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UPAL National: Driver Improvement Class Test
Please COMPLETELY fill out ALL parts of this form.
* Indicates required question
Please enter your address:
(
Home address (number and street) or P.O. Box, Apt. no., City, town or post office, state, and ZIP code.
)
*
Your answer
Please enter your full name:
*
Your answer
Please enter your
customer number
(
driver's license or learner's permit number
) and
reason code:
(
Type
VOL
for Voluntary,
DMV
for being ordered to take the class by the DMV, and
YCT
for being court-ordered to take the class)
*
Your answer
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