Form BMV 5791 at a glance
What it is: Fifty Hour Affidavit of the Ohio Department of Public Safety, Bureau of Motor Vehicles.
Who signs: The eligible adult signs on Signature of Eligible Adult before a Notary Public, who signs on Signature of Notary Public. For Name of Eligible Adult*, if the temporary permit holder identified is applying for a limited term Non-Renewable and Non-Transferrable Driver License, the eligible adult who supervises the permit holder's driving experience must have a valid Ohio Driver License and be the same adult who completes this attestation.
Notary: The Notary Public signs on Signature of Notary Public and enters My commission expires, with the (Notary Seal).
A filled-in Form BMV 5791 example: a parent attests to a permit holder's fifty hours

How to fill out Form BMV 5791, box by box
Temporary permit holder
Eligible adult
Signing before a notary public

The eligible adult personally appears before the Notary Public and attests that the temporary permit holder has truthfully recorded in the Supervised Driving Log section the completion of at least fifty (50) hours of actual driving experience. This includes ten (10) hours of driving experience accumulated during nighttime hours, defined as the period commencing one-half hour after sunset and concluding one-half hour before the following sunrise. An eligible adult is either the parent, guardian, or custodian of the applicant or a person over the age of twenty-one who acts in loco parentis of the applicant.
Sign on the line marked Signature of Eligible Adult.
The Notary Public enters the day, the 20 and the County in Sworn to and subscribed in my presence, and the State of.
The Notary Public signs on Signature of Notary Public and enters My commission expires, with the (Notary Seal).
More rules for Form BMV 5791
In the Supervised Driving Log, enter the DATE, Supervising Licensed Driver Name, Supervising Adult Ohio Driver License #, Start & End Time Include AM or PM, Total Day Time and Total Night Time in Hours and Minutes.
Minimum of 50 hours of required supervised driving. 40 hours of day time driving and 10 hours of night time.
Supervised driving hours may be documented manually by filling in the log included or by using the RoadReady Ohio App.
Common questions about Form BMV 5791
Is there a penalty?
Falsifying an affidavit is punishable by fine and/or imprisonment (Ohio Revised Code Section 2921.21 and 4507.21).
Sources
[1] Form BMV 5791 (9/25), Fifty Hour Affidavit, Ohio Department of Public Safety, Bureau of Motor Vehicles (the Official source link on this page).


