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| Question | Answer |
|---|---|
| Form Name | Mv 262 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | mv262 form, mv 262 form, ny dmv mv 262, motor vehicle department mv 262 form |
CERTIFICATION OF SUPERVISED DRIVING
dmv.ny.gov
Driver license applicants who have a junior learner permit (class DJ or MJ) must give this completed certificate to the Motor Vehicle License Examiner at every road test.Applicants must have driven at least 50 hours with supervision, which includes 15 hours after sunset.The number of hours driven with supervision in a certified Driver Education Course is considered part of the required 50 hours and can be certified on the back of this form.
Learner Permit
Applicant Name ___________________________________________________________ID Number ________________________
Address __________________________________________________________________________________________________
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NOTETOTHEPARENTORGUARDIANOFAJUNIORDRIVER:Youcanremovetheconsentyougavewhenthejuniordriver described above submitted an application for a driver permit or driver license. To cancel the junior driver’s class DJ or MJ permit or driver license, complete form
CERTIFICATION
I certify that I am the parent or guardian of the applicant named above. I also certify that the applicant has completed at least 50 hours of supervised driving, including 15 hours after sunset. I understand that some or all of the required supervised driving hours may have been completed with a licensed driving school instructor or driver education teacher, and that these hours may be certified below.Icertifythatanysuperviseddrivinghoursthatwerenotcompletedwithalicenseddrivingschoolinstructorordrivereducation teacher were completed: 1) under the immediate supervision of a person at least 21 years of age who holds a license that is valid in NewYork State to operate the type of vehicle that was used, and 2) in compliance with any regional restrictions applicable to driving with a junior learner permit in that area. I understand that falsifying any information on this certification may be a crime (felony or misdemeanor), punishable by a fine, imprisonment, or both.
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Signature of Parent or Guardian ç |
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The number of hours driven while supervised by a driving school instructor or driver education teacher can be certified in the table below.All information provided in this table must be confirmed by records required according to the regulations of the Department of Motor Vehicles and the State Education Department.Any false statement is a violation of section 392 of the Vehicle and Traffic Law and is a misdemeanor.
Name of School
Driving
School
License
Number
Instructor’s Name
Number
Instructor of
Certificate Hours
Number Certified
Administrator
or Owner
or Instructor’s
Signature