Motor Vehicle Administration 6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062 DL-300 (08-15) Verification of Identity and/or School Attendance Learner's Permit Applicants: Maryland State Law requires all applicants for a learner's permit, under the age of 16, to demonstrate acceptable school attendance in the prior school semester. To verify school attendance, School Official or Home School Coordinator must complete Sections B and D of this form. Verification of Identity: This form may also be used to verify the identity of an applicant named in Section A. To verify the applicant's identity, School Official or Home School Coordinator must complete Sections C and D of this form. This form applies to public, private and home school students. Section A: Must be completed by the applicant. Sections B, C, & D: Must be completed by School Official or Home Schooling Coordinator. Please select the requirement(s) this form is being used for: q School Attendance: School Official MUST complete Sections A, B, and D. q Verification of Identity: School Official MUST complete Sections A, C, and D. Section A: Applicant Printed Last Name of Applicant To be completed by the Applicant: Printed First Name of Applicant Printed Middle Name Date of Birth (mm-dd-yyyy) Residence Street Address City State/ Zip Code The information I have provided above on this certification is true, complete, and correct to the best of my knowledge, information and belief. Applicant's Signature Parent's/Guardian's Signature Date Section B: School Official/Home School Coordinator Must answer BOTH questions below. 1. Is the applicant, named in Section A, home schooled? q YES q NO q YES q NO 2. Has the applicant had 10 or less unexcused absences during the prior school semester? Section C: Verification of Identity Does the information in Section A accurately identify the applicant enrolled in your school or home school program for the preceding 12 months according to official school records? q YES q NO Section D: School Official/Home Schooling Coordinator Printed Name & Title of School Official or Home Schooling Coordinator Printed Name of School or Home School Organization Telephone Number Address of School/Home School Organization City State/Zip Code Signature of School Official or Home Schooling Coordinator The applicant's information has been verified and I certify the information provided on this form is true, complete and correct to the best of my knowledge, information and belief. Official School Stamp or Seal Only This form must be placed in a sealed envelope with OFFICIAL school stamp or seal over flap. The applicant must present the sealed envelope to an MVA official during the time of the application process. If the seal is tampered with or broken on the envelope, this certification will be null and void. This certification and envelope must contain a school stamp or seal. Please place OFFICIAL school stamp or seal in this box and across flap of envelope. For more information, please call: 410-768-7000 (to speak with a customer agent). TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov American LegalNet, Inc. www.FormsWorkFlow.com