Form DL 396 at a glance
What it is: DL 396 is the Authorization/Requisition for Driver Instruction Forms.
Where and when to file: Send the original copy to: Occupational Licensing Section P. O. Box 932342, MS L224, Sacramento, CA 94232-3420.
A filled-in Form DL 396 example: a private school requests driver instruction forms
How to fill out Form DL 396, box by box
Check one
Check one: Public Secondary School, Private Secondary School or Home School or Private School Satellite Program.
Section 1: Requester information
In Section 1, enter the Name Of School, CDS Code (If Issued) and School I.D. Number (If Issued).
Enter the Name Of Requester (Owner/Office/Administrator/Principal), the Requester's Phone Number and the Date Of Request.
Enter the School's Mailing Address, City, State and ZIP Code. Check the box if new mailing address.
Enter the School's Delivery Address (if different), City, State and ZIP Code. Check the box if new delivery address. Do not use P.O. box for delivery address.
Enter the MM/DD and MM/DD between which these forms can be received, from A.M. to P.M.
Section 2: To be completed by all requesters
In Section 2, check all boxes that apply: this is a public or charter secondary school teaching at the high school level authorized by the Department of Education.
Check all boxes that apply: this school offers driver education and/or behind-the-wheel training as part of the full time curriculum to full time students enrolled in this school, pursuant to California Education Code §§51850, 51851.
Check this box if the driver education/behind-the-wheel training courses offered by the same school must be maintained pursuant to California Education Code §§51220(j), 51220.1, 51220.4, 51850, 51851, 51852.
Section 3: Private schools, home schools and satellite programs
In Section 3, to be completed by all private schools, home schools and private school satellite programs (PSSP), check all boxes that apply: this is a private secondary school that complies with California Education Code §§33190 and 33191.
Enclosed is a current copy of the “Private School Affidavit” (PSA) as required by California Education Code §33190.
Check this box if this is a private secondary school that teaches classroom driver education in compliance with California Education Code §§51220(j), 51220.1, 51220.4.
Check this box if this is a home school or private school satellite program that teaches classroom driver education.
Check this box if this is a home school or private school satellite program that teaches behind-the-wheel training.
Check this box if this is a private secondary school or PSSP that teaches non-classroom driver education instruction including but not limited to, Internet-based, correspondence, or other distance-learning courses, in compliance with California Education Code § 51220.6(c). Please check the appropriate box for the type of driver education curriculum used.
Check this box for the Department of Motor Vehicle's driver education curriculum under subdivision (f) of former §12814.8 of the California Vehicle Code.
Check this box if the driver education curriculum is educationally equivalent to the Department of Motor Vehicles. Please complete the form (DL 396 B) and return with the request.
Section 4: Secondary school age students
In Section 4, provide the number of secondary school age students to be enrolled in Driver education/behind-the-Wheel training for the current school year (september through august, including summer session). note: the total number of students must not exceed the total number of secondary school age students reported on the school's Psa.
Enter the ENROLLMENT for Driver Education Only (Classroom), Driver Education Only (Non-Classroom), Behind-The-Wheel Only and the Total Number Of Students.
Section 5: Driver education/behind-the-wheel instructors
In Section 5, provide the names of the Driver education/behind-the-Wheel training instructors employed by a secondary school. also provide the names of Driver education/behind-the-Wheel training instructors of the home school or PssP. attach additional sheet(s) if necessary.
An instructor is an employee that performs a service for another, expressed or implied, oral or written, where the employer has the power or right to control and direct the employee in the material details of how the work is to be performed.
If the instructor does not possess a current California teaching credential, the employer must submit two sets of fingerprints of the instructor to Department of Justice for the purpose of obtaining criminal record summary information. for private schools “employment” means the act of engaging the services of a person, who will have contact with pupils, to work in a position at a private school at the elementary or high school level on or after September 30, 1997, on a regular paid full-time basis, regular paid part-time basis or paid full- or part-time seasonal basis pursuant to California Education Code §44327(b)(2).
NOTE: A parent or guardian instructing only their child is exempt from the criminal record summary requirement.
For each INSTRUCTOR enter the Print Name, sign on the Signature line, and check one: Parent Or Guardian, Teaching Credential or Criminal Record Summary.
Section 6: Certification
In Section 6, the signatory must be the owner, officer, administrator or principal of the school.
In Section 6, an instructor, secretary or representative is not an authorized signatory. By signing in Section 6, the signatory certifies (or declares) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Under Section 6: Certification, enter the Printed Name, Title and Date, and sign on the Signature line.
More rules for Form DL 396
Complete appropriate sections. Please print in ink or type.
Common questions about Form DL 396
Where do I file it?
Send the original copy to: Occupational Licensing Section P. O. Box 932342, MS L224, Sacramento, CA 94232-3420.
Sources
[1] Form DL 396 (REV. 4/2010), Authorization/Requisition for Driver Instruction Forms, California Department of Motor Vehicles (the Official source link on this page).