Sos 258 2026

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The document is a Substance Use Evaluation form designed for individuals applying for or renewing their driver's license, requiring detailed personal information, history of substance use and treatment, and evaluations by a certified evaluator. It includes sections for the applicant to disclose their lifetime conviction history related to alcohol and drugs, as well as their treatment history and support group involvement. The evaluator must assess the individual's substance use disorder, provide diagnostic impressions, and recommend a continuum of care while certifying the accuracy of the evaluation.

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Click ‘Get Form’ to open the sos 258 in the editor.
Begin with Section 1: General Information and History. Fill in your name, date of birth, driver’s license number, address, and contact number. Ensure all information is accurate.
List your lifetime conviction history related to alcohol or drugs. Include both driving and non-driving convictions along with their dates and details.
Sign and date the form at the bottom of Section 1 to authorize the evaluator to discuss your information.
Proceed to Section 2: History and Evaluation. The evaluator will complete this section, detailing treatment history, diagnostic impressions, and testing instruments used.
Review all sections for completeness before saving or submitting your form through our platform.

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