• TN DEPARTMENT OF SAFETY AND HOMELAND SECURITY USE ONLY

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  • STATE OF TENNESSEE DEPARTMENT OF SAFETY AND HOMELAND SECURITY CERTIFICATION OF COMPULSORY SCHOOL ATTENDANCE

    FORM SF-1010

  • INSTRUCTIONS: COMPLETE FORM ELECTRONICALLY OR WITH A BLACK PEN (not a felt pen SIGNATURES MUST BE IN BLUE OR BLACK INK.

  • STUDENT INFO

  • DATE OF BIRTH
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • Parent / Legal Guardian

  • SCHOOL

  • CERTIFICATION

  • IMPORTANT: THE FOLLOWING INFORMATION IS TO BE COMPLETED BY THE AUTHORIZED OFFICIAL, PRINCIPAL OR DIRECTOR OF SCHOOLS ONLY.


  • I, THE UNDERSIGNED SCHOOL OFFICIAL, PURSUANT TO T.C.A. 55-50-321, DO HEREBY CERTIFY THAT THE ABOVE STUDENT IS:
  • DATE
     / /
    2 digit month, 2 digit day, 4 digit year

  • IMPORTANT:

    *WHEN A STUDENT APPLIES FOR A DRIVER LICENSE OR PERMIT, THIS FORM IS VALID FOR 30 DAYS DURING THE SCHOOL YEAR. DURING SUMMER, IT MAY BE

    DATED WITHIN THE LAST 30 DAYS OF THE SPRING SEMESTER.

    *WHEN REQUESTING A SUSPENSION OR DENIAL, MAIL A COPY TO THE PARENT AND A COPY TO THE TENNESSEE DEPARTMENT OF SAFETY (address below)

    TENNESSEE DEPARTMENT OF SAFETY AND HOMELAND SECURITY
    P.O. Box 945
    Nashville, TN 37202

  • INSTRUCTIONS FOR COMPLETING AND PROCESSING THIS COMPULSORY ATTENDANCE FORM CERTIFICATION WHEN STUDENT MEETS COMPULSORY SCHOOL ATTENDANCE REQUIREMENTS.  

    WHEN A STUDENT NEEDS CERTIFICATION TO OBTAIN A LEARNER PERMIT OR DRIVER LICENSE, PLEASE CONFIRM THE NAMEIS SPELLED CORRECTLY, AND MATCHES THE NAME ON FILE WITH YOUR SCHOOL RECORDS

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    • PLACE A "CHECK MARK" IN BOX #1, IF THE STUDENT MEETS THE CRITERIA OF COMPULSORY SCHOOL ATTENDANCE LAWS AS REQUIRED IN T.C.A. 49-46-3017. THE APPROPRIATE SCHOOL OFFICIAL MUST SIGN AND DATE THE FORM IN THE SPACE PROVIDED BELOW THIS BOX.

      1. MAKE A COPY OF THE ORIGINAL SIGNED FORM FOR YOUR SCHOOL FILES.
       2. GIVE THE ORIGINAL TO THE STUDENT TO PRESENT TO A DRIVER LICENSE EXAMINER WHEN MAKING APPLICATION FOR A LICENSE.
       3. ADVISE THE STUDENT THAT THE FORM IS VALID FOR THIRTY (30) DAYS EXCEPT FOR THE SUMMER MONTHS WHEN SCHOOLISOUT.

      WHEN A STUDENT IS NOT IN COMPLIANCE WITH THE COMPULSORY SCHOOL ATTENDANCE LAWS AS REQUIRED IN T.C.A. 49-6-3017 AND SHOULD BE SUSPENDED OR DENIED A LEARNER PERMIT OR DRIVER LICENSE.

      PLACE A "CHECK MARK" IN BOX #2, IF THE STUDENT FAILS THE CRITERIA OF COMPULSORY SCHOOL ATTENDANCE LAWS AS       REQUIRED IN T.C.A. 49-46-3017. PLACE A CHECK MARK IN BOX #3 IF THE STUDENT HAS WITHDRAWN FROM SCHOOL. THE APPROPRIATE SCHOOL OFFICIAL MUST SIGN AND DATE THE FORM IN THE SPACE PROVIDED BELOW THIS BOX.

       1. MAKE 2 COPIES OF THE ORIGINAL SIGNED FORM. RETAIN ONE FOR YOUR SCHOOL FILES.
      2. MAIL THE ORIGINAL SIGNED FORM TO THE TENNESSEE DEPARTMENT OF SAFETY AND HOMELAND SECURITY TO P.O. BOX 945, NASHVILLE TN 37202
      3. MAIL THE 2nd COPY TO THE STUDENT ADDRESS THAT IS LISTED ON THIS FORM.

      WHEN A STUDENT HAS RE-ENROLLED IN SCHOOL AND IN COMPLIANCE WITH ATTENDANCE PER T.C.A. 49-6.3017
      PLACE A "CHECK MARK" IN BOX #4, IF THE STUDENT MEETS THE CRITERIA OF COMPULSORY SCHOOL ATTENDANCE LAWS AS REQUIRED IN T.C.A. 49-46-3017.

      1. MAKE 3 COPIES OF THE ORIGINAL SIGNED FORM. RETAIN ONE FOR YOUR SCHOOL FILES.
       2. PROVIDE A COPY OF THE SIGNED FORM TO THE STUDENT
      3. MAIL THE ORIGINAL SIGNED FORM TO THE TENNESSEE DEPARTMENT OF SAFETY AND HOMELAND SECURITY TO PO BOX 945, NASHVILLE TN 37202.

       FOR THE STUDENT MAKING APPLICATION FOR THE REINSTATEMENT OF A DRIVER LICENSE
       BRING YOUR COPY OF THE SF-1010 FORM TO ANY DRIVER LICENSE REINSTATEMENT OFFICE

      1. YOU MUST PAY A $20 REINSTATEMENT FEE, $2 APPLICATION FEE AND THE REGULAR FEE FOR YOUR DRIVER LICENSE.

      2.IF YOUR LICENSE WAS SUSPENDED AND WAS NOT RETURNED TO THE DEPARTMENT OF SAFETY WITHIN TWENTY (20) DAYS, YOU WILL BE REQUIRED TO PAY AN ADDITIONAL $75 FEE, AT ANY DRIVER LICENSE REINSTATEMENT OFFICE

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