Form MV-262 at a glance
What it is: Form MV-262 (3/25) is the Certification of Supervised Driving.
Who signs: Enter the Printed Name, the Signature and the Date of the Parent/Guardian or Representative of a Government Agency/Facility.
What to bring and attach to Form MV-262
For Your Road Test: Bring your original Pre-Licensing Course Certificate (MV-278) or Student Certificate of Completion (MV-285). Copies are not acceptable. Bring your completed Certification of Supervised Driving (MV-262), if you are under age 18, completed by your parent or guardian. Bring a driver over the age of 18 (if driving the vehicle to the test site) or over the age of 21 (if accompanying the permit-holder to the test site). In either situation, the other driver must have a physical driver's license that is valid to operate the test vehicle. Bring a vehicle to drive during the test that has a valid registration and inspection, operates properly, and is in clean condition. If driving a rental vehicle, you must provide the rental agreement and written permission authorizing use of the vehicle for the road test. Only the accompanying driver of the vehicle is allowed at the road test site (no other passengers are allowed). Bring your photo learner permit. If you have an interim or temporary learner permit without a photo, you must also show a NYS photo driver license or a NYS non-driver photo ID card. Photo documents from other states are not acceptable.
A filled-in Form MV-262 example: a parent certifies supervised driving
How to fill out Form MV-262, box by box
Applicant Name, Learner Permit ID Number and Address
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. Enter the Applicant Name, the Learner Permit ID Number and the Address.
Printed Name, Signature and Date of Parent/Guardian or Representative of a Government Agency/Facility
You certify that you are the parent/guardian or representative of a government agency or facility. You also certify that the applicant has completed at least 50 hours of supervised driving, including 15 hours after sunset. Some or all of the required supervised driving hours may have been completed with a licensed driving school instructor or driver education teacher, and these hours may be certified. Any supervised driving hours that were not completed with a licensed driving school instructor or driver education 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 New York 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. Falsifying any information on this certification may be a crime (felony or misdemeanor), punishable by a fine, imprisonment, or both.
Enter the Printed Name, the Signature and the Date of the Parent/Guardian or Representative of a Government Agency/Facility.
Name of Government Facility (if applicable)
Enter the Name of Government Facility (if applicable).
Table of Name of School, Driving School License Number, Instructor's Name, Instructor Certificate Number and Number of Hours Certified
The number of hours driven while supervised by a driving school instructor or driver education teacher can be certified in the table. All information provided in the 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.
Enter the Name of School, Driving School License Number, Instructor's Name, Instructor Certificate Number and Number of Hours Certified.
Enter the Administrator or Owner or Instructor's Signature.
More rules for Form MV-262
The parent or guardian of a junior driver can remove the consent they gave when the junior driver 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 MV-1W (Withdrawal of Consent) and submit the form to DMV.
Sources
[1] Form MV-262 (3/25), Certification of Supervised Driving, New York State Department of Motor Vehicles (the Official source link on this page).
