Rosebud, TX · Falls County

Driver Safety Course Option Request and Affidavit

This form requests the driver safety course option and includes an affidavit for a person seeking dismissal of an eligible moving violation by completing an approved course.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Use this form to enter a guilty or no-contest plea, request 90 days to complete a state-approved driver safety course, and swear that you meet the course-history statements listed on the form. If eligible, submit it to the court by your appearance date along with the required fee, proof of insurance, driver’s license copy, and driving record. The form says you must provide the course completion certificate to the court within the allowed period.

Who needs it

A person seeking the driver safety course option for an eligible moving violation should submit this request and affidavit to the court by the appearance date.

Why it needs a notary

The form carries a sworn-and-subscribed jurat; the person requesting the course option signs the affidavit before a notary.

How to get this notarized

  1. 1

    Download the Form

    Get the Driver Safety Course Option Request and Affidavit from the City of Rosebud form source.

  2. 2

    Fill Out the Form

    Enter the requested plea and citation details, then review the affidavit statements before signing.

  3. 3

    Book an Online Notary

    Schedule a session with a commissioned online notary to notarize the affidavit.

  4. 4

    Sign on Video

    Show your identification and sign the affidavit during the notary’s live video session.

  5. 5

    Submit to the Court

    Send the notarized form and the other required documents and fee to the court by your appearance date.

Preview the form

The blank PDF straight from Rosebud. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I get the driver safety course affidavit notarized?
Complete the form, book a session with a commissioned online notary, and sign the affidavit during the video session. Submit the notarized form and other required items to the court.
Do I need to sign the affidavit in front of a notary?
Yes. The form says the affidavit must be sworn and subscribed before a notary, so wait to sign until the notary instructs you during your appointment.
Can I use an online notary for this form?
Texas has authorized remote online notarization since 2018. Check with the court about its submission requirements; confirm with the city if unsure.
What else must I submit with the form?
The form lists a guilty or no-contest plea, proof of liability insurance, the required fee, a copy of your driver’s license, and a three-year driving record.

Driver Safety Course Option Request and Affidavit in other Texas cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Driver Safety Course Option Request and Affidavit?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.