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AR Handbook – 99 Driving Record (if you use vehicle on job) Number of accidents on job: _____________________ Date of most recent accident: _____________________ Number of tickets on job: ________________________ Date of most recent: ____________________________ Disciplinary action taken by Board: _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Work Record: Commendations/Awards (job-related & personal/use extra sheet if needed) _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Disciplinary action taken ________________________ Reason: ______________________________________ Nature/type of discipline: ________________________ Date action taken: _____________________________ Key Community Services on Job: (Examples: Assisting police, reporting fire evacuations, Townwatch, lost children, reporting accidents, etc). _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________


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