE

MOTORCYCLE & SCOOTERS

TRUCK 4 x 4

TRUCK 6 x 6

TRUCK FIRE/CRASH

TRUCK TANK

OTHER (Explain below)

16b. TYPES OF VEHICLES TO BE OPERATED(Check)

1 2 3 4 5 6

PART IV - ACTION BY ADMINISTERING OFFICIAL

3. ACTIVITY

7. SOCIAL SECURITY NUMBER

12. COLOR OF EYES

YE NO

NO

YE NO

YE

� G TE � SAT� NSAT������ SIGNATU

� � �� � ����������

���E OT

��LICENSES ISSD

��ATOR'S PAST PERFORMA�����������������COO ����

CK 4 x 4

TRUCK�TRUCK FIRE/CRASH

��TRUCK TANK

��OTHER (Explain����������4 �

� � � � � � �

� ���

��� � �� ���� ����� �5��������,+,1�9�1���������������:�������0�������;��-"����������������"��

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Page 8: Transmission Operations

INSTRUCTIONS FOR COMPLETING APPLICATION FOR VEHICLE OPERATOR'S IDENTIFICATION CARDNAVFAC 11240/10 (REV. 10-75)

PRIVACY ACT STATEMENT

Authority to request this information is derived from Title 40 United States Code 471. Purpose of this form is to obtain information to determinewhether an individual is qualified to operate a government vehicle and/or equipment. Information is used by agency transportation officials andmay be used by government and civil law enforcement authorities for court action. Providing information for this form is mandatory. If theinformation is not provided, the individual would be denied the privilege of operating a government vehicle and/or equipment.

GENERAL

Prepare in duplicate. File original in applicant's personnel jacket and retain copy in issuing office. Use typewriter or ball-point pen.

PART I - APPLICATION

1. Self-explanatory. 2. Enter military rank/rate or civilian grade and title. 3. Enter name and location of activity. Abbreviations may be used. 4. Self-explanatory. 5. Enter day, month and year of birth. 6. Enter city/town and state of birth. 7. Self-explanatory. 8. Enter male or female. 9. Self-explanatory. 10. Enter height in feet and inches; i.e., 6'2". 11. Enter color of hair; i.e., brown, black, gray. 12. Enter color of eyes; i.e., blue, brown, hazel. 13. Enter shop name and number, plus applicant's badge number. 14. Enter the name of the applicant's supervisor. 15. Enter the telephone number of the applicant's supervisor; i.e., 74056. 16. a. Check type of identification card applied for. b. Check types of vehicles to be operated for which operator's identification card is to be issued. 17. List other types of vehicles that applicant is required to operate not listed under 16 b. 18. Enter current valid state (name and number) vehicle operator's license(s). 19. Signature of requesting official; i.e., Commanding Officer or designated representative and date.

PART III - OPERATOR'S PAST PERFORMANCE RECORD

1. Self-explanatory. 2. Enter vehicle type/size that applicant is or has been authorized to operate. 3. Enter date of issue of previous or present state vehicle operator's license. 4. Enter date of issue of previous identification cards (if any). 5. Enter number of years of driving experience, both civilian and military, for each license entry. 6. Briefly list accidents, violations, arrests, if any, and action taken. 7. Signature of applicant and date.

PART III - EXAMINATION RESULTS

1&2. Check appropriate boxes. 3. List types of Government vehicles authorized to operate; i.e., pickup truck, truck tank. 4. Enter remarks, if any, the examiner considers necessary; i.e., restrictions, driving weaknesses, outstanding qualifications.

PART IV - ACTION BY ADMINISTERING OFFICIAL

1. Check appropriate box. 2. Enter serial number of identification card issued, date issued, and expiration date. 3. The phrase "Void unless accompanied by valid state license" may be overstamped on the card or typed on the back under "Other Records." 4. Check appropriate box. 5. Signature of administering official and date.

NAVFAC 11240/10 (REV. 10-75) (BACK)

� ���

�56.

fication card is to be issued.to operate not listed under 16 b.

cle operator's license(s).Officer or designated representative and

NCE RE

as been authorized to operate.e vehicle operator's license.

previous identification cards (if anyears of driving experience, both civi

ents, violations, arrests, if a d actioplicant and date.

es.

�������,+,.�9�1���������������:�������0�������;��-"����������������"���1:�1��,,*<'=,'�#�����,����*$�� ���� �����

�5(

Page 9: Transmission Operations

FROM: DateTO:

It is requested that the license for equipment descripted in item 6 above be issued to this applicant upon his successfulcompletion of the required examinations and tests.

