Form Dle 520 339 PDF Details

Embarking on a career that involves navigating large vehicles on public highways comes with its fair share of responsibilities and requisite qualifications, notably for those aspiring to hold commercial driver's licenses in Washington state. At the heart of this process is the DLE-520-339 form, a crucial document that bridges the gap between rigorous training and final certification. This form serves as a testament by employers to affirm that the aspiring commercial driver possesses the necessary skills and has undergone the required training to operate Class A, Class B, or Class C vehicles safely on public roads. Required information includes not only the basics—such as the driver’s license number, full name, and residence address—but also detailed employer identification numbers and contacts, all to be certified under the penalty of perjury according to state law. Signature sections for both the driver and the authorized employer representative, accompanied by dates and places of signing, underscore the document's seriousness and its function in ensuring that roads remain safe for everyone. Additionally, the form highlights Washington's commitment to providing equal access to its services for all individuals, specifying contact information for those requiring accommodations. In succinct terms, the DLE-520-339 form encapsulates the formal process of certifying commercial drivers, reflecting a pivotal step in ensuring they are well-prepared and legally certified to take the wheel.

QuestionAnswer
Form NameForm Dle 520 339
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescdl employer certification, DLE-520-339, Licensing, commercial driver training employer certification form

Form Preview Example

Commercial Driver Training Employer Certification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer ID number

 

 

 

 

 

 

 

 

 

 

 

 

This is to certify that:

 

 

 

 

Driver license number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last name

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

 

 

 

Middle initial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

County

 

 

 

 

 

 

 

 

State

 

WA

 

 

ZIP code

 

Date of birth

 

 

 

 

 

Sex:

Male

Female

 

 

 

 

 

Has the skills and required training to safely operate:

Class A

 

 

Class B

Class C vehicles on public highways.

Employer name

 

 

 

 

 

 

 

 

 

 

 

UBI number

 

 

 

 

 

 

Employer address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

County

 

 

 

 

 

 

 

 

State

 

 

 

ZIP code

 

Contact name

 

 

 

 

 

 

(Area code) Telephone number

 

 

 

 

 

 

email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.

 

 

X

Date and place

 

Signature of driver

 

 

PRINT OR TYPE name of authorized employer representative

 

 

X

Date and place

 

Signature of authorized employer representative

 

 

฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀We฀are฀committed฀to฀providing equal access to our services.

DLE-520-339 (N/12/08)WA

 

฀฀฀฀฀฀฀฀฀฀฀฀If you need accommodation, please call (360) 902-3900 or TTY (360) 664-0116.

Driver must submit this original certification to a driver licensing office for license issuance.

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form kế hoạch khảo sát thức uống writing process described (part 1)

2. The subsequent part is usually to fill out the next few blank fields: Contact name, email, Area code Telephone number, I certify under penalty of perjury, Date and place, Date and place, DLE NWA, X Signature of driver, PRINT OR TYPE name of authorized, Wearecommittedtoproviding equal, and Driver must submit this original.

Step number 2 for completing form kế hoạch khảo sát thức uống

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