General Information

Driving School

Owner's Name

School Address

City/State/Zip

  AL

Telephone Number

Fax Number

Mobile Phone Number

Email Address

Web Site Address

School DMV License #

Are you a DSAC member?

Yes No  

Are you a DSAA member?

Yes No  

Type Of Compay

Corporation S-Corporation Partnership Sole Proprietorship Other  

Years in Business

Date Incorporated

Tax ID #

Insurance Carrier

Policy No.

Liability Limits