Form CLK/CT901 "School Election Form" - Miami-Dade County, Florida

What Is Form CLK/CT901?

This is a legal form that was released by the County Clerk's of the Courts Office - Miami-Dade County, Florida - a government authority operating within Florida. The form may be used strictly within Miami-Dade County. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2011;
  • The latest edition provided by the County Clerk's of the Courts Office - Miami-Dade County, Florida;
  • 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 printable version of Form CLK/CT901 by clicking the link below or browse more documents and templates provided by the County Clerk's of the Courts Office - Miami-Dade County, Florida.

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Download Form CLK/CT901 "School Election Form" - Miami-Dade County, Florida

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SCHOOL ELECTION FORM
CITATION NUMBER(S)
LAST NAME
FIRST NAME
MIDDLE NAME
DRIVER’S LICENSE NUMBER
DATE OF BIRTH
(CHECK EITHER BOX A, B or C)
A.
I am eligible and elect to attend a four (4) hour basis traffic course, pursuant to section 318.14(9) Florida
Statutes, because I have not elected to attend such a course within the past twelve (12) month, or five (5) times
in my lifetime,
do not hold a commercial driver’s license (CDL) and was not charged with a toll violation or red
light violation issued by a camera.
B.
I am eligible and elect to attend an eight (8) hour intermediate driver improvement course, pursuant to
Administrative Order No. 99-14. I am no longer eligible to attend the four (4) hour course, and I have never
before elected to attend the eight (8) hour course.
C.
I am eligible and elect to attend a ninety (90) minute Child Restraint Offender’s Program, pursuant to
Administrative Order No. 92-33, because I have never elected to attend such a program. THIS PROGRAM IS
AVAILABLE ONLY IN MIAMI-DADE COUNTY.
I, the undersigned, do solemnly swear or affirm that I am eligible for the option checked above. I am pleading no contest
to the charge, and requesting to attend a school program.
Signature
Date
HOW TO ENROLL IN TRAFFIC SCHOOL
1.
Contact the traffic school of your choice. For a list of Traffic Schools in your area refer to the Yellow Pages of your telephone
directory.
2.
You must mail the SCHOOL ELECTION FORM along with your payment and the yellow copy of your citation to:
CLERK OF COUNTY COURTS, TRAFFIC COURTS DIVISION
P.O. BOX 19321
MIAMI, FL 33101-9321
3.
To pre-register for the Child Restraint Offender’s Program, call within 2 weeks of course election. Registration and fee collection
begin at 6 p.m. Course fee: $30.00 (Cash Only). AVAILABLE IN MIAMI-DADE COUNTY ONLY.
CHILD RESTRAINT OFFENDER’S PROGRAM
(Only for Child Restraint Violations)
MIAMI CHILDREN’S HOSPITAL
6125 S.W. 31st. Street, Auditorium, Miami, Florida 33155, 305-663-6865
WARNING NOTICE
Failure to complete the four (4) hour Traffic School Program listed in Section (A) of the SCHOOL ELECTION FORM within 120
days of your election will
cause
points to be assessed against your driver’s license, suspension of your driver’s license, and the
assessment of additional fines and costs.
Failure to complete the eight (8) hour Traffic School Program listed in Section (B) of the SCHOOL ELECTION FORM within 120
days or the Child Restraint Offender’s Program listed in Section (C) of the SCHOOL ELECTION FORM within 60 days will result
in the court suspending your driver’s license until you complete the program.
Americans With Disabilities Act: Qualified individuals requiring an ADA Accommodation should advise the school at the time of enrollment.
Individuals who are hearing or voice impaired may contact the selected school or the telephone number listed via the Florida Relay Service
at 1-800-955-8771, or by dialing 711. Please note, at least 7 days advanced notice is required when scheduling Sign Language Interpreters.
CLK/CT 901 REV. 11/11
Clerk's web address: www.miami-dadeclerk.com
SCHOOL ELECTION FORM
CITATION NUMBER(S)
LAST NAME
FIRST NAME
MIDDLE NAME
DRIVER’S LICENSE NUMBER
DATE OF BIRTH
(CHECK EITHER BOX A, B or C)
A.
I am eligible and elect to attend a four (4) hour basis traffic course, pursuant to section 318.14(9) Florida
Statutes, because I have not elected to attend such a course within the past twelve (12) month, or five (5) times
in my lifetime,
do not hold a commercial driver’s license (CDL) and was not charged with a toll violation or red
light violation issued by a camera.
B.
I am eligible and elect to attend an eight (8) hour intermediate driver improvement course, pursuant to
Administrative Order No. 99-14. I am no longer eligible to attend the four (4) hour course, and I have never
before elected to attend the eight (8) hour course.
C.
I am eligible and elect to attend a ninety (90) minute Child Restraint Offender’s Program, pursuant to
Administrative Order No. 92-33, because I have never elected to attend such a program. THIS PROGRAM IS
AVAILABLE ONLY IN MIAMI-DADE COUNTY.
I, the undersigned, do solemnly swear or affirm that I am eligible for the option checked above. I am pleading no contest
to the charge, and requesting to attend a school program.
Signature
Date
HOW TO ENROLL IN TRAFFIC SCHOOL
1.
Contact the traffic school of your choice. For a list of Traffic Schools in your area refer to the Yellow Pages of your telephone
directory.
2.
You must mail the SCHOOL ELECTION FORM along with your payment and the yellow copy of your citation to:
CLERK OF COUNTY COURTS, TRAFFIC COURTS DIVISION
P.O. BOX 19321
MIAMI, FL 33101-9321
3.
To pre-register for the Child Restraint Offender’s Program, call within 2 weeks of course election. Registration and fee collection
begin at 6 p.m. Course fee: $30.00 (Cash Only). AVAILABLE IN MIAMI-DADE COUNTY ONLY.
CHILD RESTRAINT OFFENDER’S PROGRAM
(Only for Child Restraint Violations)
MIAMI CHILDREN’S HOSPITAL
6125 S.W. 31st. Street, Auditorium, Miami, Florida 33155, 305-663-6865
WARNING NOTICE
Failure to complete the four (4) hour Traffic School Program listed in Section (A) of the SCHOOL ELECTION FORM within 120
days of your election will
cause
points to be assessed against your driver’s license, suspension of your driver’s license, and the
assessment of additional fines and costs.
Failure to complete the eight (8) hour Traffic School Program listed in Section (B) of the SCHOOL ELECTION FORM within 120
days or the Child Restraint Offender’s Program listed in Section (C) of the SCHOOL ELECTION FORM within 60 days will result
in the court suspending your driver’s license until you complete the program.
Americans With Disabilities Act: Qualified individuals requiring an ADA Accommodation should advise the school at the time of enrollment.
Individuals who are hearing or voice impaired may contact the selected school or the telephone number listed via the Florida Relay Service
at 1-800-955-8771, or by dialing 711. Please note, at least 7 days advanced notice is required when scheduling Sign Language Interpreters.
CLK/CT 901 REV. 11/11
Clerk's web address: www.miami-dadeclerk.com