Pre-DPS Trip Guide. For Getting Your Permit. PAGE 2 DPS Checklist. PAGE 3-8 Examples. Classroom Instruction Log Record. Texas Residency Affidavit

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1 Pre-DPS Trip Guide For Getting Your Permit Here's everything you get in your guide! PAGE 2 DPS Checklist What to bring to the DPS. Follow this checklist to make your trip as easy and stress-free as possible. PAGE 3-8 Examples Step-by-step instructions on how to fill out your paperwork. Classroom Instruction Log Record Classroom Instruction - Driver Education Affidavit Texas Residency Affidavit Texas Driver Education Certificate PTDE Instructor Designation Form PAGE 9-14 Blank Forms We've included unmarked copies of logs for you and your parent to use for classroom and behind-the-wheel instruction. In addition, you can find other required blank forms here. Only the Classroom Instruction Log is required to get your permit. Just hang onto your Behind-the-Wheel logs for now and use them once you start practicing in the car. 1

2 Learner's Permit - DPS Checklist Follow this checklist to make your trip to the DPS as easy and stress-free as possible. Mandatory PTDE Program Guide from TDLR Learn more. If you have not ordered it yet: 1. Make sure you have an eligible instructor before ordering. 2. Order the Program Guide ASAP from TDLR and download Forms from the PTDE Program Guide PTDE Program Guide Receipt Page - it's the first page of your program guide Classroom Instruction - Driver Education Affidavit Texas Residency Affidavit Lost a form? Download a copy of your Program Guide here. From Aceable it from the website or by using the link given in the receipt TDLR s you. 3. Print your forms out! 4. us at support@aceable.com with the date that you ordered the program guide. We will update your certificate date to be at least 3 days after your order date. Note: No need to us if you ordered it before finishing! Permit Certificate (DE-964) - ed to you! Classroom Instruction Log Proof of Student's Identity & Lawful Presence You can either provide: Texas ID, US Passport, or US Citizenship Certificate -OR- Original Birth Certificate AND Original Social Security Card AND One of these items: Report Card, Photo ID Card*, Immunization Records*, Hospital-Issued Birth Record*, Medicare or Medicaid Card* *Documents must be issued by an institution, entity, or government agency from a US state or territory. For a complete list of options, visit aceable.com/dl-57. Proof of Social Security Bring your original Social Security card. Copies are not accepted. Proof of Texas Residency Your parent/legal guardian will confirm your Texas residency to DPS by filling out the Texas Residency Affidavit and bringing two of the following items under their name: A blank copy can be found on page 8 of this guide or visit aceable.com/texasdrivinglogs to download and print. Verification of Enrollment (VOE) Form Print out the form from page 13. Get this filled out and signed by a school administrator. It expires after 30 days! Official Parent Instructor This is the person you registered online through the Texas Department of Licensing and Regulation. If your instructor is a designated individual instead of your parent/grandparent/legal guardian, you must complete the PTDE Instructor Designation Form and bring it to the DPS. Note: If your parent has had a Texas driver license for less than 3 years, they need to bring a driver record showing 3 years of driving history from the state or country in which they previously held a license. Mortgage Statement, Utility Bills, Bank/Card Statements, Deed, Report Card, W-2, Auto Insurance Note: Both documents must show the same name and address, be dated within days, and come from two different sources. Your parent instructor does not need to live with you; they just need to have a Texas address. For a complete list of options, visit aceable.com/dl-57. If your instructor is not your parent/grandparent/legal guardian, bring the person you live with to the DPS to confirm your Texas residency. Application for Driver License or Identification Card (DL-14A) Get this at the DPS office when you are there. $16 Learner License Application Fee Payable by cash, credit, check, or money order. 2

3 Filling Out Your PTDE Packet and Certificate Examples on how to fill out your PTDE packet and certificate. Understanding our Example Pages Helpful notes are written in RED. Examples are written in BLUE. DO NOT use these example forms at the DPS - this is just a guide. Lost or misplaced your forms? Head over to TDLR s website to download a new copy of your program guide packet. Questions? Visit help.aceable.com 3

