Your registration is complete only when you receive
a confirmation number after class selection.
 
Name and License Number
exactly as shown on your driver license.
(Do not include Jr, Sr, III, etc.)
 
First Name:
  Middle Initial:
Last Name:
 
Date of Birth
  ,
Violation Date
  ,
Driver License #:
   
Re-enter Driver License #:
   
Driver License State:


If your drivers license number, state or name has changed in the last year (12 months), please call our office to verify your eligibility.