Fillable Printable Form MV-278.8CDS - Pre-Licensing Course Completion Certificate Order Form - New York

Form MV-278.8CDS - Pre-Licensing Course Completion Certificate Order Form - New York

www.dmv.ny.gov

MV-278/PRE-LICENSING COURSE COMPLETION CERTIFICATE ORDER FORM

FOR COMMERCIAL PRE-LICENSING COURSE PROVIDERS

MV-278.8 CDS (8/15)

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Business Name

Mailing Address (Street and Number) Room Number

City

Authorized Signature (Required, in blue ink)

The requester’s name and signature must be listed on the Authorized Signature List (MV-278.6) for this school.

Print Name and Title

Business Phone E-Mail Address

State Zip Code

PLEASE PRINT CLEARLY IN BLUE INK.

PROVIDER INFORMATION

ORDER INFORMATION

Each MV-278 book contains 50 certificates. Specify the number of books you are ordering and the amount included:

________ MV-278 Books @ $50 each = $_____________

Payment must be made in full (no partial payment will be accepted) and included with this form.

Payment must be made by check or money order payable to the “Commissioner of Motor Vehicles”.

DO NOT SEND CASH.

CERTIFICATION

You are required to submit completed rosters to your local Testing and Investigation Unit. Complete the certification below to

identify: the local Testing and Investigation Unit to which you have submitted completed rosters; date range for rosters

submitted to your local Testing and Investigation Unit since your last order; the number of MV-278 certificates issued by your

school since your last order; and an authorized signature.

SEND COMPLETED FORM AND PAYMENT TO:

NYS DEPARTMENT OF MOTOR VEHICLES

UTICA PROCESSING CENTER

207 GENESEE STREET, SUITE 6

UTICA, NY 13501

A $35.00 FEE WILL BE CHARGED FOR EACH DISHONORED CHECK

Testing and Investigation Unit: _______________________________________________________________________

Number of Certificates Issued: ___________ Date Range: ___________________________________________

Authorized Signature (in blue ink): _________________________________________________________________

MV-278.8 CDS (8/15)

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INSTRUCTIONS

ORDERS WILL BE REJECTED IF ANY OF THE FOLLOWING APPLY:

1. Complete this order form. Allow 2 – 3 weeks for processing and delivery time.

2. Enclose a check or money order for the appropriate fee, payable to the “

Commissioner of Motor Vehicles”.

•

DO NOT SEND CASH.

• A $35 fee will be charged for each dishonored check.

• The account holder’s name must be preprinted on the check. “Starter checks” will not be accepted.

3. Send the completed order form and payment to:

NYS DEPARTMENT OF MOTOR VEHICLES

UTICA PROCESSING CENTER

207 GENESEE STREET, SUITE 6

UTICA, NY 13501

4. Return class rosters for the MV-278 certificates issued by your organization since your last order to your local Testing

and Investigation Unit. Order quantities going forward will be evaluated based on completed and submitted rosters

(see “Certification” on order form). If that quantity is different than that recorded in your initial notification, DMV

will contact you.

5. If you have any questions, or would like additional information, contact your local DMV call center at:

Upstate New York

1-518-486-9786

Monday to Friday: 8:00 a.m. – 4:00 p.m.

New York City

From area codes 212, 347, 646, 718, 917, 929:

1-212-645-5550 or 1-718-966-6155

Monday to Friday: 8:00 a.m. – 4:00 p.m.

Other Downstate Areas and Long Island

From area codes 516, 631, 845, 914:

1-718-477-4820

Monday to Friday: 8:00 a.m. – 4:00 p.m.

From Outside the State of New York

1-518-473-5595

Monday to Friday: 8:00 a.m. – 4:00 p.m.

u The requestor is not listed on the Authorized Signature

List (MV-278.6) for the pre-licensing course provider.

u The number of books requested exceeds the maximum

number authorized.

u Class rosters were not submitted to your local Testing

and Investigation Unit.

u An incorrect fee was submitted.

u The payment method is not in the form of a check or

money order.

u The pre-licensing course provider has been reported

as being in “bad check” status. The order cannot be

filled until the bad check has been satisfied and the

civil penalty has been paid.

u The payment method is not in the form of a certified

check or money order for those providers that have

restricted payment options due to a previous “bad

check” status.

u Orders may be delayed or rejected if the form is not

signed in blue ink as directed.