MV-278 Form PDF Details

The MV-278 form is a critical document for commercial pre-licensing course providers in the realm of driver education and licensing. It serves as an order form for Pre-licensing Course Completion Certificates, which are mandatory for aspiring drivers in the process of obtaining their licenses. This form, maintained by the New York State Department of Motor Vehicles (DMV), requires providers to fill out their business information, including the business name, mailing address, and contact details, all in blue ink to ensure clear and legible submissions. Additionally, providers are tasked with specifying the number of certificate books they are ordering, with each book containing 50 individual certificates. The process stipulates a no-tolerance policy towards partial payments, mandating that the full payment, calculated based on the number of books ordered at $50 each, be included with the Submission. This payment must be made via a check or money order, payable to the Commissioner of Motor Vehicles, underscoring the formal and regulated nature of this transaction. Moreover, the form comprises a certification section where providers must affirm the completion and submission of required class rosters to their local Testing and Investigation Unit, confirming the issuance of certificates since their last order. It is imperative to note the stringent warning against the provision of false information, which could lead to criminal prosecution. The document emphasizes the importance of compliance, accuracy, and honesty in its completion and submission, which, in turn, plays a fundamental role in the overarching framework of motor vehicle licensing and safety.

QuestionAnswer
Form Name MV-278 Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names pre licensing course certificate online, pre licensing course mv 278 online, pre licensing course certificate, where is the certificate number on pre licensing course

Form Preview Example

MV-278/PRE-LICENSING COURSE COMPLETION CERTIFICATE ORDER FORM

FOR COMMERCIAL PRE-LICENSING COURSE PROVIDERS

dmv.ny.gov

PLEASEPRINT CLEARLYINBLUE INK.

PROVIDER INFORMATION

Business Name

MailingAddress (Street and Number)

 

Room Number

 

 

 

City

State

Zip Code

*Authorized Signature (Required, in blue ink)

X

Print Name andTitle

Business Phone

E-MailAddress

*The requester’s name and signature must be listed on theAuthorized Signature List (MV-278.6) for this school.

ORDER INFORMATION

Each book contains 50 certificates (MV-278). Specify the number of books you are ordering and the payment amount included:

________ Books of Certificates @ $50 each = $ 0

Payment must be made in full (no partial payment will be accepted) and included with this form.

Payment must be made by check or money order payable to the “Commissioner of Motor Vehicles”.

DO NOT SEND CASH.

CERTIFICATION

IunderstandthatIamrequiredtosubmitcompletedrosterstomylocalTestingandInvestigationUnit.Icertifythat:

·IhavesubmittedcompletedrosterstotheTestingandInvestigationUnitidentifiedbelow;

·sincemylastorder,IhavesubmittedtothatUnitcompletedrosterswiththedaterangeprovidedbelow;

·sincemylastorder,myschoolissuedthenumberofPre-licensingCourseCompletionCertificates(MV-278)providedbelow;and,

·IamauthorizedtoorderPre-licensingCourseCompletionCertificates.

IcertifythattheinformationIhaveprovidedonthisformistrueandcompletetothebestofmyknowledge.

WARNING: Intentionally making a false statement or providing false or misleading information in connection with this applicationisacriminaloffensethatmaysubjectyoutocriminalprosecutionundertheLaw.

Testing and Investigation Unit: _______________________________________________________________________

Number of Certificates Issued: ___________ Date Range: ___________________________________________

*Authorized Signature (in blue ink): X _________________________________________________________________

CLEAR FORM

MV-278.8 CDS (9/20)

SEND COMPLETED FORMAND PAYMENT TO:

NYS DEPARTMENT OF MOTOR VEHICLES

PRE-LICENSING PROGRAM

207 GENESEE STREET, SUITE 6

UTICA, NY13501

A$35.00 FEE WILL BE CHARGED FOR EACH DISHONORED CHECK

PAGE 1 OF 2

INSTRUCTIONS

1.Complete this order form. Allow 2 – 3 weeks for processing and delivery time.

2.Enclose a check or money order for the appropriate fee, payable to the “Commissioner of Motor Vehicles”.

DO NOT SEND CASH.

A$35 fee will be charged for each dishonored check.

The account holder’s name must be preprinted on the check. “Starter checks” will not be accepted.

3.Send the completed order form and payment to:

NYS DEPARTMENT OF MOTOR VEHICLES PRE-LICENSING PROGRAM

207 GENESEE STREET, SUITE 6 UTICA, NY13501

4.Return class rosters for the MV-278 certificates issued by your organization since your last order to your localTesting and Investigation Unit. Future order quantities will be evaluated based on completed and submitted rosters (see “Certification”onorderform). Ifthatquantityisdifferentthanthatrecordedinyourinitialnotification,DMVwillcontactyou.

5.If you have any questions, or would like additional information, contact your local DMVcall center at 1-518-486-9786 or 1-800-698-2931.

ORDERS WILL BE REJECTED IFANY OF THE FOLLOWINGAPPLY:

uTherequestorisnotlistedontheAuthorizedSignature List (MV-278.6) for the pre-licensing course provider.

uThe number of books requested exceeds the maximum number authorized.

uClass rosters were not submitted to your local Testing and Investigation Unit.

uAn incorrect fee was submitted.

uThe payment method is not in the form of a check or money order.

uThe pre-licensing course provider has been reported as being in “bad check” status. The order cannot be filled until the bad check has been satisfied and the civil penalty has been paid.

uThe payment method is not a certified check or money order for those providers that have restricted payment options due to a previous “bad check” status.

uOrders may be delayed or rejected if the form is not signed in blue ink as instructed on page 1.

MV-278.8 CDS (9/20)

PAGE 2 OF 2

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