Online Recertification Form

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For those individuals that have completed their Online Recertification course within the 14 day timeframe DPS allows for but have not tested with their proctor. If you have not completed the course within 14 days, your course has been suspended. You will need to complete this form to reactivate your account so the proctor will be able to administer your test. Once the form has been processed, your name will be added to the testing database so you may take the test upon receipt of the $20 payment.

Driver's License # *

First and Last Name *

Current/previous district or organization employed at. *

Registration Date *

YYYY

Date of Birth *

YYYY

Email *

Phone *

Address (Include street, city, state, and zip code) *

Previous Expiration Date *

YYYY

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