Ontario County, NY · Ontario County

No notary required

Certification of Supervised Driving

This certificate records supervised driving hours and is completed by a junior learner permit applicant and a parent, guardian, or authorized representative.

At a glance

Issued by
City of Ontario County · Ontario County, Ontario County, New York
Notarization
Not required: file this form without a notary.
Official source
ontariocountyny.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Junior learner permit applicants with a class DJ or MJ permit must give this completed certificate to the Motor Vehicle License Examiner at every road test. It certifies at least 50 hours of supervised driving, including 15 hours after sunset, and provides space for a parent, guardian, or government representative to sign and for a driving school or driver education instructor to certify hours.

Who needs it

Junior learner permit applicants with a class DJ or MJ permit need this certificate completed for each road test.

How to submit it

Give the completed certificate to the Motor Vehicle License Examiner at every road test; the document does not list another submission method.

About notarization

This certificate is signed and dated without a notary; the related MV-1W form for withdrawing consent is submitted to DMV, with no notarization stated.

How to submit this form

  1. 1

    Download the Certificate

    Download the Certification of Supervised Driving PDF.

  2. 2

    Complete the Certificate

    Enter the applicant's information and have a parent, guardian, or government agency or facility representative complete the certification, sign, and date it.

  3. 3

    Add Driving School Hours

    If applicable, have the driving school or driver education instructor certify hours in the table.

  4. 4

    Give It to the Examiner

    Give the completed certificate to the Motor Vehicle License Examiner at every road test.

Frequently asked questions

Do I need a notary for the Certification of Supervised Driving?
No. This certificate is signed and dated without a notary. The related MV-1W form for withdrawing consent is submitted to DMV; the document does not state that notarization is required.
How do I submit the Certification of Supervised Driving?
Give the completed certificate to the Motor Vehicle License Examiner at every road test. The document does not list another submission method.
How many supervised driving hours must be certified?
The applicant must have completed at least 50 hours of supervised driving, including 15 hours after sunset. Driving school or driver education hours may be certified in the table.

Need something notarized?

This Certification of Supervised Driving doesn’t need a notary, but if you have another Ontario County form that does, a commissioned online notary can help.