DT Completion

STATE OF CALIFORNIA

DMV

DEPARTMENT OF MOTOR VEHICLES
A Public Service Agency

CERTIFICATE OF COMPLETION OF
BEHIND-THE-WHEEL TRAINING

DMV LICENSED DRIVING SCHOOL

THIS CERTIFICATE MUST BE SIGNED BY THE LICENSED DRIVING SCHOOL
INSTRUCTOR.

PRINT STUDENT'S TRUE FULL NAME (first/middle+last) *

First

Last

BIRTHDATE (mm/dd/yyyy) *

COMPLETION DATE (today mm/dd/yyyy) *

SCHOOL NAME
Good CARma Driving School

DRIVING SCHOOL NUMBER
E-3928

SCHOOL ADDRESS
631 Benson Way, Thousand Oaks 91360

SCHOOL TELEPHONE NUMBER
( 805 ) 370 - 9895

PRINTED NAME OF DE/DT INSTRUCTOR
Colleen Kelly

INSTRUCTOR LICENSE NUMBER
I-3928-002

I certify (or declare) under penalty of perjury under the laws of the State
of California that the foregoing is true and correct. I certify that the
student named above has satisfactorily completed at least six (6) hours
of behind-the-wheel training conducted in conformance with Ss50.45(a),
Chapter 1, Article 2.2, Title 13, California Code of Regulations.

SIGNATURE OF DE/DT INSTRUCTOR
X

TODAY'S DATE (mm/dd/yyyy) *

THIS IS NOT A LICENSE OR A PERMIT TO DRIVE

DL 4000 (NEW 4/2010)

CERTIFICATE NUMBER (alpha-numeric sequence) *

Student's Email *

Third Party Email *

-- PAUSE HERE --

Before continuing, fill out the gold certificate using the above information as the template.

Read and click to acknowledge the following:

Dear Student, Congratulations on completing the Behind the Wheel Driver Training Course required by the Department of Motor Vehicles. This brings you one giant step closer to getting your driver license. *

Do not lose this certificate. Replacement fee is $25.00. Store it with your birth certificate/passport & other important papers. This way, even if you forget where you placed it, Colleen can remind you where to find it. ;) Only your original certificate paper proves to the Department of Motor Vehicles (DMV) that you have officially completed the Driver Training Course. When checking in for the drive test you must bring: (1) Driver Training Completion Certificate (2) Learner’s Permit with additional certificate on 2nd page sign by a parent (3) Vehicle Insurance (4) Vehicle Registration -- You also should bring: (5) Social Security card (6) Original birth certificate or passport Contact me if you have any questions or if I can be of further assistance to you. Remember to notify me with the good news when you pass your drive test. Best of luck! -- Colleen Kelly

Send Now

DMV

CERTIFICATE OF COMPLETION OF​BEHIND-THE-WHEEL TRAINING

-- PAUSE HERE --Before continuing, fill out the gold certificate using the above information as the template.

Read and click to acknowledge the following:

CERTIFICATE OF COMPLETION OF
BEHIND-THE-WHEEL TRAINING

-- PAUSE HERE --

Before continuing, fill out the gold certificate using the above information as the template.