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
REQUIRED: Please attach a copy of your Driver's License to be granted the option of Driver's Safety Course.
REQUIRED: Please attach current insurance card showing you as a listed driver to be granted the option of Driver's Safety Course.
ATTENTION: If your DSC Request is granted, and the DSC AFFIDAVIT & DECLARATION MADE UNDER PENALTY OF PERJURY (as substitution of notarized DSC Affidavit due to COVID-19) is NOT received by the court then your DSC Request will NOT be processed.
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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