SF-0259: Tennessee Minor/Teenage Affidavit and Cancellation

After "I am the", enter the Relationship, and enter the Full Name of Applicant after "of".

Enter the Social Security Number and the Date of Birth (Month/Day/Year).

You join in application of said applicant for a Tennessee Driver License / Photo Identification License (Circle One). In the PDF, mark one box.

Any negligence or willful misconduct of the said applicant while operating a motor vehicle prior to his/her eighteenth (18th) birthday shall be imputed to you and you shall be jointly and severally liable for any damages caused by him/her while operating a motor vehicle.

Under Cancellation of Teenage Affidavit, state you signed the application of the Full Name of Applicant, and enter the Social Security, Driver License Number and Date of Birth (Month/Day/Year).

You now desire to be relinquished of all responsibilities and obligations imputed to you, and you shall not be liable for any damages caused by him/her should they operate a motor vehicle. Therefore, you request his/her license be cancelled.

The parent/legal guardian signs on the Affiant's Official Signature line, and enters the Driver License Number, Driver License State and Social Security No.

Under Legal Residence, enter the House, Street, and Apartment Number, the CITY, the STATE and the ZIP CODE.

The NOTARY PUBLIC OR EXAMINER fills in the day of and 20 of "Sworn to, or affirmed, before me and subscribed in my presence".

The NOTARY PUBLIC OR EXAMINER signs on the line and fills in My Commission expires the day of 20.

Affidavit of Applicant: "I CERTIFY THAT I UNDERSTAND TENNESSEE'S FINANCIAL RESPONSIBILITY LAW AS SET FORTH IN TENNESSEE CODE ANNOTATED, TITLE 55 AND I AGREE TO ABIDE BY IT".

If you contribute to a reportable accident you may be required to establish financial responsibility for that accident. If so, you will be required to file an accident report with the Department of Safety and Homeland Security. You will have to do one of these three (3) things when you file your report: (1) show proof you had liability insurance at the time of the accident; (2) obtain notarized releases from all parties that file claims with the department; (3) post cash or corporate security bond with the department for the amount of damages sustained by the other parties.

If you do not comply with one of these requirements you will have your driving and registration privileges revoked.

Officers ask drivers for proof of financial responsibility when they are charged with moving violations or involved in traffic accidents. Proof of financial responsibility is: evidence of liability insurance in effect at the time of the violation or accident; proof the driver has qualified as a self-insurer with the Department of Safety and Homeland Security; or proof the driver has posted a bond with the Department of Safety and Homeland Security.

If convicted of failure to have such proof in the vehicle, the driver may be fined $100.00 and the driver license will be suspended. (checked October 26, 2026)

If you do not turn in a driver license, vehicle license plate, or vehicle registration within 20 days when any is revoked, suspended or canceled, you will owe the department a $75.00 fee in addition to other required reinstatement fees. (checked October 26, 2026)

If your driving privileges are revoked due to a conviction or failure to file security after an accident, in addition to all other requirements, you must have a liability insurance carrier file an SR-22 form with this department before your privileges can be reinstated.