What is the Statement of Assurance form?
Posted by Dom De-Sarto on 07 April 2015 02:15 PM

The Statement of Assurance is an affidavit that is used to verify student’s identity.  This is required if not enough information can be populated into validation questions in the course.

See the list below for state/course specific reasons.


According to Texas rules for driver safety: 

If third-party source data does not exist for a student,  Section 176.1110(c)(7) of the Rules allows the use of a Statement of Assurance (Student Affidavit) certifying that the individual attended and successfully completed the six-hour driving safety or specialized driving safety course for which the certificate is being issued.

Students need a valid Texas Drivers License  AND a valid Texas License plate to pass validation.   Temporary Tag (paper plates) and Dealer Tags are not verifiable because they are not registered to a vehicle. 


Validation is derived from information compiled from public records.  If the database cannot find enough information the Statement of Assurance form is required.


Please note, the Statement of Assurance will not prevent students from taking the final exam. 

The form is required to be notarized and submitted to our office upon completion of the final exam.  Once received, we will issue the Certificate of Completion to students.


 Below are PDFs of the Statement of Assurances for the Text Course and Video Course. The completed forms can be emailed to or faxed to 713-488-4102.

 statement of assurance-ddo.pdf (54.62 KB)
 soa wim.pdf (56.35 KB)
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