Free MV3755 Driver Training School Bond Alternative - Wisconsin

DRIVER TRAINING SCHOOL BOND ALTERNATIVE
Wisconsin Department of Transportation MV3755 12/2006 s.343.61(3m)(b) Wis. Stats.

Instructions 1. The driving school must furnish a cashier's check made payable to the Wisconsin Department of Transportation. This is the only process that is established in lieu of the bond. No property, no CDs, no other types of bonds, etc. are acceptable. 2. The cashier's check must be for the same amount as the bond. 3. The amount of the cashier's check may need to be adjusted at every renewal. The driving school must re-evaluate the cashier's check amount every renewal period. See calculations chart below. If an additional amount is required, the driving school must send in the additional amount. If the amount decreases, DOT will refund the appropriate amount. 4. The driving school must complete this form. The completed form will be held at DOT. 5. If the school should go out of business, the amount will remain at DOT 18 months. After the 18 month period, the appropriate amount will be returned to the school owner(s) at the address furnished to DOT at the time of closing. 6. Mail cashier's check with completed form to: WI DOT Driver Training School Program PO Box 7920 Madison, WI 53707-7920.

Print clearly.
School Name as it appears on license School Office Street Address, City, State, ZIP Code School Representative Name School Representative Title Cashier's Check Amount School Identification Number

Number of Points in 24 Months School size
(Based on signed completion slips for the prior period)

CALCULATIONS 0

1­2

3­6

7 OR MORE

0 ­ 300 301 ­ 1100 1101or More

$5,000 $10,000 $15,000

$10,000 $15,000 $20,000

$15,000 $20,000 $25,000

$30,000 $45,000 $60,000

I, the undersigned school representative, agree that if a customer(s) submits a request for refund because the school fails to meet the obligations of its training contract and the school does not resolve the complaint within 15 days, DOT may pay the customer(s) from the amount the school deposited as it deems just and equitable. Any amount paid will reduce the amount to be refunded to the school dollar for dollar. I certify, under penalty of law, that all information on this form is true.

(School Representative Signature)

(Date)

DTS Coordinator Use Only Approval Mail Date

Employee Initials