CSC Form 665 – Fill Out and Use This PDF

CSC Form 665 PDF Details

CSC Form 665 is a two-page Experience Statement Sheet issued by the United States Civil Service Commission. Federal agencies require this document from candidates for positions that involve operating motor vehicles or mobile equipment. It assesses whether a candidate has a safe, responsible driving history before they are placed in roles where they will operate government vehicles or heavy equipment.

The document is organized into five main sections. The first section collects personal information including the candidate's name, address, and the position applied for. The second section captures all traffic violations from the past five years, excluding cases where the candidate was found not guilty and parking tickets. For each violation, candidates must provide the type of offense, city and state, dates, and details of any fines, license suspension, or sentencing. The third section records current driver's license details including the issuing state, expiration date, and any other states where the candidate has held a license. The fourth section covers accident history, requiring details about each incident including type of collision, location, damage amounts, whether anyone was killed, charges placed against the candidate, and fault determination. The fifth section asks about safety awards or citations received for safe driving, with space to provide dates and descriptions of any recognition.

Candidates should review their driving history and gather documentation before completing the form to ensure accuracy. The document must be filled out on both sides. Providing false or incomplete information on a federal civil service form may result in disqualification from the position.