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Request for Driving Safety Course
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REQUEST FOR DRIVING SAFETY COURSE
CITY, STATE AND ZIP:
I am entering a plea of:
I am requesting to take a driving safety course and I meet ALL of the following requirements:
I am 17 years of age or older.
I have a valid, non-commercial Texas driver’s license.
I have at least minimum liability insurance coverage with my name listed as a driver.
I have not taken a driving safety course for ticket dismissal within the last 12 months.
I understand that this form is just a request to take a driving safety course and that nothing has been granted by the judge at this time. I understand I must submit this request with a copy of my Texas driver’s license and current liability auto insurance before my court date.
SUBMIT COPY OF DRIVER'S LICENSE
SUBMIT COPY OF AUTO INSURANCE WITH YOUR NAME LISTED AS A DRIVER:
I WISH TO RECEIVE MY PAPERWORK IN THE FOLLOWING MANNER:
By mail to the home address provided above
By email to the email address provided above
Please type full name and date in lieu of signature
Please contact the court office at 281-338-6702 if you have any questions.
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