Form Student Mv 285 PDF Details

The Student MV-285 form serves as an essential document in the administration of driver's education programs, specifically tailored for schools. It is meticulously designed to collect comprehensive details regarding the course offering, including the course duration, information about the school and the contact person, as well as the vital statistics pertaining to the students enrolled. The form records the name, address, date of birth, and client ID number of each student, alongside their performance in different components of the driver's education course such as laboratory hours, behind-the-wheel training, observation and simulation, classroom instruction, and the total hours completed. Additionally, it assesses students' achievements through numerical grades in both practical driving skills and theoretical knowledge. The form requires the authorized signatures of the school's superintendent or principal and the lead lecture teacher, affirming the accuracy and authenticity of the information provided. It carries legal weight, as any attempt to submit false information is a criminal offense under Section 210.45 of the Penal Code, highlighting its significance in maintaining the integrity of driver's education programs. All completed rosters are to be sent to the New York State Department of Motor Vehicles' Utica Processing Center, ensuring a central repository for all related records.

QuestionAnswer
Form NameForm Student Mv 285
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnew york mv 285, mv 285 get, the mv 285, mv 285 roster

Form Preview Example

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

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.

Mail completed roster to:

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)

 

 

NYS Department of Motor Vehicles Utica Processing Center MV-285/MV-278

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

MV-285R (1/16)