Texas adult driver education
Statement of assurance
Access the statement of assurance used to confirm your identity and independent completion of the course.
Enroll nowDownload the original form
Download the statement of assurance (PDF)
The original form includes historical agency and mailing information. Before returning a signed form or photo identification, contact support at 1-866-749-4445 to confirm whether the form is needed and obtain current return instructions.
Student statement
I, ________________________, attest to GetDefensive.com and the Texas Education Agency, the following:
- I will complete and/or have completed this online adult driver education course with no help from any person, other than the staff of GetDefensive.com.
- I will not/have not misrepresented my identity in any way during this online adult driver education course.
Student signature
Date
Notary signature
Date
Notary seal
Copy of your government-issued photo identification below.
Use the downloadable PDF to complete these fields. The PDF retains the original form and return details.
