Skills Test Contact Sheet

(Fill out input areas below, affix your signature to the bottom of page 2 and bring to test with you)
Name  

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 Driver's Lic #  

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Trainer/School    
Billing Address    
City State

Zip
Phone Number    
       
Date of Test Examiner ___________________________
Time of Test ampm Phone 989-773-2410
Type of Test If Motorcycle  1st or2nd attempt
   

Must be 18 years old.               cc
    Vehicle's Make
   

Boxed area to be filled out at ICTC
Amount Due ______.______ CashCheck#________________Credit/debit
Less Deposit ______.______ Date Paid _____/_____/_____
Extra Time ___________________ (Late/Delays for repairs doc)
Balance Due ______.______ Date Paid _____/_____/_____
Examiner Amount

______.______             □ Pass   /  □ Fail

ICTC Amount ______.______    
Total ______.______    
     
Examiner's Signature
 		 ___________________________________________________________
 

 

A U T O M O B I L E

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Automobile Testing Terms:
Appointments are established by a non-refundable deposit of $48.00, which is the cost of the test. Please note that the deposit will be forfeited after three months.
 		 NOTE:If the candidate is a "no-show" or is unable to complete the test for any reason prior to leaving the parking lot, half of the deposit ($24.00) is forfeited. If the candidate fails on the road, the full amount is charged. Tests must be cancelled by the day prior to the scheduled appointment or it may be deemed a "no-show".
Test Category Fee
Automobile   $48.00

 


 
C D L
cdl Testing Terms:
Appointments are established by a non-refundable deposit of the full amount. Please note: The deposit is forfeited after three months.
 		 NOTE: If the candidate is a "no-show", does not pass vehicle inspection, or the basic controls test, half of the deposit is forfeited. If the candidate fails on the Road, the full amount is charged. Late "show-ups" or delays i.e. (to repair vehicle or retrieve paper work etc.) will be charged at a $24.00/hr rate.
Test Category Fee
ALL Class "C" and "B" vehicles $120.00
Class "A" vehicles $140.00
Rental of I.C.T.C. bus ... (B-P, AIR BRAKES) $145.00
 



 
 
M O T O R C Y C L E
Motorcycle Testing Terms:
Appointments are established by a non-refundable deposit of $36.00, the cost of the test. If the candidate fails at their first attempt, and a second test is scheduled within three months there will be no additional charge. Please note deposit is forfeited after three months.

Test Category

 Fee
Motorcycle $36.00
   
   

FOR ALL TESTS
There will be a $15.00 charge for each check returned.
Most debit and charge cards are now accepted.

  


Applicant's Signature: ________________________ Date:    /    /