Fillable Printable Form MV-526 - Driving School Instructor Termination Notice - New York

Form MV-526 - Driving School Instructor Termination Notice - New York

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New York State Department of Motor Vehicles

DRIVING SCHOOL INSTRUCTOR

TERMINATION NOTICE

COMMISSIONER’S REGULATION 76.15(f) requires a driving school to: 1) notify the Department of Motor Vehicles

of the termination of an instructor’s services; and 2) provide a copy of this termination notice to the instructor named

below.

Instructions:

Complete this form and send it to: New York State Department of Motor Vehicles, Bureau of Driver Training

Programs, 6 Empire State Plaza, Room 412, Albany NY 12228.

Name and Address of School

Instructor Certificate No. ____________________ Termination Date ______________________________

Name and Address of Instructor

The number of hours accrued by this instructor in behind-the-wheel instruction while employed by this school

between ________________ and ________________, is ____________________ hours.

/ /

Mo. Day Year

/ /

Mo. Day Year

Please Attach

Instructor’s Certificate

(MV-524)

Here

MV-526 (1/09)

(Signature of Driving School Owner or Officer)

(Print/Type Name of Driving School Owner or Officer)

(Date)

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