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

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

www.dmv.ny.gov

MV-278/PRE-LICENSING COURSE COMPLETION CERTIFICATE

ORDER FORM FOR SECONDARY SCHOOLS AND COLLEGES

MV-278.8 SSC (8/15)

PAGE 1 OF 2

Name of School

Mailing Address (Street and Number) Room Number

City

Authorized Signature (Required)

The requester’s name and signature must be listed on the Authorization and Approval Form (MV-278.7) for this school.

Print Name and Title

Business Phone

Type of program(s) offered:

p Driver Education Program p Pre-licensing Course

If your organization provides the Pre-licensing course, explain how frequently this class is offered and the average number

of students per class.

________________________________________________________________________________________________

E-Mail Address

State Zip Code

PLEASE PRINT CLEARLY IN BLUE OR BLACK 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.

SEND COMPLETED FORM, CLASS ROSTERS 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

MV-278.8 SSC (8/15)

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INSTRUCTIONS

NEW CUSTOMERS:

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. Include the class rosters indicating the MV-278’s issued by your organization since your last order.

4. Send the completed order form, class rosters and payment to:

NYS DEPARTMENT OF MOTOR VEHICLES

UTICA PROCESSING CENTER

207 GENESEE STREET, SUITE 6

UTICA, NY 13501

5. If you have any questions, or would like additional information, contact your local DMV call center between the hours

of 8:00 am and 4:00 pm at:

Before your order can be processed, an Authorization and Approval Form (MV-278.7) must be on file with DMV’s

Utica Processing Center. The MV-278.7 must contain the names and signatures of all individuals authorized to

request MV-278 books for your organization. Copies of the Driver Education Instructor Certificate (MV-283AB) for

each instructor who will issue MV-278 certificates must also be on file with the Utica office.

New customers may order one book. You will be notified by the Utica Processing Center of your subsequent order

quantity. This amount will be determined based on a review of class frequency and average number of students per

class submitted with your first order.

Upstate New York

1-518-486-9786

New York City

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

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

Other Downstate Areas and Long Island

From area codes 516, 631, 845, 914:

1-718-477-4820

From Outside the State of New York

1-518-473-5595

u An Authorization and Approval Form (MV-278.7) is

not on file with the Utica Processing Center.

u The requestor is not listed on the Authorization and

Approval Form (MV-278.7) for the secondary school

or college.

u The number of books requested exceeds the maximum

number allowed.*

u Class rosters were not submitted with the order.

u An incorrect fee was submitted.

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

money order.

u The secondary school or college 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 secondary schools or

colleges that have restricted payment options due to a

previous “bad check” status.

* If additional books are required, you must provide a justification in writing to the Utica Processing Center before

submitting your order.