Driver Education
Provider
TRUCK CONTRACT CHECKLIST
KEY: R = Required (format may vary according to your business)
O = Optional
E = Exactly as Written (including the bold font)
Michigan Department of State
Rev.10/26/2023
This document will provide you with the information needed to create your own contract with your attorney. Sample contracts are
provided for your use. The sample contracts provide terms exceeding the state minimum requirements.
KEY
HEADER INFORMATION
R Name of Provider (full name including DBA)
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R Business address (street, city, state, zip code)
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R Business phone number
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R State Certification Number (“P” number)
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R Office hours (include days and times)
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R Program (Course) Number: Example: 18-2/12 (18 = Year; 2/12 = Month/Date Class begins)
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R Title of contract (“Truck Driver Training Contract”)
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R Classroom Location
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KEY
STUDENT INFORMATION
R Name of Student (first, middle and last name as reported on driver’s license)
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R Student address (street, city, state, zip code)
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R Student phone number (home or Cell)
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R Student age
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R Student date of birth (show as mm-dd-yyyy)
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R Driver License Number
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R CLP issuance date, and expiration date
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R Emergency Contact person
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KEY
COURSE PROVISIONS (Items in bold face must be included in the contract exactly as written, including the bold face font.)
E
(Insert Provider Name) will provide a minimum of (Insert number of classroom hours) hours of classroom
instruction, (Insert number of range hours) hours of range practice (yard), and (Insert number of BTW hours)
hours of behind-the-wheel (BTW) instruction. Classes will normally run (Insert number of hours per day)
hours/day (Insert what days the course is on) for (Insert number of weeks) weeks for a total of (Insert total of
hours).
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E
(Insert Provider name) will conduct the behind-the-wheel instruction in a tractor-trailer that is fully insured to
cover each student enrolled in the program.
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E
Students must obtain a Commercial Learner’s Permit (CLP) by achieving a score of 80% or higher on the
State of Michigan “Knowledge” test.
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R ALL dates for the class (e.g. Jan. 21, 22, 23, Feb. 2, 3, etc.)
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KEY
COURSE TERMS (Item in bold face must be included in the contract exactly as written, including the bold face font.)
R Total fee of the course.
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R
All course materials included with the total fee of the course (i.e. Medical Examiner’s Certificate (MCSA-5876) and
drug screen, basic CLP fee, plus the Driver Testing Business fee and the use of a Doing It Right tractor – trailer for
one State of Michigan approved CDL driver license test.).
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R Additional fees for materials or miscellaneous items such as missed or cancelled BTW instruction.
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E
Students must present a current Medical Examiner’s Certificate (MCSA-5876) and drug screen at the time the
course begins.
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O Course make-up policy.
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R Cancellation policy (BTW instruction).
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KEY
REQUIREMENTS TO PASS THE COURSE (Item in bold face must be included in the contract exactly as written,
including the bold face font.)
R Passing score for any State Exam, tests or quizzes.
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O Additional requirements for passing that affect the student’s grade (e.g., homework or quizzes, test, etc.)
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KEY
REFUND POLICY
R Refund policy must be clearly written and easy to understand.
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KEY
ACCOMMODATIONS/MEDICAL CONDITIONS
(Items below must be included in the appropriate contract exactly as
written including bold face font)
E
Does the Student require any special accommodations to participate in the classroom phase (e.g., test being read,
interpreter, etc.)? Yes No If Yes, please explain:
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E
Does the Student require any special accommodations to participate in the BTW phase (e.g., adaptive devices,
interpreter, etc.)? Yes No If Yes, please explain:
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KEY
SIGNATURES
R Student signature and date signed.
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R Provider’s signature and date signed.
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KEY
FOOTER STATEMENT
E
NOTICE - This provider is required to be certified by the Secretary of State. If you have any
complaint that cannot be settled with the provider, please complete the DES-P11 Statement of
Complaint form found on the Department of State website; Michigan.gov/DriverEd. Completion of
driver education instruction does not guarantee qualification for a driver license.
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