DL 92 92printable

User Manual: DL 92

Open the PDF directly: View PDF PDF.
Page Count: 3

DownloadDL 92 DL-92printable
Open PDF In BrowserView PDF
Mail request form and $20.00 fee to:
Texas Department of Public Safety
PO Box 149008
Austin, TX 78714-9008

REQUEST FOR A PARENT TAUGHT
DRIVER EDUCATION PACKET

DL-92 (Rev. 5/12)

DO NOT MAIL CASH. Mail check or money order payable to: Texas Department of Public Safety. A separate request form and fee are required for each student who will participate in the Parent Taught Driver Education Program.
Program Eligibility Requirements
• Student must be 14 years of age prior to beginning the classroom portion, however they may not test for a learner license until their 15th birthday.
• Instructor must be the student’s parent, step-parent, grandparent, step-grandparent, foster parent or legal guardian appointed by a court of competent jurisdiction. A power of attorney is not legally sufficient.
• The instructor must have a valid driver license for the preceding three years; or if active military personnel or spouse, a valid driver license from state of permanent residency or last duty station for the preceding three years.
• The instructor cannot have a conviction (including a probated sentence) of criminally negligent homicide or driving while intoxicated. In addition, the instructor must not have had their driving privileges suspended, revoked or
forfeited for traffic related violations in the past three years. The instructor is responsible for checking both their criminal or driver records prior to requesting the packet. The Department will verify the instructor’s record at
the time of processing the student’s learner license and again at the time of processing the student’s provisional driver license. If at that time, we determine that the instructor does not meet the requirements, we will deny
the learner license or provisional driver license along with any prior classroom instruction or behind the wheel/in car instruction provided by the ineligible instructor.
• The instructor may not be disabled due to mental illness. Questions as to mental stability will be forwarded to the Medical Advisory Board for determination.
The instructor may go to any local driver license office to have the student apply for the license and take the required test. (Some stations require an appointment or may allow online scheduling for the skills test.)
NOTE: ALL INFORMATION AND REQUIRED FEE MUST BE SUBMITTED BEFORE A PARENT TAUGHT DRIVER EDUCATION PACKET WILL BE MAILED. PLEASE ALLOW 2-3 WEEKS FOR DELIVERY.

Please print or type in black ink. This form is read by machine; please print the numbers and letters as shown below:

Instructor’s Information (Parent or Legal Guardian). The Parent Taught Driver Education Packet will be mailed to the address below.
First Name

Last Name

Mailing Address

State

City

Zip Code

T X
Daytime Telephone Number (include area code)
Check to have packet emailed

Instructor’s email address

Student’s Information. Complete the legal name for the student.
First Name

Middle Name

Last Name

Suffix (Jr., Sr., etc.)

Date of birth
Student’s email address

Instructor’s Signature

Date

See other side for additional
qualifying information

Important Instructions - Read Carefully

1.

No instruction is permitted prior to receipt of the Parent Taught Driver Education Packet. Any instruction prior to that time will not be
accepted toward the required instruction time.

2.

A minimum of 66 hours of actual instruction time is required to instruct this course and it is estimated that an equal number of hours
for preparation are required for an instructor to properly teach this course.
•
•
•

The classroom thirty-two hours must not be completed in fewer than sixteen calendar days.
The behind the wheel thirty-four hours must not be completed in fewer than twenty-seven calendar days.
A student shall not be instructed more than two hours in one (1) day.

3.

This course may or may not qualify for a discount for automobile insurance purposes due to Department of Insurance rules. You
should consult with your insurance carrier concerning this matter.

4.

No behind the wheel instruction or practice may be permitted until the student has been issued a learner license. Driving without
a valid license on a public street or highway is a violation of state law. Any behind the wheel instruction prior to issuance of the learner
license will not be accepted toward the required instruction or practice time.
Source Exif Data: 
File Type                       : PDF
File Type Extension             : pdf
MIME Type                       : application/pdf
PDF Version                     : 1.6
Linearized                      : No
Create Date                     : 2012:06:15 07:22:20-06:00
Creator                         : QuarkXPress(R) 9.0
Modify Date                     : 2012:06:28 10:20:43-05:00
X Press Private                 : %%DocumentProcessColors: Magenta Yellow Black.%%EndComments
Has XFA                         : No
XMP Toolkit                     : Adobe XMP Core 4.2.1-c043 52.372728, 2009/01/18-15:56:37
Creator Tool                    : QuarkXPress(R) 9.0
Metadata Date                   : 2012:06:28 10:20:43-05:00
Producer                        : QuarkXPress(R) 9.0
Format                          : application/pdf
Title                           : Layout 1
Document ID                     : uuid:da35c269-6c58-464b-ba84-c1fb4f5dcb2c
Instance ID                     : uuid:8396e3cb-e41f-584b-93b1-32d85fb0f390
State                           : 1
Version                         : 1.1
Page Count                      : 3
EXIF Metadata provided by EXIF.tools

Navigation menu