4 This is an EXAMPLE. A blank copy can be found on page 9 of this document. CLASSROOM INSTRUCTION LOG Student s Name: Legal name of student getting permit Instructors Name: Parent/Legal Guardian Instructor's Legal Name Date Classroom Instruction Began: Date began Level 1 Instructor s Driver License #: ^ This person's driver license # Date Classroom Instruction Completed: Leave blank TDLR-Approved Course #: 116 As you complete each course section (large levels are broken up into three sections), fill in the date and have the instructor sign the corresponding box. Bring this completed sheet to the DPS office when you apply for your learner and provisional license. REMEMBER: The classroom portion of Parent Taught Drivers Ed should not be completed in less than 16 days. Students must limit study time to two hours per day. Unit Hours Required Date Completed Instructor Signature Level 1: Ch 1, 2, & 3 2 Level 1: Ch 4 & 5 2 Level 1: Ch 6, 7, & 8 2 Level 2 2 Level 3 2 Level 4 2 Level 5 2 Level 6 2 Level 7 2 Level 8: Ch 1 & 2 2 Level 8: Ch 3 & 4 2 Level 8: Ch 5 & 6 2 Level 9 2 Level 10 2 Level 11 2 Level 12 2 Total 32 Day 1 Day 2 Day Leave blank until after getting permit HOW TO LOG YOUR ONLINE HOURS : ll dates that you list must be N or FT the date that you ordered the program guide pac et from TDL. For e ample ce obot ordered his PTD program guide from TDL on 1/1/2 18. This means the first date he can list on this log must be 1/1/2 18 a later date. ny date listed before 1/1/2 18 ill not be accepted by DP. Only fill out Level 1! Keep the remaining levels blank. You'll work on those after you get your permit. Note: You may be required to present this form at the driver license office when the student applies for a learner license and provisional license. This form is also referred to as the DL-91A. support@aceable.com 4

5 Driver License Division This is an EXAMPLE. A blank copy can be found in your TDLR Program Guide Packet. Misplaced it? Re-download it here. Classroom Instruction Driver Education Affidavit For Class C Learner License All information on this affidavit, except the signature, must be typed or printed in black ink. The signature must be written in black ink. I, Your Parent/Legal Guardian Instructor's Legal Name, valid driver license number <- this person's driver license #, hereby certify that (Instructor s Legal Name) (Driver License Number) the following information contained in this form is true and correct. I am the instructor of Legal Name of Student Getting a Permit (Student s Legal Name) date of birth is Student's Birthdate, thereby meeting the age requirement to obtain a Class C learner license. (MM-DD-YYYY), whose I certify that for the above-named student, I am the: Parent Legal guardian Step-parent Step-grandparent Foster parent Grandparent I acknowledge if one of the above relationships doesn t apply, then by law, I m not authorized to teach Parent Taught Drivers Education. I certify that I: 1. Have submitted the $20 fee to enroll in the Texas Department of Licensing and Regulation s Parent Taught Driver Education Program prior to beginning any instruction. 2. Possessed a valid driver license for the preceding three years; 3. Have not been convicted of Criminally Negligent Homicide; 4. Have not been convicted of Driving While Intoxicated; 5. Have not had my driving privileges suspended, revoked or forfeited in the past three years; 6. Had less than six surcharge points assigned to me at the time I began instructing the above-named student; and I certify that I have instructed my student in the following Texas Department of Licensing and Regulation approved course of instruction: 32 hours of classroom instruction under the Block Driver Education Program Completion Date X 6 hours of classroom instruction under the Concurrent Driver Education Program Date Completed Level 1 Completion Date Title of TDLR-Approved PARENT TAUGHT Training Course: (Signature) Instructors, please select your relationship to the student below. Aceable 116 EXAMPLE ONLY Course Number: I acknowledge that falsely certifying the information contained in this affidavit will subject me to criminal penalties under Texas Transportation Code * DO NOT FILL OUT OR SIGN THIS SECTION UNTIL IN FRONT OF THE DPS CLERK!* Sworn to and subscribed before me this day of, 20. IGNORE. You do NOT need a notary signature if you sign this section in front of the DPS clerk. (Notary Public in and for the State of Texas/Authorized Officer) (Date) NOTE: One affidavit is required for each instructor who taught a student in each phase of the course. If there is more than one instructor, this form may be photocopied for use by the other instructor(s). All instructors must accompany the student when applying for a learner license. This affidavit must be signed either before a Driver License employee at the driver license office or before a Notary Public before coming to the driver license office. The document(s) must be presented when the student applies for a learner license. Definition of a qualified instructor can be found in the Parent Taught Driver Education Program Guide. DL-90A (Rev. 8/15) 5

