U.S. DOD Form dod-navmc-10964 APPLICATION FOR GOVERNMENT VEHICLE OPERATOR S PERMIT 11240 NAVMC 10964 REV. 2-96 EF Previous editions are obsolete SN 0109-LF-064-7800 Supersedes NAVFAC FORM 9-11240/10 FOR USMC use. PART I APPLICATION 2. RANK 1. NAME Last First Middle 5. SEX 6. HEIGHT 3. SSN 4. ORGANIZATION 8. EYE COLOR 9. HAIR COLOR 7. WEIGHT 11. DOB 10. PLACE OF BIRTH PAST DRIVING RECORD 12. STATE OF ISSUE 13. LICENSE NUMBER 15. EXP. DATE 14. ISSUE DATE 16. CLASS OF VEHICLE 17. COMMANDING OFFICER S SIGNATURE I RECOMMEND THAT THIS INDIVIDUAL BE EXAMINED FOR QUALIFICATION TO HOLD THE OF 346 Signature Date PART II EXAMINATION 18. QUALIFICATION TESTS CHECK TEST SAT UNSAT PHYSICAL HEARING VISION WRITTEN REACTION TIME SKILL ROAD DIRT/CROSS COUNTRY SPECIAL QUALIFICATION 19. RESTRICTIONS CHECK HERE IF NONE List PART III LICENSE ACTION 20. CATEGORY Check One NEW RENE 21. CLASS OF LICENSE Check all that apply UPGRADE DUPLICATE COMMERCIAL TACTICAL BUS TRACTOR 22. CLASSES OF VEHICLES Check all that....
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How to fill out the NAVMC-10964 online
Filling out the NAVMC-10964 form is essential for obtaining a government vehicle operator's permit. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently online.
Follow the steps to complete the NAVMC-10964 form online.
- Click ‘Get Form’ button to access the NAVMC-10964 form and open it in the editor.
- Begin by filling in your personal information in Part I, including your name (last, first, middle), rank, social security number, organization, sex, height, weight, eye color, hair color, date of birth, and place of birth.
- Provide details about your past driving record by entering the state of issue, license number, issue date, expiration date, and class of vehicle.
- Obtain the signature of your commanding officer in Part I, where they will recommend examination for qualification to hold the permit.
- In Part II, check the appropriate boxes for the qualification tests you have completed such as physical, hearing, vision, written, reaction time, skill, and road tests.
- If there are any restrictions, list them in the space provided. If there are none, check the corresponding box.
- In Part III, select the category of action you are requesting (new, renewal, upgrade, or duplicate) and indicate all applicable classes of license and vehicles you are qualified to operate.
- The licensing examiner should sign and date the form in Part III after certifying your qualifications.
- Complete the recording action in Part IV by ensuring your information is accurately recorded and signed off by the recording officer.
- Once all sections of the form are completed, you can save your changes, download, print, or share the form as needed.
Complete your NAVMC-10964 form online today for a smooth application process.
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