Form Mv 285R PDF Details

The MV-285R form, an essential document administered by the New York State Department of Motor Vehicles, stands as a critical record in the realm of driver education. This comprehensive roster is meticulously designed to encapsulate a wealth of information related to student participation in driver's education courses offered by schools. At its core, the form captures details including the names of schools and contact persons, pertinent dates regarding the course offerings and certificate issuances, and vital contact information, ensuring a structured and formal communication channel between educational institutions and the DMV. Moreover, it lists the students’ names, their dates of birth, client ID numbers when available, and detailed breakdowns of their engagement in various components of the driving course such as laboratory hours, observation, simulation, and classroom instruction, alongside their performance metrics. A unique aspect of this form is its explicit warning against the provision of false information, underscoring the legal accountability associated with the completion and submission of this document. It concludes with sections for the signature of the superintendent or principal and the approved lecture teacher, further establishing its legitimacy and the seriousness with which it is regarded. In essence, the MV-285R form embodies a meticulous approach to documentation and accountability in driver education, facilitating a structured and transparent relationship between schools, students, and the state’s motor vehicle authority.

QuestionAnswer
Form NameForm Mv 285R
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdriver education course mv 285, student certificate of completion mv 285, mv 285, mv 285 driver education certificate online

Form Preview Example

MV-285R (10/12)

 

New York State Department of Motor Vehicles

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STUDENT MV-285 ROSTER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Please Print or Type)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of School

 

 

Contact Person

 

 

 

 

Dates course was offered:

 

 

 

Date certificates were issued:

 

 

 

 

 

 

 

 

 

From:

/

/

To:

/

/

/

/

 

Address (Number and Street)

City

 

State

Zip Code

Telephone Number (include area code)

Signature of Superintendent or Principal

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certificate No.

Duplicate

Certificate No.

and Date Issued

Last Name, First Name, Middle Initial and

Address of Student

Date of Birth

Student’s Client

ID Number

(if available)

Laboratory Hours

Behind the

 

 

Wheel

Observation Simulation

Range

Class Hours

Total

Hours

Numerical Grade

Received

Behind the

Wheel Classroom

To knowingly make a false statement or conceal a material fact in this Student MV-285 Roster is a criminal offense. False statements are punishable under Section 210.45 of the Penal Code.

_____________________________________________________________________________ ____________________/ /

Signature ofApproved MV-283 Lecture Teacher

Instructor Certificate Number

Date

 

 

(If multiple Lecture Teachers are employed, only Lead Teacher Signs)

 

 

Mail completed roster to: NYS Department of Motor Vehicles Utica Processing Center MV-285/MV-278

207 Genesee Street Utica, NY 13501 Telephone (315) 793-2615

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Writing section 1 in mv 262

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Instructor Certificate Number, To knowingly make a false, and Signature of Approved MV Lecture of mv 262

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