A certified driver education provider or instructor or a provider's designated representative or coordinator shall immediately notify the secretary of state if convicted of a violation or attempted violation listed in section 59. A certified driver education instructor or designated representative or coordinator of a provider shall also notify his or her driver education provider employer. A notice required under this section shall be in a format as prescribed by the secretary of state and comply with all of the following:

    (a) Identify the conviction.

    (b) Identify the date of the conviction.

    (c) Identify the court that imposed the conviction.

    (d) Contain other information as prescribed by the secretary of state.