Transcription of MV2606A - Parent/Guardian Consent in Support of …
1 MV2606A (122019) Parent/Guardian Consent of a Minor s Driver Licence Page 1 of 1 Parent/Guardian Consent of a Minor s Driver Licence(MVA Section 32)Applicant Minor Information (please print)LEGAL LAST NAME OF MINORLEGAL GIVEN NAME(S) OF MINORDATE OF BIRTH (dd/mmm/yyyy)Custodial Parent/legal guardian Information (please print) LEGAL LAST NAME OF PARENT/GUARDIANLEGAL GIVEN NAME(S) OF PARENT/GUARDIANPARENT/ guardian PHONE am the custodial parent/legal guardian of the minor named am supporting the application for the type of licence(s) checked below: Passenger Vehicle (class 5/7) Motorcycle (class 6/8) Commercial (class 3) have read the warning below and understand the consequences of making a false OF PARENT OR guardian DATE (dd/mmm/yyyy)Non-Related Adult Witness NOTE: A witness is not required when this form is completed at the Driver Licensing Office.
2 LEGAL LAST NAME OF WITNESSLEGAL GIVEN NAME(S) OF WITNESSWITNESS PHONE have witnessed the above parent or guardian signature and the signature is of the Parent/Guardian identified have read the warning below and understand the consequences of making a false OF WITNESS DATE (dd/mmm/yyyy)WARNING Knowingly making a false or misleading statement in applying for or assisting in the application for a British Columbia Driver s Licence may result in prosecution under the Motor Vehicle Act. s. 69. A person who contravenes s. 69 is liable to a fine of up to $20,000 and/or to information contained in this form is collected under the authority of s.
3 32 of the Motor Vehicle Act and s. 26 of the Freedom of Information and Protection of Privacy Act for the purpose of processing the application in Support of a minor for a driver s licence. Information may be disclosed pursuant to s. 33 of FIPPA. If you have any privacy questions, please visit or contact the Manager at our Privacy & FOI department at 151 W Esplanade, North Vancouver, BC, V7M 3H9, or call about the fitness and ability of the minor named above may be reported to the Superintendent of Motor Vehicles, who may take action regarding the privilege to drive of the minor named check with your insurance agent that you have the appropriate coverage for the vehicle operated by the LICENCE NUMBER OF MINORICBC RACF IDTo be completed by ICBC
