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Proctors: Drivers' Name Not Listed as Complete

Prior to filling out this form, please ask the driver if they have clicked on the "print" button. If they have not, have them return to the course (on the computer they left off on) and click the "print" button. The "print" button at the bottom of the screen, at the end of the course is what launches the drivers' name into the list for testing.

The Proctors: Drivers' Name Not Listed as Complete Form is for those individuals whose name is not showing up or they failed to click "print" at the end of the course.

Please complete the form below.

Required fields marked with an asterisk *

Driver's License Number*

(Enter all 8 digits)

Answer Required

Driver's License Issued By State*

Which state issued your Driver's License?

Answer Required

The current/previous district or organization you work for:*

SAISD, Somerset ISD, Goldstar Transit, etc

Answer Required

Proctor Name*

Answer Required

Session ID #

5 digit number

Answer Required

Date of registration.

Answer Required

Contact Information

First Name (as printed on Driver's License)*

Answer Required

Last Name (as printed on Driver's License)*

Answer Required

Date of Birth*

mm/dd/yyyy

Answer Required

Completion Date*

Date they completed the training.

Answer Required

Expiration Date of Previous Certification Card*

Answer Required

Email*

Answer Required

Phone Number*

Number Required

Confirmation Email

Email Required