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Enrollment for Safety-Ed™ Driving Safety Course
 
Step 2: Your Enrollment Information
* Denotes a Required Field
Fleet Code*
 
Your Driver's License Number *
Your Driver's License will serve as your Login Name when entering the Course Module.
 
Your Password *
Please select a password you will use to access the Course. We recommend a password of 6-8 characters, at least 1 being a number.
**Please confirm the Password you just created.
 
Password Reminder *
Please select a Password Reminder Question below, and provide an answer to the question you have selected. We'll use these to assist you if you ever forget your password.
 
Your Name*
Use your Exact Full Name as it appears on your Drivers License:
Last: First: Middle:
 
Employee I.D.
 
Daytime Phone / Extension *     
 
 
Your Email Address
Please enter an email address we can use to send you a Registration Confirmation when your course registration is complete.