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The form includes instructions defining validity for one year, document handling and retention, when DMV retesting may be required, and conditions for issuing separate certificates per class or restriction change.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/exam/","Exam",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/certificate-of-driving-skill-public-service-agency-dl-170-etp/295245/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/certificate-of-driving-skill-public-service-agency-dl-170-etp/295245.png","ImageObject",300,407,{"name":42,"@type":43},"Valentina","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-04","2026-09-18",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",14,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How long is the Certificate of Driving Skill valid?","Question",{"text":63,"@type":64},"It is valid for one year from the drive test date.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What happens if the employer’s drive test does not meet DMV requirements and standards?",{"text":68,"@type":64},"The driver may be required to pass a DMV administered test, and may need to retest or have the commercial driver license downgraded to the previous class.",{"name":70,"@type":61,"acceptedAnswer":71},"When is a DMV retest or DMV administered test required?",{"text":72,"@type":64},"DMV may require a test at DMV’s discretion if the drive test does not meet DMV requirements and standards, or if DMV chooses to administer a test.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},295245,1789715604,{"code":4,"msg":82,"data":83},"success",[84,88,92,95,100,105,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":93,"slug":94},70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},7,"Healthcare",40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":96,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":33,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":80,"read_time":96},13056703020460,"https://ap-avatar.wpscdn.com/avatar/be000253dac470eee5d?_k=1778207105932848923","A Public Service Agency  \nCERTIFICATE OF DRIVING SKILL  \nIMPORTANT, this form to be used by ETP participants only.  \nThis certificate is valid for one year from the drive test date. Return the original copy of this form to a Department of Motor Vehicles (DMV) office unless DMV tells you to mail it to Sacramento. Make a copy for your records. If you have questions, please call the Employer Testing Program Unit at (916) 229-4404.  \n\n| DRIVER COMPLETES THIS SECTION |  |  |\n| --- | --- | --- |\n| PRINT DRIVER’S NAME | (First Middle Last) | DRIVER LICENSE NUMBER |\n\nADDRESS CITY STATE ZIP CODE  \n\n| HOME TELEPHONE NUMBER\u003Cbr>( ) | WORK TELEPHONE NUMBER\u003Cbr>( ) | EMPLOYMENT DATE WITH THIS COMPANY (REQUIRED) SINCE MO  DA  YR  |\n| --- | --- | --- |\n\nI certify under penalty of perjury under the laws of the State of California that the information I have provided is true and correct. I am employed by the employer named below, have attended driver training and have passed the employer’s driving test(s) . I understand that I may be required to pass a DMV administered test, at DMV’s discretion. I also understand that if the employer’s drive test(s) does not meet DMV’s requirements and standards I will be required to retest or my commercial driver license will be downgraded to the previous class.  \n\n| EXECUTED AT | CITY | COUNTY | DRIVER’S SIGNATURE | DATE |\n| --- | --- | --- | --- | --- |\n|  | Chico | Butte | x |  |\n| EXAMINER COMPLETES THIS SECTION |  |  |  |  |\n\nThe driver passed a drive test(s) in the following type vehicle(s) on   .  \n Class A non-passenger vehicle DATE  \n Class A tractor trailer bus  \n Class B non-passenger vehicle  \n Class B bus or van which is:  Class B school bus (school bus mechanics only) which is:  \n designed to carry 11–15 passengers, including the driver (Restriction 74 or 75)  \n designed to carry 16 or more passengers, including the driver, with a GVWR of 26,000 lbs. or less (Restriction 76)  designed to carry 16 or more passengers, including the driver with a GVWR of 26,001 lbs. or more  \nThe vehicle(s) used for this drive test(s):  \n has an automatic transmission (Restriction 64)  \n has an automated transmission (Restriction 65)  has a manual transmission  \n does not have air brakes (Restriction 48)  \n is equipped with air brakes (law test required)  \n is a 3-axle vehicle with a GVWR between 6,000–26,000 lbs.( Restriction 79—Class B vehicles only)  \n\n| DMV ROUTE APPROVAL NUMBER\u003Cbr>5973-0001-P 5973-0002-A | VEHICLE LICENSE NUMBER(S) | TRAILER ID PLATE NUMBER(S) |\n| --- | --- | --- |\n\nI certify under penalty of perjury under the laws of the State of California that the information I have provided is true and correct. I have the appropriate class of commercial license for the test vehicle, and have administered a drive test(s) which meets DMV’s drive test requirements and standards in the vehicle(s) identified above.  \n\n| EXECUTED AT CITY COUNTY\u003Cbr>Chico\u003Cbr>Butte | EXAMINER’S SIGNATURE\u003Cbr>x | DATE |\n| --- | --- | --- |\n| EXAMINER’S PRINTED NAME\u003Cbr>Churchill, Brian, A | DRIVER LICENSE NUMBER\u003Cbr>N4143734 |  |\n| EMPLOYER’S REPRESENTATIVE COMPLETES THIS SECTION |  |  |\n\nI certify under penalty of perjury under the laws of the State of California that the information I have provided is true and correct. I am an  \nauthorized representative of the employer shown on this form. The driver named above is employed by this employer and is required to operate Class A or Class B vehicles in the course of his or her employment. This driver has attended the required training, and passed a drive test(s) which meets DMV’s drive test requirements and standards.  \n\n| EXECUTED AT | CITY | COUNTY | AUTHORIZED REPRESENTATIVE’S SIGNATURE |  | DATE |\n| --- | --- | --- | --- | --- | --- |\n|  | Chico | Butte | x |  |  |\n| AUTHORIZED REPRESENTATIVE’S PRINTED NAME\u003Cbr>Purvis, Patrick |  |  | DRIVER LICENSE NUMBER\u003Cbr>D1452375 | PHONE NUMBER WHERE REPRESENTATIVE CAN BE REACHED ( 530 ) 990-0439 EXT. |  |\n\nEMPLOYER NAME  \nCal Fire/Butte County Fire","cbCaihD3WmuFmFd6","https://ap.wps.com/l/cbCaihD3WmuFmFd6","pdf",507150,"English","# Driver section\n## Driver information and certification statement\n# Examiner section\n## Vehicle types, restrictions, and route approval\n# Employer representative section\n## Employer authorization and driver employment statement\n# Instructions for completing the certificate\n## Driver, employer, and DMV employee requirements","[{\"question\":\"How long is the Certificate of Driving Skill valid?\",\"answer\":\"It is valid for one year from the drive test date.\"},{\"question\":\"What happens if the employer’s drive test does not meet DMV requirements and standards?\",\"answer\":\"The driver may be required to pass a DMV administered test, and may need to retest or have the commercial driver license downgraded to the previous class.\"},{\"question\":\"When is a DMV retest or DMV administered test required?\",\"answer\":\"DMV may require a test at DMV’s discretion if the drive test does not meet DMV requirements and standards, or if DMV chooses to administer a test.\"}]","Certificate of Driving Skill - Public Service Agency - DL 170 ETP | PDF"]