- Form MV-285R - Student MV-285 Roster - New York
- Form MV-526 - Driving School Instructor Termination Notice - New York
- Form DTP-421 - Intent to Conduct DMV's 30-Hour Basic Instructor's Course Notice - New York
- Form MV-521 - Driving School License Application - New York
- Form MV-278.8SSC - Pre-Licensing Course Completion Certificate Order Form - New York
- Form MV-523 - Application for Driving School Instructor Certificate - New York
Fillable Printable Form MV-278.7 - Authorization and Approval for Pre-Licensing Course - New York
Fillable Printable Form MV-278.7 - Authorization and Approval for Pre-Licensing Course - New York
Form MV-278.7 - Authorization and Approval for Pre-Licensing Course - New York
www.dmv.ny.gov
FOR OFFICE USE ONLY
AUTHORIZATION AND APPROVAL
FOR PRE-LICENSING COURSE
(SECONDARY SCHOOLS & COLLEGES)
Name of
School
Federal Employer
ID Number*
Address of
School
City Zip County
Classroom Locations (Addresses)
1.
Telephone Number
( )
2.
Telephone Number
( )
3.
Telephone Number
( )
4.
Telephone Number
( )
Telephone Number
( )
Type of Provider:
o Secondary School o BOCES o School District Continuing Education o College
Institution:
o Public o Non-Public
Type of program(s) offered:
o Driver Education Program o Pre-licensing Course
Course is offered in what language?
o English o Other______________________________________
Request approved by ________________
Office ____________________________
Date ______________________________
BE SURE TO COMPLETE PAGE 2 OF THIS FORM.
MV-278.7 (8/15)
PAGE 1 OF 2
Fax
( )
List below the instructors who will issue Pre-licensing Course Completion Certificates (MV-278) and return a copy of their valid
Driver Education Instructor Certificate (MV-283AB). Instructors teaching the class must sign the original MV-278 certificates.
1. Last Name (Print or Type) First M.I.
First M.I.
First M.I.
First M.I.
First M.I.
First M.I.
Signature
Driver Education Instructor Certificate
# (MV-283AB)
Driver Education Instructor Certificate
# (MV-283AB)
Driver Education Instructor Certificate
# (MV-283AB)
Driver Education Instructor Certificate
# (MV-283AB)
Driver Education Instructor Certificate
# (MV-283AB)
Driver Education Instructor Certificate
# (MV-283AB)
Client ID Number
Client ID Number
Client ID Number
Client ID Number
Client ID Number
Client ID Number
Issuing State
Issuing State
Issuing State
Issuing State
Issuing State
Issuing State
2. Last Name (Print or Type)
Signature
3. Last Name (Print or Type)
Signature
4. Last Name (Print or Type)
Signature
5. Last Name (Print or Type)
Signature
6. Last Name (Print or Type)
Signature
Instructions: Please read Part 7 of DMV’s Commissioner’s Regulations before completing this form. All secondary schools and
colleges must use this form: to request approval to issue Pre-licensing Course Completion Certificates (MV-278) through a Driver
Education program; to request approval to teach the Pre-licensing Course; and to notify DMV of any change to the program(s)
offered, personnel, or any information provided on this form. Original signatures are required on this form. Photocopies
will not be accepted.
If you need more space to write additional classroom locations or instructors, please use an additional form.
* Section 5 of the New York State Tax Law requires that DMV give the Federal Employer Identification Number to the Department
of Taxation and Finance.
E-Mail Address
A
I certify that I have read Part 7 of the DMV’s Commissioner’s Regulations. I request approval for the course provider named on
this form to issue MV-278 course completion certificates through an SED-approved Driver Education Program, and/or to teach
the Pre-licensing Course. I have authorized the individuals named on this form to perform pre-licensing functions, as noted, on
behalf of the provider. I affirm that the provider is an accredited secondary school or college approved by the Commissioner of
Education for the purpose of conducting a course of classroom driver training and highway safety. In the event a program is
discontinued, all remaining MV-278s will be returned to the Department of Motor Vehicles.
Date
Signature of Chief School Officer
Name (Printed) Title
MV-278.7 (8/15)
1.
2.
Print or Type Name and Title
1.
2.
Signature
3. 3.
4. 4.
5. 5.
6. 6.
1.
2.
Print or Type Name and Title
1.
2.
Signature
3. 3.
4. 4.
5. 5.
6. 6.
Send this completed form to:
To order MV-278 certificates, send form MV-278.8 SSC (MV-278 Prelicensing Course Completion Certificate Order
Form for Secondary Schools and Colleges), signed by a person identified in section C or D of this form along with a
check or money order for $50 per book to the address above.
NYS DMV
Utica Processing Center
207 Genesee Street, Suite 6
Utica, NY 13501
Tel. (315) 793-2615 / Fax (315) 793-2613
List the individuals who are authorized to sign replacement completion certificates (MV-278). Only the course instructor(s),
director of continuing education or the chief school officer may sign replacement certificates.
List the individuals authorized to request books of form MV-278.
B
C
D
PAGE 2 OF 2
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