Select language

Notice of Failure to Pass A Drug, Alcohol or Chemical Test Regarding Persons Possessing School Bus

This form, named 'Form 4684 (Revised 03-2014) - Notice of Failure to Pass a Drug, Alcohol, or Chemical Test Regarding Persons Possessing School Bus Endorsements', is used to report employees who have failed or refused drug, alcohol, or chemical tests. The form requires the employee's information, including name, date, and test results, along with the administering authority's details. All tests must be conducted in accordance with federal or state laws. The employer or officer of the employer certifies the accuracy of the information provided under penalty of perjury.

Search tags

HOW TO

How to fill out Form 4684 for free, online in 3 easy steps:

  1. 1
    Open form template in editor
    Click on the “Get this template” button.
  2. 2
    Fill out Form 4684
    Wait a moment and you will be redirected to our online PDF Filler app.
  3. 3
    Download file
    Download your completed Form 4684 for free. You can also save it to a cloud storage.
Formize PDF Filler app
ABOUT

Driving License Application Forms

Form 4684 is one of Driver's license forms that are documents used to apply for a driver's license or to request various services related to driver's licenses. These forms are typically provided by the department or agency responsible for issuing driver's licenses in a specific jurisdiction, such as the Department of Motor Vehicles (DMV) in the United States.

Common driver's license forms include:

Driver's License Application: This form is used to apply for a new driver's license or to renew an existing one. It typically requires personal information such as name, address, date of birth, and Social Security number.

Identification Documents: Some jurisdictions require specific identification documents to verify the applicant's identity and residency. These may include forms such as a birth certificate, passport, or social security card.

Vision Examination: Many driver's license applications require a vision examination form, where an authorized medical professional or eye care specialist certifies that the applicant meets the minimum vision requirements for driving.

Driver's Education Forms: In some cases, individuals may need to provide proof of completing a driver's education course, such as a driver's education completion certificate or a form signed by an instructor.

Medical Evaluation: Certain medical conditions may require additional forms to be completed by a healthcare professional. These forms verify the applicant's physical and mental fitness to drive.

Address Change Form: If a driver's license holder moves to a new address, they may need to fill out an address change form to update their driver's license information.

Driver's license forms can be obtained from the local DMV office or downloaded from their website. It is important to carefully complete and submit the required forms along with any supporting documents to ensure a smooth application or service process.

FEATURES

PDF Filler

The easiest way to fill Form 4684 online

  • Quickly fill out Form 4684
    Looking for a way to quickly fill Form 4684 online? With our online free PDF form filler, you’ll know how to how to edit and fill this pdf document in less than a minute.
  • Easy to use online PDF editor
    Fed up with printing out PDF files so you can edit them, before rescanning and sending them back? Edit PDF documents for free online. Use our online pdf editor to save time and paper.
  • Great tools, all platforms
    Wondering how to fill in Form 4684 on a Mac, or maybe how to use a PDF filler free? Our online PDF tools work on all platforms.
  • Secure file storage
    Completed "Form 4684" files are stored in a secured database managed by Amazon Cloud hosting. You can delete your files from our system anytime. In any case, these files are automatically deleted after 24 hours.
  • Chat with Form 4684
    Chat with "Form 4684" on Chatize that is a free PDF reader assistant. Ask questions and get answers from "Form 4684". Just click on Chat With Document button above.

Delete filling session

Delete the selected filling session? In this case, your progress in completing the form will be lost.

Delete editing session

Delete the selected editing session? In this case, your progress in creating and editing the form will be lost.