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FL Notice and Consent for Road Test Video/Audio Recording - Polk County 2019-2025 free printable template

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Customer Signature Date Print Name Interpreter Signature if applicable If under 18 parent or guardian must sign below. UNDER PENALTIES OF PERJURY I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. Parent/Guardian Signature. Test recording records are retained in accordance with public records laws. Under no circumstance will the audio/video be used to dispute the final decision of the examiner. By signing below I am releasing accountability of the Polk...
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FL Notice and Consent for Road Test Video/Audio Recording - Polk County Form Versions

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Form Popularity
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FL Notice and Consent for Road Test Video/Audio Recording - Polk County 2019
4.9 Satisfied (51 Votes)
FL Notice and Consent for Road Test Video/Audio Recording - Polk County 2016
4.2 Satisfied (54 Votes)

How to fill out FL Notice and Consent for Road Test

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How to fill out FL Notice and Consent for Road Test Video/Audio

01
Obtain the FL Notice and Consent form from the relevant authority or website.
02
Read the instructions and guidelines provided on the form carefully.
03
Fill in the date at the top of the form.
04
Write the name of the individual who will be recorded during the road test.
05
Provide the details of the vehicle involved, including the make, model, and license plate number.
06
Clearly state the purpose of the recording in the designated section.
07
Indicate whether the recording will be used for training, educational, or other purposes.
08
Check the box to indicate consent for audio and video recording.
09
Sign and date the form at the bottom to confirm consent.
10
Provide a copy of the completed form to the individual and keep a copy for your records.

Who needs FL Notice and Consent for Road Test Video/Audio?

01
Individuals participating in a road test that will be audio and video recorded.
02
Driving instructors who conduct road tests that include video and audio recordings.
03
Schools or organizations offering driving education programs.
04
Any entity that plans to use such recordings for analysis, training, or educational purposes.
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The FL Notice and Consent for Road Test Video/Audio is a legal document that informs individuals that video and audio recordings may be made during a road test and seeks their consent to record.
Individuals participating in a road test, as well as the testing organizations or driving schools conducting the road test, are required to file the FL Notice and Consent.
To fill out the FL Notice and Consent, individuals must provide their name, date, signature, and acknowledge that video/audio recording will take place during the road test.
The purpose of the FL Notice and Consent is to ensure that participants are aware of and agree to the recording of video and audio during the road test, protecting both the rights of the individuals and the conducting organization.
The information that must be reported includes the participant's name, the date of the road test, a statement of consent to record, and the signature of the participant.
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