01.01.2014 Views

Driver Evaluation Road Test Form

Driver Evaluation Road Test Form

Driver Evaluation Road Test Form

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Summary & Recommendations (check appropriate recommendation and write in additional<br />

recommendations, if warranted)<br />

Passed; Approved to drive: ________15 Passenger Van<br />

________ Minivan<br />

________ Passenger Car<br />

Failed; Re-<strong>Test</strong> in ____________ months<br />

Comments: __________________________________________________<br />

____________________________________________________________<br />

____________________________________________________________<br />

____________________________________________________________<br />

____________________________________________________________<br />

____________________________________________________________<br />

____________________________________________________________<br />

_________________<br />

Signature of <strong>Test</strong>er<br />

________________________-<br />

Signature of <strong>Driver</strong><br />

Send original of completed form to Director of Business and Auxiliary Services and to<br />

<strong>Driver</strong>’s Supervisor.<br />

2

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