Follow the steps to fill out the certification packet correctly online.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. In Part A, select the classification(s) for which you are applying by checking the appropriate box, including options for Adult, Teen, or Truck instruction.
3. Provide your personal details in Part B, including your preferred name, full name, home address, date of birth, driver's license number, and contact information.
4. In Part C, answer if you have previously applied for a driver education instructor certificate and, if applicable, indicate the outcome in the stipulation section.
5. Proceed to Part D and certify that all information provided is correct, understanding the implications of misleading statements.
6. Complete the Medical Examination Report, ensuring it is signed by a licensed physician and submitted within the 90-day window as required.
7. Fill out the Live Scan Fingerprint Background Check form, providing all necessary personal details and signing the consent section.
8. Review all entered information for accuracy before submission and save any changes made to the form.
9. Finalize your application by downloading, printing, or sharing the completed form as needed.

Ensure your application is completed accurately by following these steps and submit your forms online.