Public Safety Application
Personal Information
Family / Household
Residence History
Education History
Military Service History
Employment History
Personal References
Criminal History
Illegal Drugs
Driving History
Backgroud Affirmation
Driving History
Do you have a valid driver's license?
Yes
No
Have you ever had a driver's license issued by any authority than the one listed above (include license issued by foreign government or military license)?
Yes
No
Do you have automobile insurance?
Yes
No
Have you ever received a traffic citation (excluding parking violations)?
Yes
No
Has your driver's license or privilege to drive in any state ever been refused, revoked, or suspended?
Yes
No
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