Waskom, TX · Harrison County

No notary required

Driving Safety Course Request Form

Drivers can use this form to ask the Court to dismiss an eligible moving violation by completing a driving safety course or motorcycle operator training course.

What this form is

This form lets eligible drivers request dismissal of one moving violation by taking a driving safety course or motorcycle operator training course. Return it to the Court with the listed identification, insurance proof, and payment on or before the appearance date shown on the citation. The form lists eligibility limits and asks for a plea, eligibility confirmations, citation number, contact details, and signature.

Who needs it

A driver seeking dismissal of an eligible moving violation through a course must submit this request and the required items by the appearance date.

How to submit it

Return the request to the Court with the listed items on or before your appearance date; the form gives no court address or delivery method.

About notarization

This request is signed without a notary; if the driving record is not required, the Court sends an affidavit for you to sign and return, with no notary requirement stated.

How to submit this form

  1. 1

    Download The Form

    Download the Driving Safety Course Request Form.

  2. 2

    Complete The Request

    Enter your plea, check the applicable eligibility statements, and provide your citation number, printed name, signature, address, and phone number.

  3. 3

    Gather Required Items

    Include the required ID copy, proof of valid insurance, and cashier’s check or money order for the amount listed on the form.

  4. 4

    Return It To The Court

    Return the request and items to the Court on or before the appearance date shown on your citation.

Frequently asked questions

Do I need a notary for the Driving Safety Course Request Form?
No. The request form is signed without a notary. If a driving record is not required, the Court sends an affidavit to sign and return; the form does not state a notary is needed.
How do I submit the Driving Safety Course Request Form?
Return the form to the Court with the listed items on or before the appearance date on your citation. The form does not provide a court address or delivery method.
What should I include with my request?
Include a copy of your driver license or permit, or qualifying military ID, a copy of valid insurance, and a cashier’s check or money order for the listed amount.
Who may be ineligible for a driving safety course?
The form says commercial driver’s license holders are not eligible and lists other limits, including certain speeding charges, work-zone violations, and serious traffic offenses.

Need something notarized?

This Driving Safety Course Request Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.