This form allows you to make your request for Driver's Safety Course Dismissal, but does not guarantee you that you will be granted this option. Upon completion of this form, you will select Submit and Print, please print, sign and email the Declaration Made Under Penalty of Perjury as substitution of the DSC Affidavit (Due to COVID-19) back to the court and you will have to pay your fee's over the phone with the clerk. Your request will be reviewed by the court and you will be contacted by email or by phone once a determination has been reached on your eligibility. You will also need to attach with your online request, a COPY OF YOUR TEXAS DRIVER'S LICENSE and CURRENT INSURANCE showing you as a listed driver.
When the Judge grants my request for Driver's Safety Course Online, I understand and agree that per the provisions of Article 27.14(c) of the Texas Code of Criminal Procedure that I will be entering a plea of GUILTY or NO CONTEST and WAIVING MY RIGHT TO JURY TRIAL. I further understand and agree that in the event that I fail to comply with the terms of my Driver's Safety Agreement, the Judge will find me guilty of the offense and a conviction will be reported on my driving record with the Department of Public Safety.
Enter additional violations/ citations below.
Please note your violation must be classified as a moving violation. Enter the violation that was issued here. ex: ran stop sign
By checking the "I ACCEPT" box above, I state under oath that on the date of my request for a driving safety course/motorcycle operator training course in the above numbered cause that I was not taking such a course nor had I completed one within the 12 months preceding the date of my current offense that is not known 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).
Again, by checking the "I ACCEPT" box above, I declare under penalty of perjury that my name, date of birth and residence address entered above on this form in the State of Texas are true and correct.
By checking the "I ACCEPT" box above, I am acknowledging that it is my responsibility to email the court a copy of my proof of driver’s license or identification and proof of valid insurance policy which does reflect my name on this policy to email@example.com which I will do so immediately upon submitting this form.
Thank you for your submission.
For additional information, questions or comments, please contact us by: Tel: 469-272-2930 ext. 1041 or Email: firstname.lastname@example.org
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