Form DE-964 at a glance
What it is: DE-964 is the Parent Taught Driver Education Certificate Order Form, for HARD COPIES (3-part paper completion certificates ready to issue) or NUMBERS.
Who signs: SIGN with the Original Signature of School Owner or Director, then enter the Printed Name and the Date.
A filled-in Form DE-964 example: a provider orders paper certificates
How to fill out Form DE-964, box by box
Name of Parent Taught Provider
Enter the Name of Parent Taught Provider and the PT Provider License Number.
Certificate Format
Check one box and enter the required information.
For HARD COPIES, enter the Number of Certificates, at $1.00 each (checked November 14, 2026).
Enter the Delivery Address: Number, Street Name, Suite Number/Building Number City, State, Zip Code. P.O. Box or Out-of-state shipments are not available. Orders will be delivered using a parcel delivery company. Someone must be at the location listed on the order form at the time of delivery to sign for the certificates.
NUMBERS are identifying numbers for completion certificates printed and issued by the PT Course Provider. A certificate proof must be submitted and approved by the Texas Department of Licensing and Regulation before certificate numbers will be sold.
For NUMBERS, enter the Number of Certificates, at $1.00 each (checked November 14, 2026), and the Email Address.
Total enclosed
Enter the Total enclosed (Fees Are Non-Refundable).
Send your completed order form and required fee to: Texas Department of Licensing and Regulation P.O. Box 12157 Austin, TX 78711-2157.
Sign
SIGN with the Original Signature of School Owner or Director, then enter the Printed Name and the Date.
More rules for Form DE-964
Keep a copy of your completed order form, and your check or money order. Do not send cash.
Common questions about Form DE-964
What is a DE-964 in Texas?
DE-964 is the Parent Taught Driver Education Certificate Order Form, for HARD COPIES (3-part paper completion certificates ready to issue) or NUMBERS. Orders will be processed only when fees and this signed order form have been received by TDLR office. All unused certificates, and/or number orders are non-transferable.
Sources
[1] Form DE-964 (TDLR Form DES145N rev January 2023), Texas Department of Licensing and Regulation (the Official source link on this page).