"Commercial Driving School Instructor Affidavit Form" - Minnesota

Commercial Driving School Instructor Affidavit Form is a legal document that was released by the Minnesota Department of Public Safety - a government authority operating within Minnesota.

Form Details:

  • Released on August 1, 2016;
  • The latest edition currently provided by the Minnesota Department of Public Safety;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Minnesota Department of Public Safety.

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Download "Commercial Driving School Instructor Affidavit Form" - Minnesota

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MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
C ommercial Dri vi ng S chool Instr uc to r Af fidav it
STATE OF MINNESOTA
]
] SS.
COUNTY OF
]
I,
Instructor Candidate's Full Name
Date of Birth (mm/dd/yyyy)
Having been duly sworn, state under oath that I have not been convicted of any felony or gross misdemeanor
offenses, and I have met the driver instructor qualifications as stated in Minnesota Statute 171.35 and Minnesota
Rules Chapter 7411.
I do swear under penalty of perjury.
Affiant
Subscribed and sworn to before
me this __________ day of _____________ , 20 ______
_________________________________________
Notary Public
Comm er ci al Driv ing S ch ool Affid av it
STATE OF MINNESOTA
]
] SS.
COUNTY OF
]
I,
, of
Authorized Official's Name
having been duly sworn, state under oath that
Driving School Name
I have caused to be conducted a criminal records check by
Name of Source
with respect to
Instructor Candidate's Name
Date of Birth (mm/dd/yyyy)
Based on that check, it is my belief that this individual has not been convicted of any felony or gross misdemeanor offenses and
has met the driver instructor qualifications as stated in Minnesota Statute 171.35 and Minnesota Rules Chapter 7411.
I do swear under penalty of perjury.
Affiant
Instructor Applicant: Present the original to the
Subscribed and sworn to before
Office of Driver Education when you apply for
me this __________ day of _____________ , 20 ______
the instructor’s license. Employer must keep a
_________________________________________
copy in employee’s file.
Notary Public
Rev. 08/2016
Print Form
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
C ommercial Dri vi ng S chool Instr uc to r Af fidav it
STATE OF MINNESOTA
]
] SS.
COUNTY OF
]
I,
Instructor Candidate's Full Name
Date of Birth (mm/dd/yyyy)
Having been duly sworn, state under oath that I have not been convicted of any felony or gross misdemeanor
offenses, and I have met the driver instructor qualifications as stated in Minnesota Statute 171.35 and Minnesota
Rules Chapter 7411.
I do swear under penalty of perjury.
Affiant
Subscribed and sworn to before
me this __________ day of _____________ , 20 ______
_________________________________________
Notary Public
Comm er ci al Driv ing S ch ool Affid av it
STATE OF MINNESOTA
]
] SS.
COUNTY OF
]
I,
, of
Authorized Official's Name
having been duly sworn, state under oath that
Driving School Name
I have caused to be conducted a criminal records check by
Name of Source
with respect to
Instructor Candidate's Name
Date of Birth (mm/dd/yyyy)
Based on that check, it is my belief that this individual has not been convicted of any felony or gross misdemeanor offenses and
has met the driver instructor qualifications as stated in Minnesota Statute 171.35 and Minnesota Rules Chapter 7411.
I do swear under penalty of perjury.
Affiant
Instructor Applicant: Present the original to the
Subscribed and sworn to before
Office of Driver Education when you apply for
me this __________ day of _____________ , 20 ______
the instructor’s license. Employer must keep a
_________________________________________
copy in employee’s file.
Notary Public
Rev. 08/2016