Driver Experience Certificate Form PDF Details

Fulfilling the requirements for a Driver Experience Certificate is a crucial step for many individuals, especially those who are looking to validate their driving history for various purposes, such as employment or immigration. The Driver Experience Letter Request form, specifically designed by Manitoba Public Insurance, stands as a formal application for obtaining a detailed report of a driver’s history over the past ten years. Applicants are required to provide comprehensive personal information, including their full name, any previous names, date of birth, and their Manitoba driver’s license number, if available. Additionally, the form requests the year the applicant last held a valid Manitoba driver's license and offers options for delivery, allowing the recipient to receive the letter via mail or fax. The process is completed upon the payment of a $10.00 fee, which can be made through Visa, Mastercard, cheque, or money order -- a fee that is non-refundable. With a processing time of five business days, this certificate becomes a testament to the applicant’s driving experience, encapsulated within a document validated by the Driver Licence Processing unit of Manitoba Public Insurance.

QuestionAnswer
Form NameDriver Experience Certificate Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesindian driving experience certificate format pdf, driving experience certificate pdf, download driver experience certificate format in ms word, driver experience certificate pdf

Form Preview Example

Driver Experience Letter Request Form

I, ___________________________________, authorize Manitoba Public Insurance to process my Manitoba

(Print Name)

Driver Experience Letter which will include the past 10 years of my driving history.

My full name is: _________________________________________. Previous Name: __________________________.

(First/Middle/Last)(If Changed)

My date of birth is: _______________________________________.

(MMM/DD/YYYY)

My Manitoba driver’s licence number is: _____________________________________.

(If Available)

Approximate year I last held a valid Manitoba driver’s licence: ______________________________.

Telephone Number: ( ) __________________________________.

I authorize Manitoba Public Insurance to MAIL my Driver Experience Letter to the following address or FAX my Driver Experience Letter to the following:

Mailing Address: ____________________________________ OR Fax Number: ____________________________

____________________________________

____________________________________

_______________________________________________________

_______________________________________

Signature of Driver

Date Signed

Please charge the $10.00 fee (per letter) to my VISA / MASTERCARD indicated below. (Circle one)

My credit card number is:

_________________________

My credit card expiry is:

_________________________

Signature of Card Holder:

_________________________

OR

I will be mailing in a cheque or money order (made payable to Manitoba Public Insurance)

Please note this fee is non-refundable.

Mail/Fax Request To:

Manitoba Public Insurance

Driver Licence Processing

Box 6300

Winnipeg, MB R3C 4A4

Fax: 204-953-4999

OFFICE USE

ONLY:

Fee Paid

$10

FOR MORE INFORMATION CALL: 204-985-8770 ext.1646 or TOLL FREE: 1-800-665-2410

**PLEASE ALLOW 5 BUSINESS DAYS FOR PROCESSING**

Rev 05/15

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Best ways to fill in experience certificate for driver format pdf step 1

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Filling out segment 2 in experience certificate for driver format pdf

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