Form Dl-92 - Request For A Parent Taught Driver Education Packet printable pdf download

REQUEST FOR A PARENT TAUGHT

Mail Request Form and Fee To:

License Issuance Bureau

DRIVER EDUCATION PACKET

Texas Department of Public Safety

PO Box 149246

DL-92 (Rev. 9/10)

Austin, TX 78714-9246

Please complete and submit with a $20.00 non-refundable fee (check or money order only) to the address in the top left corner. A separate request form and $20 non-refundable fee are required for each student who will be

participating in the Parent Taught Driver Education Program.

Program Eligibility Requirements

• Student must be 14 years of age prior to beginning the classroom portion, however they may not test for an instruction permit until their 15th birthday and must complete the entire program prior to their 18th birthday.

• Instructor must be the studentʼs parent, step-parent, grandparent, step-grandparent, foster parent or legal guardian appointed by a court of competent jurisdiction. A power of attorney is not legally sufficient.

• The instructor must have a valid driver license for the preceding three years; or if active military personnel or spouse, a valid driver license from state of permanent residency or last duty station for the preceding

three years.

• The instructor cannot have a conviction (including a probated sentence) of criminally negligent homicide or driving while intoxicated. In addition, the instructor must not have had their driving privileges suspended, revoked

or forfeited for traffic related violations in the past three years. It is the responsibility of the instructor to check both their criminal or driver records prior to requesting the packet. The Department will check the instructorʼs

record at the time of processing the studentʼs instruction permit and also at the time of processing the studentʼs provisional driver license. If at that time, it is determined that the instructor does not meet the requirements,

the instruction permit or provisional driver license will be denied and all prior classroom instruction or behind the wheel/in car instruction provided by the ineligible instructor will be invalid.

• The instructor may not be disabled due to mental illness. Questions as to mental stability will be forwarded to the Medical Advisory Board for determination.

The instructor may go to any local Driver License office to have the student apply for the license and take the required test. (Some stations require an appointment for the skills test.)

NOTE: ALL INFORMATION AND REQUIRED FEE MUST BE SUBMITTED BEFORE A PARENT TAUGHT DRIVER EDUCATION PACKET WILL BE MAILED. PLEASE ALLOW 2-3 WEEKS FOR DELIVERY.

Please print or type in black ink. This form is read by machine; please print the numbers and letters as shown below:

Instructorʼs Information (Parent or Legal Guardian). The Parent Taught Driver Education Packet will be mailed to the address below.

First Name

Last Name

Mailing Address

Zip Code

State

City

Daytime Telephone Number (include area code)

Studentʼs Information. Complete the legal name for the student.

First Name

Middle Name