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It includes fields for applicant details, the guardian’s printed name, signature, date, notary acknowledgment, and commission expiration. The form also contains an examiner-use section and an applicant signature affidavit certifying the accuracy of information and that driving privileges are not suspended or revoked, referencing Arkansas statutes.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/dl-financial-responsibility-acceptance-form-applicants-date-of-birth-applicants-drivers-licenseid-number/444001/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/dl-financial-responsibility-acceptance-form-applicants-date-of-birth-applicants-drivers-licenseid-number/444001.png","ImageObject",300,407,{"name":92,"@type":93},"Danger Angel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Who must sign the financial responsibility statement for an Arkansas driver’s license applicant under 18?","Question",{"text":112,"@type":113},"A parent or legal guardian must sign and the signature must be obtained in accordance with Arkansas statute A.C.A. § 27-16-702. 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Failing to present it to an examiner within the 30-day period requires submitting a new form.",{"name":119,"@type":110,"acceptedAnswer":120},"What does the applicant certify in the signature affidavit?",{"text":121,"@type":113},"The applicant certifies that all information provided is true and correct and that driving privileges are not suspended or revoked in this state or any other state, referencing Arkansas statute A.C.A. § 27-16-704.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},444001,1790764593,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},962090769052,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","ARKANSAS STATE POLICE ASP 33  \n06/29/2026  \nDL Financial Responsibility Acceptance Form  \nApplicant’s Name:    \nFull Legal Name on Primary Document  \n\n| Applicant’s Date of Birth Applicant’s Driver’s License/ID Number |\n| --- |\n| Address (include city, state, and zip code) of Applicant\u003Cbr>Financial Responsibility Acceptance for Applicants under 18 years of age:\u003Cbr>The above-mentioned applicant applied for an Arkansas driver’s license. Before an Arkansas driver’s license can be issued to any applicant under the age of 18, the signature of a parent or legal guardian assuming financial responsibility must be obtained in accordance with Arkansas statute A.C.A. § 27-16-702.\u003Cbr>If you have no objection to the issuance of a driver’s license to the above-mentioned applicant and are willing to accept financial responsibility for the issuance of an Arkansas driver’s license, please sign the following statement and have it notarized:\u003Cbr>Before me, the undersigned authority, on this day personally appeared\u003Cbr>  , being by me duly sworn, states on oath that:(Parent or Legal Guardian PRINTED Name)\u003Cbr>1. Affiant is an individual of sound mind over the age of 18.\u003Cbr>2. Affiant is the parent or legal guardian of the applicant.\u003Cbr>3. Affiant accepts financial responsibility for issuing a driver’s license to the applicant. |\n| (Parent or Legal Guardian Signature) Date\u003Cbr>SUBSCRIBED AND SWORN to before me this   day of   20  .\u003Cbr>My Commission Expires:  \u003Cbr>Notary Public\u003Cbr>(SEAL)\u003Cbr>***Please Note: This form is valid for thirty (30) calendar days from the date of the notary’s signature. Failure to present this form to an examiner within the 30-day period will result in the requirement to submit a new form.*** |\n| Examiner Signature Date\u003Cbr>BELOW FOR EXAMINER USE ONLY – MUST BE COMPLETED IN THE PRESENCE OF THE EXAMINER |\n| Signature Affidavit (Must be Completed by all Applicants):\u003Cbr>My initials and signature below certify that all information provided on this application is true and correct and that my driving privilege is not suspended or revoked in this State or any other state.\u003Cbr>  I understand, Arkansas statute A.C.A. § 27-16-704. Violation of this statute may result in delayed licensing by DF&A. |\n\nApplicant Signature Date  \nFor questions please contact: [driverslicense@asp.arkansas.gov](driverslicense@asp.arkansas.gov)","cbCaiuc4zmf4vxup","https://ap.wps.com/l/cbCaiuc4zmf4vxup","pdf",102970,"English","# DL Financial Responsibility Acceptance Form\n## Applicant details\n## Parent/Legal Guardian financial responsibility statement\n## Notary acknowledgment\n## Examiner use only\n## Applicant signature affidavit","[{\"question\":\"Who must sign the financial responsibility statement for an Arkansas driver’s license applicant under 18?\",\"answer\":\"A parent or legal guardian must sign and the signature must be obtained in accordance with Arkansas statute A.C.A. § 27-16-702. The signed statement must be notarized.\"},{\"question\":\"How long is the notarized form valid, and what happens if it is submitted late?\",\"answer\":\"The form is valid for thirty (30) calendar days from the date of the notary’s signature. Failing to present it to an examiner within the 30-day period requires submitting a new form.\"},{\"question\":\"What does the applicant certify in the signature affidavit?\",\"answer\":\"The applicant certifies that all information provided is true and correct and that driving privileges are not suspended or revoked in this state or any other state, referencing Arkansas statute A.C.A. § 27-16-704.\"}]","DL Financial Responsibility Acceptance Form - Applicant’s Date of Birth - Applicant’s Driver’s License/ID Number | PDF",1790706395]