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Santa Maria California Form W-3C: What You Should Know

This is a work release form. Please DO NOT copy or reproduce any part of it. Contact City of Santa Maria if you have any questions or would like further assistance. Santa Maria Municipal Code Section 13-2314(b) — Unauthorized Use/Re-Purposing of City Property and Real Property, Section 13-2318.3 — Repair/Maintenance Violations, & § 13-1318.4 — Damages, etc All the documentation for the application can be found in your city's records. Make sure to review your city's Code & Procedures prior to submitting the application. This form is very flexible and allows you to make changes to the application when you change your mind. This form will not be deemed complete unless all items on this list have been received and recorded by the city. If you are making a change to the document on this list, you are required to send a letter to the city of Santa Maria stating your changes and your intent to continue working for the City of Santa Maria. This letter is required if the amendment to the original application is received by the City of Santa Maria or if the change is based on any other City of Santa Maria policy, rule, or ordinance. SCHEDULE A Filling Out Schedule A is the process of completing the application for the employment of one or more individuals (usually at least one person) for work on the Santa Maria Municipal Transit bus network. Each application must have both an employment application and a vehicle registration application for each person employed. If you are submitting an online application, you will need to download an application packet from your city's website (or download and print the vehicle registration packet from your city's website). SCHEDULE B The Schedule B includes all the following: A. Name; B. Employment; C. Age; D. Income; E. Education; F. Driving records; G. Criminal records. Note: If you are employed in a position where a safety inspection is required, a “no personal inspection” sticker (not required for private motor vehicles) must be affixed to the windshield of your vehicle.

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