AFFIDAVIT OF COMPLETION OF
OUT-OF-STATE DRIVER EDUCATION COURSE
Stud
ent’s Name__________________________________________________ Date of Birth_______________________
Student’s Address__________________________________________________________________________________
Street Address City State Zip Code
Driver Education Course Information
Date C
ourse Completed__________________________ School License Number__________________________
School Name_____________________________________________ Telephone Number (____) _________________
Address__________________________________________________________________________________________
Street Address City State Zip Code
Lic
ense issued by (list state and agency)________________________________________________________________
I, ___________________________________, as a licensed operator of the above listed school, certify at least 30 hours
Print school operator’s name
of classroom driver education provided by the above School for Training Drivers meets the requirements of Nevada
Adm
inistrative Code 483.774 (1), (5) and (6).
____
___________________________________________________
______________________________________
Signature of School Operator Date
Course of Instruction must include subjects listed below per NAC 483.774:
1. The proper attitudes for driving safely and the adverse effects of
disturbed emotions;
2. Use and maintenance of required safety equipment;
3. Defensive driving;
4. Established speed laws;
5. Proper use of lanes;
6. Backing up safely;
7. The proper procedure for driving in a controlled or an uncontrolled
intersection;
8. Passing;
9. Differentiating between the techniques required for driving in a city,
on a freeway, on an open highway, and under adverse conditions.
10. The meaning of the different colors of a traffic light and the
meaning of traffic signs, signals and pavement markings, including
signs that designate parking as illegal;
11. Major causes of accidents and the legal and moral responsibilities in
case of an accident;
12. Driving in a work zone for construction or maintenance;
13. Licensing control measures, including the grounds for suspension or
revocation of a driver’s license;
14. Sharing the road with other motor vehicles, bicyclists, and
pedestrians;
15. The effects of alcohol and drugs on a person’s ability to drive;
16. Required vehicle equipment;
17. Vehicle registration;
18. The different highway systems;
19. The organizations that supervise the maintenance of and enforce the
traffic laws on each system;
20. The requirements for insurance in this State;
21. The types of insurance coverage available;
22. The procedures for purchasing an automobile;
23. The sources of credit to finance the purchase of an automobile;
24. The importance of the maintenance of a vehicle for driving safely,
including compilation of a list for the efficient and economical
maintenance of a vehicle, and identification of the purpose of each
instrument, device and control in a vehicle;
25. The effects of physical handicaps on the ability to drive;
26. Sharing the road with others, including commercial vehicles, buses,
motorcycles, bicycles, and pedestrians;
27. External forces affecting driving, including weather, conditions of
the road and driving at night; and
28. Rules of the road, including state laws and local motor vehicle laws
and ordinances.
DP289(8/2012) Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed.
Field Services Division
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Fax: (775) 684-4992
Website: dmvnv.com
