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MV 262
MV 262
NOTE TO THE PARENT OR GUARDIAN OF A JUNIOR DRIVER: You can remove the consent you gave when the junior driver
described above submitted an application for a driver permit or driver license. To cancel the junior drivers class DJ or MJ permit or
driver license, complete form MV-1W (Withdrawal of Consent) and submit the form to DMV.
Name of School
Driving
School
License
Number
Instructors Name
Instructor
Certificate
Number
Number
of
Hours
Certified
Administrator
or Owner
or Instructors
Signature
The number of hours driven while supervised by a driving school instructor or driver education teacher can be certified in the table
below. All information provided in this table must be confirmed by records required according to the regulations of the Department of
Motor Vehicles and the State Education Department. Any false statement is a violation of section 392 of the Vehicle and Traffic Law
and is a misdemeanor.
MV-262 (9/12)