6 Texas Residency Affidavit Instructions for completion are on back of form This is an EXAMPLE. A blank copy can be found on page 12 of this document. To be eligible for a Texas driver license or identification card, the applicant must be a resident of or domiciled in Texas. If the applicant cannot provide two acceptable residency documents from the list found on the back of this form, this affidavit may be used as evidence of residency in Texas. *Texas domicile rules are in the Texas Administrative Code (37 TAC and 16.15). The applicant for a Texas driver license or identification card must complete Section A. A. Applicant Information Name Student Information Goes Here Residence Address City State ZIP Code I certify that the information provided above is true and correct. I understand that according to Texas law, it is a crime to knowingly make any false statement relating to the application for a driver license or identification card. Applicant s Signature * DO NOT SIGN UNTIL IN FRONT OF THE DPS CLERK!* A representative who provides services to the applicant at the address in Section A must complete Section B certifying that the applicant resides or receives services at that address. The individual who resides at the address in Section A must complete Section B certifying that the applicant resides at that address and provide two acceptable documents establishing proof of residency. If the individual who completes Section B is not related to the applicant, they must accompany the applicant and submit this affidavit in person. B. Individual or Representative Information Name of Individual or Representative If a representative, please provide the affiliate organization Business or Residence Address City State ZIP Code The applicant and the individual or representative must sign Section B. The individual or representative for the applicant must certify and sign the following section. I certify the information submitted on behalf of the above applicant is true and correct. The applicant does live at my residence or receives services at the location listed above. I understand that according to Texas law, it is a crime to knowingly make any false statement relating to application for a driver license or identification card. Certifier s Signature * DO NOT SIGN UNTIL IN FRONT OF THE DPS CLERK!* Notarization (if required) may be provided in the space below IGNORE. You do NOT need a notary signature if you sign this section in front of the DPS clerk. DL-5 (Rev. 2/13) Date Parent or Legal Guardian Instructor's Information Goes Here EXAMPLE ONLY Date 6

7 This is not an official certificate - use this example to help you fill out your own certificate which was ed to you Robot Ace R Signature of Parent /Guardian Instructor <- This person's driver license # EXAMPLE ONLY P P 08/29/16 7

8 This is an EXAMPLE. A blank copy can be found on page 13 of this document. This form is only for students with an instructor who is not a parent, step-parent, grandparent, stepgrandparent, foster parent, or legal guardian who meets or does not meet TDLR's eligibility requirements. PO Box Austin, Texas (800) (512) FAX (512) cs.driver.education.safety@tdlr.texas.gov PARENT TAUGHT DRIVER EDUCATION (PTDE) INSTRUCTOR DESIGNATION FORM DESIGNATION REQUIREMENTS - Section , Education Code, allows a parent, legal guardian or a judge of a court with jurisdiction over the person to designate an individual to conduct a PTDE course. The designee must meet all of the following: Be at least 25 years of age or older May not charge a fee for conducting the course Has at least seven (7) years driving experience Possess a valid driver license for the past three years that has not been suspended, revoked or forfeited for an offense that involves the operation of a motor vehicle Has not been convicted (including a probated sentence) of criminally negligent homicide Has not been convicted (including a probated sentence) for driving while intoxicated in the past 7 years Not have six or more points assigned to their driver license About this form: This form is ONLY required for students with an instructor who is not a parent, step-parent, grandparent, step-grandparent, foster parent, or legal guardian. This individual must meet the requirements listed on this form. Print out the blank form on page 12, complete it, and bring it to the DPS for your permit. The instructor designee is responsible for checking their criminal and/or driver record to confirm eligibility prior to instructing an approved PTDE course. The instructor eligibility is verified at the Department of Public Safety when processing the student s learner license and again when processing the student s provisional driver license. If the instructor does not meet eligibility the license issuance will be denied. Any classroom or in-car instruction provided by an ineligible instructor will be voided. I, Your Parent/Legal Guardian/Judge's Name, hereby designate Your Designated Individual's Name, (Print Parent / Legal Guardian / Judge Name) (Print Instructor Designee Name) driver license number Designated Individual's Driver License Number (Instructor Designee Driver License Number), to conduct a TDLR approved PTDE course to my child/ward Write in the student's full name here (Print Student Full Name), date of birth Student's Birthdate. (MM/DD/YYYY) I certify that the above-named student, I am the: Parent Legal guardian Judge with jurisdiction over the student Check off one of the options above. Who is authorizing the designated individual to be your PTDE instructor? Your Parent/Legal Guardian/Judge signs here (Parent / Legal Guardian / Judge Signature) The date they signed this (Date) Your Designated Individual signs here (Instructor Designee Signature) The date they signed this (Date) PTDE Instructor Designation Form (10/2017) 8

