Parent Consent For A Driver Application Of A Minor

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STATE OF FLORIDA
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
PARENT CONSENT FOR A DRIVER APPLICATION OF A MINOR
I/We do hereby consent that________________________________________________, a minor,
Last
First
Middle
date of birth
________
has driven a minimum of 50 hours during the past twelve
months, of which 10 hours of driving were at night.
______________________________________
______________________________________
Parent or Guardian Signature
Parent or Guardian Name (Printed)
State of Florida:
State of Florida:
County of ___________________
County of ___________________
_______________________
Sworn and subscribed by me this
Sworn and subscribed by me this
Parent or Guardian I.D.
____day of________,20____
____day of________,20____
_______________________
I.D.#
AFFIX
NOTARY PUBLIC OR
AFFIX
NOTARY PUBLIC OR
SEALS
D.L. EXAMINER
SEALS
D.L. EXAMINER
Drug and Alcohol Education Course Completed on __________________________ (Examiner completes)
INSTRUCTIONS:
1. One parent or guardian must sign this form.
2. All signatures must be notarized, or witnessed by an examiner.
3. This form, social security card if you have been issued one, and birth certificate must be
presented to driver licenses office by all customers under 18, unless married.

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