Form PS33061B template
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Withdrawal of Parental Consent
This document is a request form to cancel or reinstate the driving privileges of a minor child. The form requires the parent/guardian to provide the child's first name, date of birth, driver's license number, middle name (optional), last name, and signature. The form also includes sections for withdrawal of parental consent and reinstatement. The document explains the procedures and provides contact information for DPS. It states that DPS collects the information for record keeping purposes and may disclose it for vehicle operation or public safety reasons.
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