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PLEASE PRINT CAREFULLY

Destroy Previous OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL SPECIAL CERTIFICATE APPLICATION CHP 295 (Rev. 1-21) OPI 061 APPLICANT FOR A SCHOOL BUS, SPAB, FLV, YOUTH BUS, GPPV, OR VDDP CERTIFICATE (ACCIDENT INCIDENT DATA - ATTACH ADDITIONAL PAGE IF NEEDED).RESTRICTIONS ENDORSEMENTCHP EMPLOYEE'S SIGNATUREMAY DRIVE VEHICLE WITH TWO-SPEED REAR AXLEMAY TRANSPORT FROM PLACE OF RESIDENCE (YOUTH BUS ONLY)MEDICAL - MEDICAL EXAMINER'S CERTIFICATE, Section CVCWRITTEN TEST - Section CVCFIRST AID TEST - Section 12522 CVC (SCHOOL/YOUTH BUS ONLY)DRIVE TEST - Section CVCFINGERPRINTS - Section (a)(1) CVCFIRST AID CARD ISSUE DATE:NONEAUTOMATIC TRANSMISSION ONLYHYDRAULIC BRAKES ONLYTYPE 2 BUS ONLYCONVENTIONAL OR TYPE 2 BUS ONLYTWO-AXLE MOTOR TRUCK OR PASSENGER VEHICLE ONLYFIRST AID TEST WAIVEDLICENSING ELIGIBILITY document (Permit or Temporary License)TRAINING REQUIREMENTS VERIFICATION DATE.

Please read each item carefully and sign at the bottom of the page in the ... Licensing eligibility document (e.g., permit, temporary license). ... driven by the applicant. The drive test includes a pre-trip inspection of all gauges, instruments, and controls, with …

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