Operator Certification Renewal Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Operator's Name *FirstLastEmail *Phone NumberCompany NameDo you possess an unrestricted and current driver’s license? *YesNoWould you able to produce a negative drug/alcohol screen test within last 60 days? *YesNoIn the last 2 years, do you have less than 2 lost-time Injury accidents? *YesNoIf you answered 'No' to any of the above question(s) you must provide a written explanation of why the Operator no longer meets this requirement.File Upload- Headshot Image OR email image to info@csda.org. This is for your updated ID Card. 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. *FirstLastDate *Submit
