MISSISSIPPI DEPARTMENT OF PUBLIC SAFETY DRIVER

MISSISSIPPI DEPARTMENT OF PUBLIC SAFETY

DRIVER SERVICE BUREAU

Waiver of Road-Testing Affidavit

This affidavit is provided in lieu of requiring a driver with a learner’s permit to be road tested by a Driver’s License

Examiner of the Mississippi Department of Public Safety (MDPS).

MDPS will follow all established guidelines as recommended by the Centers for Disease Control and Prevention

(CDC) and the Mississippi State Department of Health (MSDH) to minimize interactions and maintain social distancing

during the COVID-19 pandemic. This affidavit serves as a waiver of the road-testing requirement for non-commercial

driver’s license.

In accordance with Mississippi Code Annotated, §63-1-33, “Examination for license or regular learner’s permit”;

an applicant for said permit or license must demonstrate the ability to operate a motor vehicle before receiving a driver’s

license. The parent or guardian is responsible for the actions of a driver under the age of 17 pursuant to Miss. Code

Annotated §63-1-25. The parent or guardian is ultimately responsible for teaching the minor how to drive. By signing this

affidavit you are declaring that the minor listed has received driving instructions from you and that you are confident in

his or her ability to operate a motor vehicle and are familiar with this state’s rules of the road and road signs.

I, ____________________________________________________________________ (Parent/Guardian) swear/affirm

that permit holder, _______________________________________________________________, has held the permit

for at least one year and has operated a motor vehicle for a minimum of 50 hours. I have given the necessary training

and guidance to the permit holder on how to operate a motor vehicle safely upon the roadways, furthermore, that the

permit holder has demonstrated that ability and warrants the issuance of a restricted intermediate license.

____________________________________

Parent/Guardian’s Signature

TO BE COMPLETED BY MISSISSIPPI DEPARTMENT OF PUBLIC SAFETY DRIVER SERVICES BUREAU:

Sworn to and subscribed before me.

___________ ____ ___________________________________ _________________________________

Date Signature Title