ENTEPRISE NAME: {school_name} ENTERPRISE #:

REMARKS:

I, the undersigned Instructor, certify that the Student has satisfactorily completed the behind-the-wheel instruction required by this chapter and section 450B.02 (C) of the Revised Code.

X
___________________________________(date)_______________________________
(instructor's Signature)

Optional:
I, the undersigned Parent/Guardian, certify that I have met with the Instructor concerning the Driver's Education instruction received by my child.

___________________________________(date)_______________________________
(Parent/Guardian's Signature)