Driving Safety Course Request

* indicates a required field

I hereby enter my appearance on the complaint of the offense stated above. I understand that I have a right to a jury trial. I elect under Article 45.0511, Code of Criminal Procedure, to take a driving safety course.

ELIGIBILITY

To be eligible for a Driving Safety Course, Statements 1 - 11 must be checked confirming you have read and understand the following statements:

(1) a valid Texas driver’s license or Texas permit, or proof that I am a member, or the spouse or dependent child of a member, of the United States military forces serving on active duty;*

(2) proof of financial responsibility (Insurance) pursuant to Chapter 601, Transportation Code (automobile liability insurance);*

(3) court costs and administrative fee $144 [SCHOOL ZONE $169]; *

(4) complete a driving safety course or motorcycle operator training course as applicable within 90 days;*

(5) submit by the 90th day a Texas State-approved Certificate of Completion;*

(6) not currently be taking such a course or completed one for another ticket within the preceding 12 months from the date of this offense;*

(7) submit by the 90th day a certified copy of my driving record as maintained by the Texas Department of Public Safety;*

(8) if I comply with the court order, the Court will dismiss my case and report to the Texas Department of Public Safety the date that I completed my course for inclusion on my driving record;*

(9) if I fail to submit all the evidence required, I will be notified of a show cause hearing and be required to appear before the Judge to show cause why I did not comply with the Judge's Order;*

(10) the Judge may at the show cause hearing enter a final adjudication against me and require me to pay the fine; *

(11) the failure to appear at the show cause hearing will result in a final adjudication against me, and that I will be required to pay the fine and any additional costs required by law.*

I attest that I am the individual who received the citation referenced above. I have read the document and on the date of this request for a driving safety course/motorcycle training course in the above-numbered cause, I am not taking such a course nor have I completed one within the 12 months preceding the date of this offense and that a driving safety course is not shown on my driving record as maintained by the Texas Department of Public Safety (or as maintained by the state that issued my driver’s license – active military duty personnel only).

Payment Instructions

DO NOT PAY BEFORE YOUR REQUEST HAS BEEN GRANTED. Once your request has been granted by the Court, you will receive a copy of the Order in the manner in which it is received; i.e., email or mail.

Note: If you do not have a valid Texas Driver's License or permit and are a member, or spouse or dependent child of a member of the United States military forces serving on active duty, upload proof here.

Defendant Signature