9 CLASSROOM INSTRUCTION LOG Student s Name: Instructors Name: Date Classroom Instruction Began: Instructor s Driver License #: Date Classroom Instruction Completed: TDLR-Approved Course #: 116 As you complete each course section (large levels are broken up into three sections), fill in the date and have the instructor sign the corresponding box. Bring this completed sheet to the DPS office when you apply for your learner and provisional license. REMEMBER: The classroom portion of Parent Taught Drivers Ed should not be completed in less than 16 days. Students must limit study time to two hours per day. Unit Hours Required Date Completed Instructor Signature Level 1: Ch 1, 2, & 3 2 Level 1: Ch 4 & 5 2 Level 1: Ch 6, 7, & 8 2 Level 2 2 Level 3 2 Level 4 2 Level 5 2 Level 6 2 Level 7 2 Level 8: Ch 1 & 2 2 Level 8: Ch 3 & 4 2 Level 8: Ch 5 & 6 2 Level 9 2 Level 10 2 Level 11 2 Level 12 2 Total 32 Note: You may be required to present this form at the driver license office when the student applies for a learner license and provisional license. This form is also referred to as the DL-91A. 9

10 IN-CAR OBSERVATION & BEHIND-THE-WHEEL INSTRUCTION LOG The seven (7) hours of in-car observation and seven (7) hours of behind-the-wheel instruction must be completed by the Parent Taught teacher registered with the Texas Department of Licensing and Regulation (TDLR). The behindthe-wheel curriculum can be found in the Driving Manager section of your student s Aceable course. Only one hour of behind-the-wheel observation or behind-the-wheel instruction per day can be counted toward the required 14 hours. Student s Name: Permit #: Topic Driver Preparation, Starting, Operation, and Post-Drive Tasks or Behind-the-Wheel Instruction Date Time Duration 30 minutes 30 minutes Official Parent Instructor Signature and DL# Vehicle Movements Driver Readiness Environmental Characteristics & Risk Factors Distractions Vehicle Movements & Reference Points Adverse Conditions & Vehicle Requirements Consumer and Personal Responsibility 30 minutes 30 minutes TOTAL: 7 hours + 7 hours = 14 hours Note: You may be asked to present this log to the Department of Public Safety for a provisional license. This form is also referred to as a DL-91B, Appendix F. 10

11 BEHIND-THE-WHEEL PRACTICE LOG The 30 hours of behind-the-wheel practice must be completed in the presence of an adult who is 21 years of age or older and has been licensed for at least one year (TRC ) before the student is eligible for a provisional license. Only one hour of behind-the-wheel practice per day will count toward the 30 hours regardless of the number of hours the student actually drives in a day. At least 10 of the 30 hours must be completed at night. Student s Name: Permit #: Practice Session Date Time Getting Ready, Starting, Placing Vehicle in Motion, and Stopping (2 hours) Daytime Hours Nighttime Hours Adult s Signature and DL# Moving, Stopping, Steering, Knowing Where You Are (3 hours) Backing (1 hour) Turning, Lane Position, and Visual Skills (4 hours) Searching Intended Path of Travel (3 hours) Parking (1 hour) Turnabouts (2 hours) Multiple Lane Roadways (4 hours) City Driving (5 hours) Expressway/Freeway Driving (5 hours) Note: You may be asked to present this log to the Department of Public Safety for a provisional license. This form is also referred to as a DL-91B, Appendix G. I certify and endorse that the above record is true and correct and my student has completed 30 hours of guided practice which includes at least 10 at nighttime. Instructor s Signature (if over 18 years of age student s signature) Date 11