Signature

Title Department, Division or Shop Supervisor

9. SPONSOR'S STATEMENT OF APPLICANT'S READINESS AND/OR PREPARATORY TRAINING FOR TEST (NOTE: The sponsor can be either a qualified instructor or licensed operator)

2. APPLICANT'S NAME

(b) TYPE OF CONTROL

7. STATEMENT OF QUALIFYING EXPERIENCE

8. DESCRIPTION OF EQUIPMENT APPLICANT IS CURRENTLY LICENSED TO OPERATE

(a) TYPE OF EQUIPMENT (c) TYPE OF ATTACHMENT6. DESCRIPTION OF EQUIPMENT LICENSE REQUESTED

4. DEPARTMENT, DIVISION AND/OR SHOP ASSIGNED TO 5. APPLICANT'S JOB TITLE

3. RANK, RATE OR CIVILIAN STATUSPART I - APPLICATION

Read the PRIVACY ACT STATEMENT on reverse before completing this applicantionAPPLICATION FOR CONSTRUCTION EQUIPMENT OPERATOR LICENSENAVFAC 11260/1 (Rev. 6/76)S/N 0105-LF-012-6005

1. NAVAL ACTIVITY

SignatureSponsor

PART II - REQUEST FOR ADMINISTERING TESTS AND EXAMINATIONS AND ISSUING LICENSE

(OVER)

� � � � ���

� R PREPARATORY TRAIN

����

��Signature

� RT II - REQUEST FOR AD

Page 10: Transmission Operations

FROM: DateTO:

Arrangements will be made to proceed with examinations and tests as requested.

No action will be taken on this application for the following reason:

Signature

Title

FROM: DateTO:

The subject license has been issued to the applicant as requested.

The applicant has failed his physical examination.

The applicant has failed to qualify for the subject license.

number of days (the established waiting period) must elapse before a new application may be made for this license.

Signature

Title

PRIVACY ACT STATEMENT

This statement is provided in compliance with the provisions of the Privacy Act of 1974 (PL-93-579) (N00011 C02) which require that Federalagencies must inform individuals who are requested to furnish information about themselves as to the following facts concerning the informa-tion requested.

1. AUTHORITY: 5 U.S.C. 301 Departmental Regulations

2. PRINCIPAL PURPOSE(S): To apply for a license to operate government-owned vehicles.

3. ROUTINE USE(S): To be used by agency officials to determine the employee's eligibility to operate government-owned vehicles. May be used by safety and security officials to verify individual's qualifying experience.

4. MANDATORY OR VOLUNTARY DISCLOSURE: The disclosure of information requested is voluntary. However, failure to complete the form will result in nonissuance of license.

PART III - ACTION ON SUBJECT APPLICATION

PART IV - LICENSE ACTION

NAVFAC 11260/1 (BACK) 2

� ���

� Da

ed to the applicant as

led his physical examination

d to qualify for the sub

numbe (the this l

�������

�������ENSE ACTION

� ���

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Standard Form 47 (Rev. 1-77) PHYSICAL FITNESS INQUIRY FOR MOTOR VEHICLE OPERATORS

U.S. Civil Service Commission 47-105 FPM Chapter 930

1. Last Name-First Name- Middle Name 2. Date Of Birth 3. Title Of Position 4. Home Address (Number, street or RFD, city or town, State& ZIP code) 5. Employing Agency

6. Have you ever had or have you now (place check at left of each item):YES NO YES NO

Poor vision in one or both eyes Arthritis, rheumatism, swollen or painful joints Eye disease Loss of hand, arm, foot, or leg

Poor hearing in one or both ears Deformity of hand, arm, foot, or leg Diabetes Nervous or mental trouble of any kind Palpitation, chest pain, or shortness of breath Blackouts or epilepsy Dizziness or fainting spells Sugar or albumin in urine

Frequent or severe headaches Exsessive drinking habit (alcohol) High or low blood pressure Other serious defects or diseases Drug or narcotic habit

7. If your answer is "yes" to one or more of the above questions,explain fully in this space, indicating date of original condition and current status:

8. (A) Do you wear glasses (or contact lenses) while driving? YES NO(B) Do you wear a hearing aid ? YES NO

PRIVACY ACT NOTICE Authority: This information is provided pursuant to PublicLaw 93-579 (Privacy Act of 1974), December 31, 1974, forindividuals completing Standard Form 47, Physical FitnessInquiry for Motor Vehicle Operators U.S. Code, Title 5, sec-tion 301.

Purposes and Uses: SF 47 is used to ascertain the physicalfitness of Federal employees, whose jobs are not regularmotor vehicle operating jobs, to drive Government- owned

motor vehicles. It is also used in the renewal of authoriza-tions for all employees. Based on the information provided,employees may be referred for a medical examination before being given a renewal.

Effects of Non Disclosure: Nondisclosure of this information will result in the employee not being authorized to drive a Federal motor vehicle. The disclosure of this information is mandatory when an employee's job requires driving a Federal motor vehicle and is voluntary otherwise.

I certify that my answers are full and true, and I understand that a willfully false statement or dishonest answer to any question may be grounds for cancellation of my eligibility or my dismissal from the service and is punishable by law.

Signature Date

REVIEW AND CERTIFICATION BY DESIGNATED OFFICIAL I certify that I have reviewed this physical fitness inquiry form and other available information regarding the physicalcondition of the applicant, and that I have made the following determination:

There is no information on this form or otherwise available to indicate that the applicant should be referred for physical examination.

On the basis of items checked in this form or other information, this applicant must be referred for physical examination before he/she is authorized to operate a government- owned motor vehicle or his/her current authorization is renewed.

Items checked on this form or otherwise available do not warrant referral for medical examination because of the following facts:

Signature of designated official Date

Adapted For Computer Use 11/8/2000

�information on thimation on th� ��o PublicPublic

, 1974, for4, forysical Fitnessess

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