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Driving Safety Course Request

  1. I hereby enter my appearance on the complaint of the offense stated above. I understand that I have a right to a jury trial. I elect under Article 45.0511, Code of Criminal Procedure, to take a driving safety course.
  2. ELIGIBILITY
    To be eligible for a Driving Safety Course, Statements 1 - 11 must be checked confirming you have read and understand the following statements:
  3. (1) a valid Texas driver’s license or Texas permit, or proof that I am a member, or the spouse or dependent child of a member, of the United States military forces serving on active duty;*
  4. (2) proof of financial responsibility (Insurance) pursuant to Chapter 601, Transportation Code (automobile liability insurance);*
  5. (3) court costs and administrative fee $144 [SCHOOL ZONE $169]; *
  6. (4) complete a driving safety course or motorcycle operator training course as applicable within 90 days;*
  7. (5) submit by the 90th day a Texas State-approved Certificate of Completion;*
  8. (6) not currently be taking such a course or completed one for another ticket within the preceding 12 months from the date of this offense;*
  9. (7) submit by the 90th day a certified copy of my driving record as maintained by the Texas Department of Public Safety;*
  10. (8) if I comply with the court order, the Court will dismiss my case and report to the Texas Department of Public Safety the date that I completed my course for inclusion on my driving record;*
  11. (9) if I fail to submit all the evidence required, I will be notified of a show cause hearing and be required to appear before the Judge to show cause why I did not comply with the Judge's Order;*
  12. (10) the Judge may at the show cause hearing enter a final adjudication against me and require me to pay the fine; *
  13. (11) the failure to appear at the show cause hearing will result in a final adjudication against me, and that I will be required to pay the fine and any additional costs required by law.*
  14. I attest that I am the individual who received the citation referenced above. I have read the document and on the date of this request for a driving safety course/motorcycle training course in the above-numbered cause, I am not taking such a course nor have I completed one within the 12 months preceding the date of this offense and that a driving safety course is not shown on my driving record as maintained by the Texas Department of Public Safety (or as maintained by the state that issued my driver’s license – active military duty personnel only).
  15. By typing my name, I adopt this as my signature and have read, affirm and agree to the information herein.
  16. Payment Instructions
    DO NOT PAY BEFORE YOUR REQUEST HAS BEEN GRANTED. Once your request has been granted by the Court, you will receive a copy of the Order in the manner in which it is received; i.e., email or mail.
  17. Note: If you do not have a valid Texas Driver's License or permit and are a member, or spouse or dependent child of a member of the United States military forces serving on active duty, upload proof here.
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  19. This field is not part of the form submission.