Form DTP-424 "Certification of Driving School Instructor Test Results" - New York

What Is Form DTP-424?

This is a legal form that was released by the New York State Department of Motor Vehicles - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2015;
  • The latest edition provided by the New York State Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DTP-424 by clicking the link below or browse more documents and templates provided by the New York State Department of Motor Vehicles.

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Download Form DTP-424 "Certification of Driving School Instructor Test Results" - New York

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Bureau of Driver Training Programs
CERTIFICATION OF DRIVING SCHOOL INSTRUCTOR TEST RESULTS
Driving School Name:
Address:
I certify that
, whose driver license number is
(Print Applicant’s Name)
has completed the Driving School Instructor Testing as indicated below:
(Applicant’s Driver License Number)
RESULTS OF EXAMINATIONS (Pass/Fail)
(indicate all tests and all results)
INITIALS
of Instructor
Instructor’s
Examination
Date
Result
Administering Test
Certificate Number
st
1
Written:
Pass
Fail
nd
2
Written:
Pass
Fail
st
1
Road Sign:
Pass
Fail
nd
2
Road Sign:
Pass
Fail
*
Pass
Fail
BTW Road Test
*Only one road test per application per vehicle type.
Submit originals of all test documents along with this form.
X
(Signature of Applicant)
(Date)
The test(s) were administered in accordance with the rules, regulations, and procedures of the Department of Motor
Vehicles by
,
(Print Name of Instructor)
who is employed by the driving school named above.
I have reviewed the instructor applicant’s driving record and find that s/he has at least two years of recent licensed experience.
If the applicant holds an out-of-state license, please attach a certified abstract of the driver license record.
X
(Signature of Self-Certified Instructor)
(Date)
X
(Signature of School Owner or Authorized Official)
(Date)
Telephone Number of School Owner/Authorized Official: (
)
ext.
NOTE: Part 76.23(a)(5) of Commissioner Regulations authorizes the Department of Motor Vehicles to suspend or
revoke a driving school license for “the failure of the licensee or any partner, officer, agent or employee
of the licensee to conduct the prescribed tests for instructor applicants in the manner authorized by this
department and/or the failure of the licensee or any partner, officer, agent or employee of the licensee to
conduct the 30-hour course to instructor applicants according to the curriculum supplied by this
department and/or for the number of hours required by this department and this Part”.
dmv.ny.gov
DTP-424 (2/15)
Bureau of Driver Training Programs
CERTIFICATION OF DRIVING SCHOOL INSTRUCTOR TEST RESULTS
Driving School Name:
Address:
I certify that
, whose driver license number is
(Print Applicant’s Name)
has completed the Driving School Instructor Testing as indicated below:
(Applicant’s Driver License Number)
RESULTS OF EXAMINATIONS (Pass/Fail)
(indicate all tests and all results)
INITIALS
of Instructor
Instructor’s
Examination
Date
Result
Administering Test
Certificate Number
st
1
Written:
Pass
Fail
nd
2
Written:
Pass
Fail
st
1
Road Sign:
Pass
Fail
nd
2
Road Sign:
Pass
Fail
*
Pass
Fail
BTW Road Test
*Only one road test per application per vehicle type.
Submit originals of all test documents along with this form.
X
(Signature of Applicant)
(Date)
The test(s) were administered in accordance with the rules, regulations, and procedures of the Department of Motor
Vehicles by
,
(Print Name of Instructor)
who is employed by the driving school named above.
I have reviewed the instructor applicant’s driving record and find that s/he has at least two years of recent licensed experience.
If the applicant holds an out-of-state license, please attach a certified abstract of the driver license record.
X
(Signature of Self-Certified Instructor)
(Date)
X
(Signature of School Owner or Authorized Official)
(Date)
Telephone Number of School Owner/Authorized Official: (
)
ext.
NOTE: Part 76.23(a)(5) of Commissioner Regulations authorizes the Department of Motor Vehicles to suspend or
revoke a driving school license for “the failure of the licensee or any partner, officer, agent or employee
of the licensee to conduct the prescribed tests for instructor applicants in the manner authorized by this
department and/or the failure of the licensee or any partner, officer, agent or employee of the licensee to
conduct the 30-hour course to instructor applicants according to the curriculum supplied by this
department and/or for the number of hours required by this department and this Part”.
dmv.ny.gov
DTP-424 (2/15)