Registration forms

Champaign County Form

Who should use this form:

  • Drivers who have received a single traffic ticket in Champaign County and would like to participate in the Traffic Safety Program.


Use this form for these classes: DDC-4 or Online DDC-4

Douglas County Form

Who should use this form:

  • Drivers who have received a single traffic ticket in Douglas County and would like to participate in the Traffic Safety Program.


Use this form for these classes: DDC-4 or Online DDC-4

Piatt County Form

Who should use this form:

  • Drivers who have received a single traffic ticket in Piatt County and would like to participate in the Traffic Safety Program.


Use this form for these classes: DDC-4 or Online DDC-4
 

General Form

Who should use this form: 

  • Voluntary participants. 
  • Drivers who have received a single traffic ticket outside of Champaign, Douglas, or Piatt counties and who want to attend the 4-hour National Safety Council defensive class at Parkland College.

Alternatively, you may simply email your information to trafficsafety@parkland.edu (for security reasons do not email payment information). Please include 1) full name 2) mailing address 3) phone number 4) driver's license number 5) date of birth 6) email

Use this form for these classes: 
DDC-4 or Online DDC-4 

 

"Graduate to Safety" Form (Suspended License)

Who should use this form:

  •   Drivers 16-21 years old who have had their license or permit suspended by the Illinois Secretary of State.


Alternatively, you may simply email your information to trafficsafety@parkland.edu (for security reasons do not email payment information). Please include 1) full name 2) mailing address 3) phone number 4) driver's license number 5) date of birth 6) email

Use this form for this class: Remedial "Graduate to Safety"