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Get TX DPS CDD-104 2012

The student presents the completed form to DPS. DO NOT provide this VOE to the Texas Education Agency TEA. 01 2. ANY MISREPRESENTATION BY THE APPLICANT OR PERSON ISSUING THE FORM MAY RESULT IN DENIAL OF AN APPLICATION FOR A TEXAS DRIVER S LICENSE AND/OR CRIMINAL PROSECUTION. VOE Rev 07-2012. A student is not required to sign in the presence of the person certifying attendance. The signature of the student can be placed on the form before or as it is presented to DPS. THE VOE IS A GOVERNMENT RECORD AS DEFINED UNDER TEXAS PENAL CODE 37. School Name/Home School Verification of Enrollment and Attendance VOE Form County-District-Campus No. If Applicable Planned Use of Data To provide documentation of enrollment and attendance status to the Texas Department of Public Safety DPS for a student applying for a learner s license and/or a license to operate a motor vehicle. For students in grades 9-12 absences may be aggregated on the basis of a scholastic semester traditional condensed accelerated block etc.. VOE Eligibility 1 The school considers the student currently enrolled at the time the student applies for the VOE and 2 the school awarded the student credit for each class the semester prior to application for the VOE. If the student was not awarded credit for each class the semester prior to application for the VOE the school should examine attendance records for the semester prior to application for the VOE and determine whether the student was present 90 of the time each class was offered. If so the VOE may be issued. If the student did not receive credit and did not attend 90 of their classes the school attendance committee and/or administration may approve a plan establishing conditions for the student to meet in order to receive a VOE. A student must meet one of the following requirements to receive a VOE. The individual certifying attendance verifies on behalf of the school program or institution the following as true and correct by marking the appropriate box and affixing a legal signature to this form. Entities may personalize and/or develop their own VOE provided all pertinent information contained on this form is incorporated. Public charter home or private schools The public charter home or private school should mark this box and issue the form to any student who is currently enrolled AND either 1 met minimum attendance for class credit 90 Percent Rule in each class they were enrolled in semester 2 received credit for all courses taken in the previous semester OR 3 has complied with the conditions established by the school to receive this VOE form. GED programs GED programs mark this box and issue the VOE to any student who 1 is currently enrolled 2 has been enrolled in the program for a minimum of 45 calendar days and 3 is meeting the attendance requirements prescribed by the GED program. Institutions of higher education Institutions mark this box and issue the form to students who have not obtained a diploma or its equivalent but are enrolled and attending as prescribed by the institution. Note Institutions can issue a letter signed by an official of the institution stating that 1 the student is currently enrolled and 2 the student is meeting the institution s attendance requirements instead of issuance of this form. Typed or Printed Name of Student Administrator/Designee Date Area Code Telephone Student Signature Issuance Date / Month Day Year Parental/Guardian Permission I grant my permission for the Texas Department of Public Safety 1 to access my child s school enrollment records and 2 for a school administrator or law enforcement officer to notify DPS in the event that my child has been absent from school for a at least 20 consecutive instructional days. VOE Eligibility 1 The school considers the student currently enrolled at the time the student applies for the VOE and 2 the school awarded the student credit for each class the semester prior to application for the VOE. If the student was not awarded credit for each class the semester prior to application for the VOE the school should examine attendance records for the semester prior to application for the VOE and determine whether the student was present 90 of the time each class was offered. If so the VOE may be issued. If the student did not receive credit and did not attend 90 of their classes the school attendance committee and/or administration may approve a plan establishing conditions for the student to meet in order to receive a VOE. A student must meet one of the following requirements to receive a VOE. The individual certifying attendance verifies on behalf of the school program or institution the following as true and correct by marking the appropriate box and affixing a legal signature to this form. Entities may personalize and/or develop their own VOE provided all pertinent information contained on this form is incorporated. Public charter home or private schools The public charter home or private school should mark this box and issue the form to any student who is currently enrolled AND either 1 met minimum attendance for class credit 90 Percent Rule in each class they were enrolled in semester 2 received credit for all courses taken in the previous semester OR 3 has complied with the conditions established by the school to receive this VOE form. GED programs GED programs mark this box and issue the VOE to any student who 1 is currently enrolled 2 has been enrolled in the program for a minimum of 45 calendar days and 3 is meeting the attendance requirements prescribed by the GED program. Institutions of higher education Institutions mark this box and issue the form to students who have not obtained a diploma or its equivalent but are enrolled and attending as prescribed by the institution. Note Institutions can issue a letter signed by an official of the institution stating that 1 the student is currently enrolled and 2 the student is meeting the institution s attendance requirements instead of issuance of this form. Typed or Printed Name of Student Administrator/Designee Date Area Code Telephone Student Signature Issuance Date / Month Day Year Parental/Guardian Permission I grant my permission for the Texas Department of Public Safety 1 to access my child s school enrollment records and 2 for a school administrator or law enforcement officer to notify DPS in the event that my child has been absent from school for a at least 20 consecutive instructional days. Expiration Any VOE issued during the school year traditional year round etc. expires 30 days after issuance. .

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