If you're a California business owner, you'll need to know about Form Dl 193. This is the form that you use to file your annual report with the state. Knowing what's required on this form and when it's due can help keep your business compliant with state law. In this blog post, we'll provide an overview of what you need to know about Form Dl 193. We'll also provide a link to more information so you can get started filing your annual report today. Thanks for reading!
| Question | Answer |
|---|---|
| Form Name | What Is The Form Dl 193 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | dl 93 form, school enrollment form dl1 93, dl 193, enrollment exclusion form alabama |
ENROLLMENT/EXCLUSION FORM
To Implement Sections
Follow instructions on the back of this form. Print or type all information.
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I. APPLICANT |
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Driver’s License No.: |
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Social Security No.: |
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Sex: |
____________________ |
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Male/Female |
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Legal Name: |
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Date of Birth: |
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________ |
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Last |
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First |
MI |
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MM/DD/YY |
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Address: |
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_______ |
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Street |
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II. ENROLLMENT SCHOOL OR GED OR JOB TRAINING PROGRAM |
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Name: |
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Check one: |
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GED Program |
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(School or in GED or Job Training Program) |
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Job Training Program |
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Address: |
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Secondary Program |
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Total Number of Disciplinary Points imposed in school for a disciplinary action:
Telephone No.: |
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Signature: ___________________________________________ |
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Title: |
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Enter the actual date of compliance or noncompliance in the blank located to the left of the appropriate statement.
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IN COMPLIANCE |
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The applicant: |
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Is enrolled. |
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Date |
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Withdrew due to circumstances |
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beyond his or her control.* |
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Has obtained a GED Certificate. |
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The applicant was previously reported as |
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being noncompliant. As of this date, the |
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student has complied. |
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NOT IN COMPLIANCE |
The applicant: |
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Is not enrolled. |
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Has accumulated more than 10 consecutive |
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or 15 cumulative unexcused absences during |
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a single semester. (Only for students |
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enrolled in secondary school) |
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Is not making satisfactory progress. |
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(Only for GED students) |
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III. EXCLUSION
Enter the actual date in the blank located to the left of the appropriate statement.
The applicant:
Is a parent with the care and custody of a minor or unborn child.
Is the sole source transportation for the parent(s).
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Physician/Health Department
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Street
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Physician’s Signature
Enter the beginning date of employment. |
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Place of Employment |
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The applicant:
Is gainfully and substantially employed.
Defined on the back of this form.
Revised 8/24/2011
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Street
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CityStateZipPhone
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Employer’s Signature
LEGISLATIVE AUTHORITY
“The Department of Public Safety shall deny a driver’s license or a learner’s license for the operation of a motor vehicle to any person under the age of 19 who does not, at the time of application, present a diploma or other certificate of graduation issued to the person from a secondary high school of this state, or any other state, or documentation that the person: (1) is enrol led and making satisfactory progress in a course leading to a general educational development certificate (GED) from a state - approved institution or organization, or has obtained the certificate; (2) is enrolled in a secondary school of this state or any other state; (3) is participating in a job training program approved by the State Superintendent of Education; (4) is gainful ly and substantially employed; (5) is a parent with the care and custody of a minor or unborn child; (6) has a physician certify
that the parents of the person depend on him or her as their sole source of transportation; or (7) is exempted from this requirement due to circumstances beyond his or her control as provided in this chapter.” (Code of Alabama 1975,
GENERAL INFORMATION/INSTRUCTIONS
1.Individuals under the age of 19 applying for, renewing, or seeking reinstatement of a driver’s license or learner’s permit to operate a motor vehicle must present to the area driver’s license examiner a diploma or other certificate of graduation, a
GED Certificate, or an Enrollment/Exclusion Form.
2.Print or type all information.
3.Part I must be completed for all reports. Note: The driver’s license number may not be available. This is the only information in Part I which may be left blank.
4.The attendance officer or chief attendance administrator, upon request, shall provide documentation of enrollment status
(complete Part I and Part II) for any student 15 years of age or older who is properly enrolled in a school under the jurisdiction of the official. The applicant should submit this form to the area Driver’s License Examiner.
5.Whenever a student 17 years of age or older withdraws from school without meeting the exclusionary conditions of this legislation, except that, prior to attaining his or her 16th birthday every child attending a church school as defined in Section
6.Appeals relative to secondary school enrollment status should be filed with the local school principal in accordance with local board of education policies.
7.Exclusion status for individuals claiming an exemption from this legislation should be completed by the designated person as identified in Part III of this form. The applicant is responsible for securing proper documentation for presentation to the Department of Public Safety.
DEFINITIONS
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2.Circumstances beyond the control of
a.Students who are mentally or physically unable to attend school.
b.Students who are regularly and legally employed under the provisions of the Child Labor Law.
c.Students who, because of the distance they reside from school and the lack of public transportation, are compelled to walk more than two miles to attend a public school. (Does not include suspension or expulsion from school or imprisonment.)
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a.Enrolled in a school.
b.Enrolled in a GED program.
c.Enrolled in a job training program approved by the State Superintendent of Education.