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Get WA DLE-520-003 2006

Click here to START or CLEAR then hit the TAB button Driver license/ D card number I Parental Authorization Affidavit This affidavit must be signed by the applicant s parent or legal guardian. In the event the applicant who is still a minor has neither parent nor guardian an employer s signature will be accepted. An employer may not sign if parent or guardian has custody of the applicant. The signature below grants us permission to consider this application* Once granted parent/ guardian/ employer permission cannot be withdrawn* I certify that I am the custodial parent legal guardian employer of Applicant name Last First Middle whose date of birth is and who is applying for Month Day Year Instruction Permit Motorcycle Instruction Permit Motorcycle Endorsement Identification Card Duplicate Driver License or Instruction Permit I certify that the above named individual has had at least fifty hours of driving experience ten of which were at night. A licensed driver with at least five years experience supervised this driving. To the best of my knowledge this applicant has not been issued any traffic infractions or cited for any traffic violations that are pending at the time of this application* I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. State of Washington County of Signed or attested before me on X Signature of notary public or licensing services representative Title My appointment expires DLE-520-003 R/10/10 WEA Parent/Guardian When completed print this out and sign and date here. Signature of parent/ guardian Date State Under the provisions of RCW 46. 20. 0921 of the Washington State Motor Vehicle Laws it is a misdemeanor for any person to use a false or fictitious name in any application or to knowingly conceal a material fact or otherwise commit a fraud in any such application* A violation of this provision of the laws may result in suspension of the driving privilege of those involved* We are committed to providing equal access to our services. The signature below grants us permission to consider this application* Once granted parent/ guardian/ employer permission cannot be withdrawn* I certify that I am the custodial parent legal guardian employer of Applicant name Last First Middle whose date of birth is and who is applying for Month Day Year Instruction Permit Motorcycle Instruction Permit Motorcycle Endorsement Identification Card Duplicate Driver License or Instruction Permit I certify that the above named individual has had at least fifty hours of driving experience ten of which were at night. A licensed driver with at least five years experience supervised this driving. To the best of my knowledge this applicant has not been issued any traffic infractions or cited for any traffic violations that are pending at the time of this application* I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. A licensed driver with at least five years experience supervised this driving. To the best of my knowledge this applicant has not been issued any traffic infractions or cited for any traffic violations that are pending at the time of this application* I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. State of Washington County of Signed or attested before me on X Signature of notary public or licensing services representative Title My appointment expires DLE-520-003 R/10/10 WEA Parent/Guardian When completed print this out and sign and date here. .

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