Usps Safe Driver Of The Year Award Criteria - 2016 Page 2
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3Deadline – April 30, 2016
NSC USE ONLY
___________________ID #
CONTEST ENTRY
__________________Area
FORM
__________Award of Honor
Photocopy if necessary
________Area Best Winner
_________Does Not Qualify
USPS Safe Driver of the Year Award Application
SECTION A NOMINATOR INFORMATION: Complete All Fields
Company: United States Postal Service
Date Submitted: ____/____/____
Application Submitted By: ______________________________________________________ Title: ________________________________
Street Address: ___________________________________________________________________________________________________
No PO Boxes
City, State, Zip: ___________________________________________________________________________________________________
Phone: _________________________ Fax: _________________________ Email: ____________________________________________
SECTION B NOMINEE INFORMATION: Complete All Fields
Driver Name: __________________________________________________________________ Area: _______________________________
Select Area
See Page 3
Total number of years driven without a
Total number of miles driven without a
preventable collision throughout career: _____________________ preventable collision throughout career: ___________________________
Number of safe driving years employed
Number of safe driving years employed
with current company: ___________________________________ with previous company, if any: __________________________________
Total number of preventable
Type of vehicle(s)
collisions during career: _________________________________
authorized to operate: _________________________________________
Date(s) of preventable collisions: _______________________________________________________________________________________
Please write a brief statement that you feel is relevant for the consideration of this nominee. Additional pages may be submitted with this form.
This application should be prepared and returned by close of business on Saturday, April 30, 2016 to the NSC, Attn: Awards, PO Box
679, Itasca, IL 60143 or fax to 630-775-2185. Winners will be notified by email only in June.
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