Dl 101 certificate 2026

1. Click ‘Get Form’ to open the DL 101 certificate in the editor.
2. Begin by entering the PROGRAM PROVIDER NAME at the top of the form. This identifies the organization responsible for the DUI program.
3. Fill in the PARTICIPANT NAME, including LAST, FIRST, and MIDDLE names to ensure accurate identification.
4. Input the PROVIDER’S ADP LICENSE NUMBER to validate the program provider's credentials.
5. Enter the DRIVER LICENSE NUMBER or ‘X’ NUMBER as required for participant identification.
6. Select the PROGRAM TYPE by checking one of the options: Education Only, Multiple Offender Program, or First Offender Program.
7. Specify the ENROLLMENT DATE and COMPLETION DATE to document participation duration accurately.
8. Sign and date at the bottom of the form where indicated. This certifies your enrollment or completion under penalty of perjury.

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