12 Texas Residency Affidavit Instructions for completion are on back of form To be eligible for a Texas driver license or identification card, the applicant must be a resident of or domiciled in Texas. If the applicant cannot provide two acceptable residency documents from the list found on the back of this form, this affidavit may be used as evidence of residency in Texas. *Texas domicile rules are in the Texas Administrative Code (37 TAC and 16.15). The applicant for a Texas driver license or identification card must complete Section A. A. Applicant Information Name Residence Address City State ZIP Code I certify that the information provided above is true and correct. I understand that according to Texas law, it is a crime to knowingly make any false statement relating to the application for a driver license or identification card. Applicant s Signature Date A representative who provides services to the applicant at the address in Section A must complete Section B certifying that the applicant resides or receives services at that address. The individual who resides at the address in Section A must complete Section B certifying that the applicant resides at that address and provide two acceptable documents establishing proof of residency. If the individual who completes Section B is not related to the applicant, they must accompany the applicant and submit this affidavit in person. B. Individual or Representative Information Name of Individual or Representative If a representative, please provide the affiliate organization Business or Residence Address City State ZIP Code The applicant and the individual or representative must sign Section B. The individual or representative for the applicant must certify and sign the following section. I certify the information submitted on behalf of the above applicant is true and correct. The applicant does live at my residence or receives services at the location listed above. I understand that according to Texas law, it is a crime to knowingly make any false statement relating to application for a driver license or identification card. Certifier s Signature Date Notarization (if required) may be provided in the space below DL-5 (Rev. 2/13) 18 12

