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Operator's Name
Do you possess an unrestricted and current driver’s license?
Would you able to produce a negative drug/alcohol screen test within last 60 days?
In the last 2 years, do you have less than 2 lost-time Injury accidents?
Click or drag a file to this area to upload.
Headshot image should be from the shoulders up with the operator against a neutral background. Remove hats, sunglasses and any face coverings.
To the best of my knowledge as the Certified Operator or as the authorized person on behalf of the Certified Operator, I certify all information is true and accurate.