Get NC DL-4B 2011-2023

Form DL 4B 09/2011 DRIVING LOG TO ADVANCE TO N.C. LEVEL 3 FULL PROVISIONAL DRIVER LICENSE REQUIREMENTS Complete a minimum of 12 hours of driving. At least 6 of the 12 hours must be at night. The log must be signed by a supervising driver and turned in to DMV upon application for the Level 3 driver license. A supervising driver must be a parent grandparent or guardian of the license holder or a responsible person approved by the parent or guardian and must be a licensed driver who has been licensed for at least five years. Note A limited provisional level 2 license allows the license holder to drive without supervision a from 5 00 a*m* to 9 00 p*m* b when driving directly to or from work and c when driving directly to or from an activity of a volunteer fire department volunteer rescue squad or volunteer emergency medical service if the driver is a member of the organization* Customer Name Customer s DL Number Please Print Name I do certify that the information on this form is true and accurate and is Print Supervising Driver s Name in accordance with N*C. G*S* 20 11 f Supervising Driver s Signature / Date Notice If the Division has cause to believe that a driving log has been falsified the limited provisional licensee shall be required to complete a new driving log with the same requirements and shall not be eligible to obtain a full provisional license for six months. TIME OF DAY DATE AMOUNT OF DRIVING TIME E*G* HOURS NIGHT SUPERVISING DRIVER S PRINTED NAME for times requiring supervision DRIVER S DL Number and State Total Day Hours Driven Total Night Hours Driven 1 of 1 Grand Total. At least 6 of the 12 hours must be at night. The log must be signed by a supervising driver and turned in to DMV upon application for the Level 3 driver license. A supervising driver must be a parent grandparent or guardian of the license holder or a responsible person approved by the parent or guardian and must be a licensed driver who has been licensed for at least five years. A supervising driver must be a parent grandparent or guardian of the license holder or a responsible person approved by the parent or guardian and must be a licensed driver who has been licensed for at least five years. Note A limited provisional level 2 license allows the license holder to drive without supervision a from 5 00 a*m* to 9 00 p*m* b when driving directly to or from work and c when driving directly to or from an activity of a volunteer fire department volunteer rescue squad or volunteer emergency medical service if the driver is a member of the organization* Customer Name Customer s DL Number Please Print Name I do certify that the information on this form is true and accurate and is Print Supervising Driver s Name in accordance with N*C. Note A limited provisional level 2 license allows the license holder to drive without supervision a from 5 00 a*m* to 9 00 p*m* b when driving directly to or from work and c when driving directly to or from an activity of a volunteer fire department volunteer rescue squad or volunteer emergency medical service if the driver is a member of the organization* Customer Name Customer s DL Number Please Print Name I do certify that the information on this form is true and accurate and is Print Supervising Driver s Name in accordance with N*C. G*S* 20 11 f Supervising Driver s Signature / Date Notice If the Division has cause to believe that a driving log has been falsified the limited provisional licensee shall be required to complete a new driving log with the same requirements and shall not be eligible to obtain a full provisional license for six months. .