Affidavit for Defensive Driving/Driver's Safety
This affidavit is used for requesting permission to take a Defensive
Driving/Driver's Safety course or Motorcycle Operator's Training Course, if
applicable.
AFFIDAVIT
I SWEAR OR AFFIRM THAT:
- I have a valid non-commercial Texas driver's license or permit,
- I have proof of a valid vehicle insurance policy or proof of financial responsibility,
listing me as a covered driver,
- I am not in the process of taking a Driver
Safety Course or Motorcycle Operator's Training Course, if applicable, (Under Section
45.0511 CCP) and I have not completed a Driver Safety Course or Motorcycle
Operator's Training Course, as applicable, that is not shown on my driving
record within the last 12 months preceding the date of the offense.
I WAIVE MY RIGHT TO TRIAL BY JUDGE OR JURY, enter a plea of NO CONTEST, and understand that I have 90 DAYS from the date of this affidavit to take an approved course and
submit the certificate of completion along with a copy of my driving record to
the Court. I understand that failure to return the proof of Driver Safety
Course (or Motorcycle Operator's Training Course where applicable) completion
and a copy of my driving record WITHIN 90 DAYS from the date of this affidavit,
may result in an appearance before a judge to show cause for not complying with
terms of this deferral.Your
name: __________________________________________________________
Print your name as it appears on your driver's license
VIOLATION
TO BE DISMISSED ________________________________________________
Indicate the moving violation that you want dismissed by taking DSC or MOTC
YOUR SIGNATURE or Attorney Signature: ______________________________ ADDRESS: _______________________________________________________
CITY: _____________________________STATE: ______ZIP: ______________
Sworn to and subscribed
before me on this the ______day of ________________________, 20__________
Notary Public of the State of Texas: _____________________________________
Deputy Court Clerk
Austin Municipal Court: ______________________________________________
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