Driver's Certification of Violation

Motor Vehicle Driver’s Certification of Violations

  • List your name AS SHOWN on your Driver License
  • I certify that the following is a true and complete list of traffic violations (other than parking violations) for which I have been convicted or forfeited bond or collateral during the past 12 months. (List date/s, Offenses/s Location/s. Type of Vehicle/s)
  • I certify that the following is a true and complete list of convictions, forfeited bonds, or collateral during the past 12 months. (List date/s, Offenses/s Location/s. Type of Vehicle/s)
    • Date Format: MM slash DD slash YYYY