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A Public Service Agency PUBLIC SECONDARY SCHOOL DRIVING SCHOOL CERTIFICATE DL 387 DL 387A DL 388A and DL 118 ORDER FORM Instructions Print clearly in blue or black ink or type. This order form will only be accepted for Public Secondary Schools ordering Certiicate of Completion of Classroom Driver Education DL 387 Certiicate of Completion of Non-Classroom Driver Education DL 387A Certiicate of Completion of Driver Training DL 388A and Student License DL 118. Forms are available at www. dmv. ca.gov/vehindustry/ol/forms/drivered.htm. Order the amount of certiicates needed for a 12-month period. The number of certiicates requested may be reduced based on usage reported on the DL 803. Mail completed order form and any additional forms required to Department of Motor Vehicles Business Licensing Unit P. O. Box 932342 Mail Station L224 Sacramento CA 94232-3420. Please send NUMBER OF CERTS Certiicate of Completion of Classroom Driver Education DL 387 to Student License DL 118 to SCHOOL NAME BUSINESS ADDRESS SCHOOL ID NUMBER CITY STATE ZIP CODE I certify or declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. O. Box 932342 Mail Station L224 Sacramento CA 94232-3420. Please send NUMBER OF CERTS Certiicate of Completion of Classroom Driver Education DL 387 to Student License DL 118 to SCHOOL NAME BUSINESS ADDRESS SCHOOL ID NUMBER CITY STATE ZIP CODE I certify or declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Must be signed by the principal assistant principal or superintendent of the school. An instructor secretary or representative is not authorized to sign. PRINTED NAME TITLE AREA CODE/TELEPHONE NUMBER SIGNATURE DATE X NOTE Allow 4 6 weeks to process your order. Any changes made to this order form for a certiicate not listed below will not be accepted and incomplete order forms will not be illed* To order all other Driving School supplies use order form DL 396A available at www. dmv*ca*gov/vehindustry/ol/forms/drivered*htm* Forms DL 396 and DL 803 must be submitted with this order form* A separate DL 803 is required for each type of certiicate ordered* Additional form OL 804 is required if ordering Student Licenses. Forms are available at www. dmv* ca*gov/vehindustry/ol/forms/drivered*htm* Order the amount of certiicates needed for a 12-month period. The number of certiicates requested may be reduced based on usage reported on the DL 803. Mail completed order form and any additional forms required to Department of Motor Vehicles Business Licensing Unit P. Must be signed by the principal assistant principal or superintendent of the school* An instructor secretary or representative is not authorized to sign* PRINTED NAME TITLE AREA CODE/TELEPHONE NUMBER SIGNATURE DATE X NOTE Allow 4 6 weeks to process your order. Courier Service will deliver all orders. Someone must be present to receive and sign for shipment. DEPARTMENTAL USE ONLY Complete this section when processing Driving School Certiicate orders.

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