13 School Name/Home School Verification of Enrollment and Attendance (VOE) Form County-District-Campus No. (If Applicable) Planned Use of Data: To provide documentation of enrollment and attendance status to the Texas Department of Public Safety (DPS) for a student applying for a learner s license and/or a license to operate a motor vehicle. The student presents the completed form to DPS. DO NOT provide this VOE to the Texas Education Agency (TEA). Authority: Section of the Texas Transportation Code requires students under age 18 who have not obtained a high school diploma or its equivalent to be enrolled in a public, charter, home, or private school; GED Program; or Institution of Higher Education and meet specific enrollment conditions to obtain or renew a license. Contacts: DPS or TEA/Driver Training Issuing VOE Forms: The issuance or denial of the VOE is strictly a local school, charter, GED program, or institution decision. Neither DPS nor TEA can alter a VOE decision. It is recommended that schools, charters, GED programs, and institutions of higher education clearly outline all requirements for issuance of a VOE and establish a formal, published policy to support the requirements. Texas Education Code, Section states that a student may not be given credit for a class unless the student is in attendance for at least 90% of the days the class is offered. The 90% attendance rule applies when determining VOE eligibility. Schools can accept decisions of attendance committees when considering VOE eligibility. Summer school does not count as make-up time for attendance purposes unless the attendance committee makes summer school attendance a part of a student s plan to make up days missed. For students in grades eight and below, absences may be aggregated on the basis of a scholastic year. For students in grades 9-12, absences may be aggregated on the basis of a scholastic semester (traditional, condensed, accelerated, block, etc.). VOE Eligibility: 1) The school considers the student currently enrolled at the time the student applies for the VOE, and 2) the school awarded the student credit for each class the semester prior to application for the VOE. If the student was not awarded credit for each class the semester prior to application for the VOE, the school should examine attendance records for the semester prior to application for the VOE and determine whether the student was present 90% of the time each class was offered. If so, the VOE may be issued. If the student did not receive credit and did not attend 90% of their classes, the school attendance committee and/or administration may approve a plan establishing conditions for the student to meet in order to receive a VOE. A student must meet one of the following requirements to receive a VOE. The individual certifying attendance verifies on behalf of the school, program, or institution the following as true and correct by marking the appropriate box and affixing a legal signature to this form. Entities may personalize and/or develop their own VOE provided all pertinent information contained on this form is incorporated. Public, charter, home, or private schools: The public, charter, home, or private school should mark this box and issue the form to any student who is currently enrolled AND either: (1) met minimum attendance for class credit (90 Percent Rule) in each class they were enrolled in semester, (2) received credit for all courses taken in the previous semester, OR (3) has complied with the conditions established by the school to receive this VOE form. GED programs: GED programs mark this box and issue the VOE to any student who: (1) is currently enrolled, (2) has been enrolled in the program for a minimum of 45 calendar days, and (3) is meeting the attendance requirements prescribed by the GED program. Institutions of higher education: Institutions mark this box and issue the form to students who have not obtained a diploma or its equivalent but are enrolled and attending as prescribed by the institution. Note: Institutions can issue a letter signed by an official of the institution stating that (1) the student is currently enrolled and (2) the student is meeting the institution s attendance requirements instead of issuance of this form. Typed or Printed Name of Student Date Student Signature * Typed or Printed Name and Title of Administrator/Designee Area Code & Telephone Issuance Date / / Month Day Year Administrator/Designee Signature Parental/Guardian Permission: I grant my permission for the Texas Department of Public Safety (1) to access my child s school enrollment records and (2) for a school administrator or law enforcement officer to notify DPS in the event that my child has been absent from school for a at least 20 consecutive instructional days. Parent/Guardian Signature: Date: Expiration: Any VOE issued during the school year (traditional, year round, etc.) expires 30 days after issuance. Any VOE issued the last 5 days of the school year will expire the first day of the following school year. * A student is not required to sign in the presence of the person certifying attendance. The signature of the student can be placed on the form before or as it is presented to DPS. THE VOE IS A GOVERNMENT RECORD AS DEFINED UNDER TEXAS PENAL CODE, 37.01(2). ANY MISREPRESENTATION BY THE APPLICANT OR PERSON ISSUING THE FORM MAY RESULT IN DENIAL OF AN APPLICATION FOR A TEXAS DRIVER S LICENSE AND/OR CRIMINAL PROSECUTION. 13

14 PO Box Austin, Texas (800) (512) FAX (512) PARENT TAUGHT DRIVER EDUCATION (PTDE) INSTRUCTOR DESIGNATION FORM DESIGNATION REQUIREMENTS - Section , Education Code, allows a parent, legal guardian or a judge of a court with jurisdiction over the person to designate an individual to conduct a PTDE course. The designee must meet all of the following: Be at least 25 years of age or older May not charge a fee for conducting the course Has at least seven (7) years driving experience Possess a valid driver license for the past three years that has not been suspended, revoked or forfeited for an offense that involves the operation of a motor vehicle Has not been convicted (including a probated sentence) of criminally negligent homicide Has not been convicted (including a probated sentence) for driving while intoxicated in the past 7 years Not have six or more points assigned to their driver license The instructor designee is responsible for checking their criminal and/or driver record to confirm eligibility prior to instructing an approved PTDE course. The instructor eligibility is verified at the Department of Public Safety when processing the student s learner license and again when processing the student s provisional driver license. If the instructor does not meet eligibility the license issuance will be denied. Any classroom or in-car instruction provided by an ineligible instructor will be voided. I,, hereby designate, (Print Parent / Legal Guardian / Judge Name) (Print Instructor Designee Name) driver license number (Instructor Designee Driver License Number), to conduct a TDLR approved PTDE course to my child/ward (Print Student Full Name), date of birth. (MM/DD/YYYY) I certify that the above-named student, I am the: Parent Legal guardian Judge with jurisdiction over the student (Parent / Legal Guardian / Judge Signature) (Date) (Instructor Designee Signature) (Date) PTDE Instructor Designation Form (10/2017) 14

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