ABC Defensive Driving Registration

ABC Defensive driving

In-Person Class Registration Form
Full Name*

First NameMiddle InitialLast NameSuffix
Birth Date*

MonthDayYear
Phone*
E-mail Address*
example@example.com

Driver's License Information
ID or Driver's License Issuer*
State or Province*
State or Province*
ID or Driver's License Number*
Do you have a commercial driver's license (CDL)?

YesNo

Course Type

Please select the course type. The Ticket Dismissal class is for dismissal of an Arizona traffic citation you received from the court. The Voluntary course is taken for insurance discount purposes.
Select the course type*

Acknowledgement

Please ensure you read through the eligibility requirements for the ticket dismissal class. Note: You must scroll to the bottom of the acknowledgment before you are able to continue.
Citation Information

Please ensure you input all correct information from your ticket/extension. If you lost your ticket, you will need to contact the court to get a copy.
Which County did you receive your ticket from?*
Which City Court did you receive your ticket from?
Maricopa County courts listed alphabetically
Which City Court did you receive your ticket from?
Apache County courts listed alphabetically
Which City Court did you receive your ticket from?
Cochise County courts listed alphabetically
Which City Court did you receive your ticket from?
Coconino County courts listed alphabetically
Which City Court did you receive your ticket from?
Gila County courts listed alphabetically
Which City Court did you receive your ticket from?
Graham County courts listed alphabetically
Which City Court did you receive your ticket from?
Greenlee County courts listed alphabetically
Which City Court did you receive your ticket from?
La Paz County courts listed alphabetically
Which City Court did you receive your ticket from?
Mohave County courts listed alphabetically
Which City Court did you receive your ticket from?
Navajo County courts listed alphabetically
Which City Court did you receive your ticket from?
Pima County courts listed alphabetically
Which City Court did you receive your ticket from?
Pinal County courts listed alphabetically
Which City Court did you receive your ticket from?
Santa Cruz County courts listed alphabetically
Which City Court did you receive your ticket from?
Yavapai County courts listed alphabetically
Which City Court did you receive your ticket from?
Yuma County courts listed alphabetically
Complaint Number*
Complaint or citation number typically located at top of the page
ARS Section/Violation Code*
Begins with ARS 28-XXX, the reason you were cited for the ticket
Citation Date*

MonthDayYear
Date you were issued your citation
Court Date*

MonthDayYear
Please enter your extension date if applicable. Class must be completed at least 7 days before your court date.

Class Information
Class Date Selection*
Please select from our class times and locations
Should be Empty:

ABC Defensive driving

Driver's License Information

Course Type

Acknowledgement

Citation Information

Class Information