Csma 19 Form PDF Details

The journey to becoming a proficient driver in Virginia carries specific requirements for learners above the age of 18 who haven't gone through a state-approved driver training course or those who are homeschooled. One pivotal step in this process is the completion and verification of the CSMA 19 form, known as the In-Car Maneuvers Observation Record. Dated 11/25/2017, this form is meticulously designed to ensure that learning drivers, alongside a licensed observer, can account for each essential driving maneuver practiced and mastered. This form serves not just as a checklist but as a testament to the learner's readiness to advance to the DMV road skills test. The CSMA 19 form captures basic yet critical driving maneuvers such as starting the vehicle, parking, observing traffic signals, making U-turns, and maintaining proper lane usage, among others. Each maneuver needs to be attested to by a licensed driver observing these maneuvers, underscoring the importance of guidance and supervision in the learner's journey. Moreover, the form carries significant legal weight, as both the learner and observer must certify the authenticity and accuracy of the information provided under the threat of perjury, highlighting the serious commitment Virginia requires towards safe and informed driving. This meticulous process not only reinforces safe driving practices but also instills a sense of responsibility and awareness among new drivers.

QuestionAnswer
Form NameCsma 19 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescsma 19 form, virginia in car observation record dmv, in car maneuvers observation record dmv, csma virginia dmv

Form Preview Example

CSMA 19 (11/25/2017)

IN-CAR MANEUVERS

OBSERVATION RECORD

Purpose: Learning drivers age 18 and older who hold a learner’s permit but have not completed a Virginia approved driver training course and qualifying home-schooled students use this form to verify the observation and completion of safe driving maneuvers before applying to take the road skills test at DMV.

Instructions: Each maneuver must be checked and signed by the licensed driver who observes the learning driver while practicing the maneuvers. Submit the completed form to any DMV customer service center to take the road skills test.

DRIVER INFORMATION

LEARNING DRIVER NAME (print)

LEARNER’S PERMIT NUMBER

EXPIRATION DATE (mm/dd/yyyy)

SAFE DRIVING MANEUVERS

Check box and sign name when maneuver is completed. If the same observing driver observes all the maneuvers, sign only the Driver/Observer Certifications section.

LICENSED OBSERVING DRIVER CERTIFICATION

By signing below I certify that I have observed the learning driver identified above performing the safe driving maneuver checked. In addition, I certify that I am authorized to accompany the learning driver in accordance with Va. Code § 46.2-335.

I further certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.

1. Basic Skills -

Is attentive, alert, aware of surroundings and traffic conditions, follows instructions well, observes conditions in time to compete a maneuver safely.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

2. Starting -

Demonstrates ability to start engine, engages and uses proper gear, demonstrates proper use of brake.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

3.Backing - (DO NOT PRACTICE ON STREET WITH TRAFFIC) Looks at mirrors, looks over both shoulders, uses brake and accelerator well, controls vehicle while driving in reverse, backs vehicle smoothly in a straight line without weaving.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

4. Posture -

Sits upright, arms and legs are in easy reach of controls, adjusts mirrors and seat to best position for vision and driving.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

5. Gears -

Shifts gears or uses automatic transmission smoothly, accelerates smoothly, changes gears smoothly, keeps eyes on the road while shifting, shifts gears at correct speed.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

6. Following -

Maintains proper distance and speed in traffic.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

7. Right of Way -

Yields without hesitating when necessary, shows consideration of pedestrians, attention to signals, makes proper use of right-of-way in traffic, stops behind crosswalks.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

8. Lanes -

Stays in proper lane, checks traffic before changing lanes, changes lanes easily, does not change lanes excessively, does not straddle lanes.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

9. Overtaking/Passing -

Controls vehicle in proper lane while passing on multi-lane street, judges distance, signals intention, accelerates properly, uses horn if necessary

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

10. Intersection -

Is able to negotiate and drive through controlled and uncontrolled intersections, reduces speed when approaching, checks intersection traffic, controls vehicle, looks both ways.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

11. Signs & Signals -

Observes and obeys stop signs and other signals, stops at indicated place, proceeds to gain clear vision but stops again if necessary.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

12. Traffic Lights -

Observes the red, yellow, green traffic lights, interprets and obeys the meaning of the light's color and the location on the traffic light, comes to smooth stop in ample time, observes crosswalks, starts promptly when light turns green.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

13. Turns -

Makes proper signal of intention to turn, gets into proper lane, reduces speed as required and completes turn satisfactorily.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

14. Turn-about or U-turns -

Shows ability to perform U-turns, controls steering and operates vehicle in close quarters, watches traffic, signals correctly, changes gears and reduces speed and accelerates properly, stops for traffic.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

15. Parking -

Drives into a parking lot and parks vehicle, checks for any traffic, signals when necessary, maintains proper speed, parks within lines.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

DRIVER/OBSERVER CERTIFICATIONS

I certify that at all times while holding a learner’s permit and operating a motor vehicle, I have been accompanied by a licensed driver. I further certify that the licensed driver was authorized under Va. Code § 46.2-325 to accompany me.

LEARNING DRIVER SIGNATURE

LEARNER'S PERMIT NUMBER

 

 

By signing below I certify that I was the only person who observed the learning driver identified above performing the safe driving maneuvers.

OBSERVING DRIVER SIGNATURE

DRIVER LICENSE NUMBER

 

 

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2. Given that this part is done, you need to include the essential specifics in Gears Shifts gears or uses, OBSERVING DRIVER SIGNATURE, DRIVER LICENSE NUMBER, Following Maintains proper, OBSERVING DRIVER SIGNATURE, DRIVER LICENSE NUMBER, Right of Way Yields without, OBSERVING DRIVER SIGNATURE, DRIVER LICENSE NUMBER, Lanes Stays in proper lane, OBSERVING DRIVER SIGNATURE, DRIVER LICENSE NUMBER, Traffic Lights Observes the red, OBSERVING DRIVER SIGNATURE, and DRIVER LICENSE NUMBER in order to move on further.

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