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Driver Safety Course Affidavit


  1. STATE OF TEXAS
    VS
    DEFENDANTS NAME

  2. IN THE MUNICIPAL COURT
    CITY OF WATAUGA
    TARRANT COUNTY, TEXAS


  3. REQUEST FOR A DRIVING SAFETY COURSE


  4. I hereby enter my appearance under Art. 45.0511(b)(1) of the Code of Criminal
    Procedure on the complaint of the offense of


  5. I understand that I have a right to a jury trial. I hereby waive my right to a
    jury trial, plead (guilty)(nolo contendere) and request to take a driver safety
    course.


  6. I understand that I must, within 90 days of this request:


  7. 1. Present to the court a valid Texas Driver's license;

    2. Present to the court proof of financial responsibility (vehicle liability
    insurance);

    3. Present to the court a certified copy of my driving record from the Department of Public Safety;

    4. Take a driver safety course approved by the Texas Education Agency or, if operating a motorcycle, a motorcycle operator's training approved by the DPS;

    5. Present to the court a uniform certificate of driver safety course completion from a Texas Education Agency approved course (or from a DPS
    approved motorcycle course);

    6. Pay court costs and a non-refundable administrative fee of $10.00 fee to the court.


  8. I understand that:


  9. 1. If I complete a driving safety course within 90 days, the charge against me will be dismissed and the court will report to DPS the completion date of the driver safety course for inclusion on my driving record;

    2. If I fail to present to this court proof of completion of the driver safety course within 90 days, the court will require my appearance at a
    show cause hearing;

    3. If I fail to appear at the show cause hearing, the court will impose the fine and may issue a capias pro-fine warrant for my arrest.

    4. I do not hold a comercial drivers license.



  10. AFFIDAVIT


  11. , state under oath that on the date I requested
    to take the driver safety course, I was not in the process of taking a driver
    safety course under Art. 45.0511 of the Code of Criminal Procedure, nor had I
    completed a course under that section that was not yet reflected on my driving
    record as maintained by the Texas DPS.


  12. Sworn and Subscribed before me, on this the ____ day of ____________, 20_____.

    ____________________________________________
    Notary Public In and For The State of Texas

  13. Notary Seal

  14. Leave This Blank: