Parent/guardian Permission Form To Issue 180-Day Driver'S License
Download a blank fillable Parent/guardian Permission Form To Issue 180-Day Driver'S License in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Parent/guardian Permission Form To Issue 180-Day Driver'S License with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Virginia Department of Education
PPF-08
Parent/Guardian Form Granting the School Permission to Issue Their Child a
180-Day Temporary Driver’s License
Student’s Legal Name
(Last)
(First)
(Middle)
Date of Birth
Student’s Learner’s Permit Number
Is the student’s learner’s permit address correct?
Parent/Guardian’s Daytime Phone Number
Yes ______ No ______
(
)
Number of months student has held a Virginia learner’s permit __________
Earliest date student is eligible for a 180-day
Date learner’s permit was issued
Number of months student has held an out-of-state learner’s permit _________
temporary driver’s license: ____________
_______________
Learner’s permit expiration date for student holding an immigrant or nonimmigrant visa ____________. (Note: If no expiration date on visa, permit is valid for 1 year.)
Parent Permission to Issue 180-Day Driver’s License
I certify that my child is mentally, physically, and otherwise able to operate a motor vehicle safely. I authorize issuance of a 180-day temporary
driver’s license and certify that the student is attending school regularly and is in good standing. If the student is not in good standing, I understand
the Commonwealth’s interest in regular school attendance and good academic standing and still authorize issuance of a Virginia driver’s license.
______________________________________________
Parent or Guardian’s Signature
Date
At this time, I do NOT authorize the school to issue my child a 180-day temporary license (TDL-180). I understand the TDL-180 will be kept in
the student’s file until the school receives further direction from a parent or legal guardian.
_______________________________________________
Parent or Guardian’s Signature
Date
Note: A parent/guardian may cancel a minor’s driver’s license at any time.
Has this student ever been found “not innocent” and received a driver’s licensing sanction in a Juvenile and Domestic Relations Court in this state or another state?
___
___
Yes
No
If yes, the date student will be eligible for a driver’s license is: _____________________
I understand that a provisional driver’s license shall not authorize its holder to operate a motor vehicle with more than one non-family passenger less than 18 years old
until the holder has held a provisional license for one year, and no more than three non-family passengers less than 18 years old until the licensee turns 18. Drivers
younger than 18 shall not operate a vehicle on the highways of the Commonwealth between the hours of midnight and 4 a.m. except when driving (i) to or from work;
(ii) to or from a school-sponsored activity; (iii) when accompanied by a parent or person in loco parentis, or by a spouse who is 18 years old or older; or (iv) in cases of
emergency. The holder of a provisional driver's license less than 18 years old, shall not operate a motor vehicle on the highways of the Commonwealth while using any
cellular telephone or any other wireless telecommunications device, regardless of whether such device is or is not hand-held.
It is illegal for anyone to give false information in connection with obtaining a driver’s license. I certify that the statements made and the information submitted by me
regarding this certification are true and correct.
__________________________________________________
_____________________________________________
Student’s Signature
Date
Parent or Guardian’s Signature
Date
Please review the following carefully.
1.
Successful completion of a state-approved driver education program does not imply that your child is an experienced driver.
2.
Parents or guardians must also sign the student’s 180-day temporary license (TDL-180) and provide their DMV-issued driver’s license or ID
number.
3.
Parents should contact their insurance company/insurance agent to discuss the addition of a new driver in the family.
4.
When operating a motor vehicle, young drivers should have in their possession a valid Virginia learner’s permit, a valid 180-day temporary
driver’s license, the vehicle’s registration card, and insurance information.
5.
Upon successful completion of a state-approved driver education program that includes a road skills evaluation, and with parent/guardian
approval, the school will issue your child a 180-day temporary license and send a copy to DMV. DMV will process and send your child’s
provisional driver’s license to your local Juvenile and Domestic Relations Court. The Court will then notify you by mail as to when you and your
child are scheduled to attend a juvenile licensing ceremony. Please contact DMV at 1-866-368-5463 if you do not receive notification from your
local Juvenile and Domestic Relations Court within 120 days from the 180-day validation date on the temporary driver’s license.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Ds92-95 - Affidavit Of Parents/guardian And Employer Of 15-year-old Driver's License Applicant Under Mississippi's Hardship Law
Legal
Form Dl-901 - Non-commercial Driver's License / Identification Card / Learner's Permit Application To Renew / Replace / Change / Correct
Legal
Related Categories
Parent category: Legal