2. Driver's Safety Course

   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. Your request will be reviewed by Clerk of the Court staff and you will be contacted by email or by phone once a determination has been reached on your eligibility. If you are granted Driver's Safety Course, a DSC Affidavit will be emailed to you along with your payment requirements. You will have to sign and email the DSC Affidavit back to the court and pay the DSC fee. You will also need to upload a COPY OF YOUR CURRENT TEXAS DRIVER'S LICENSE and CURRENT VALID INSURANCE showing you as a listed driver with your online request.

4. First Name*
5. Last Name*
7. Address1*
9. City*
10. State*
11. Zip*
13. Date of Birth*
14. Phone Number*
15. Email Address*
17. Citation Number*
18. Issue Date*
19. Violation*
    Please enter what your citation was for:
21. DRIVER'S LICENSE UPLOAD*
    You must attach a scanned copy of your Driver's License and Current Proof of Insurance for you to be granted the option of Driver's Safety Course.
22. INSURANCE CARD UPLOAD
    You must attach a scanned copy of your Driver's License and Current Proof of Insurance for you to be granted the option of Driver's Safety Course.
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit Submit and Print

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