State form 28622 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your personal information, including your name, age, address, date of birth, and driver’s license number. Ensure all entries are accurate and complete.
3. In the Requirement Statement section, check the appropriate boxes that apply to your situation. Be sure to include any necessary documentation as specified for each requirement.
4. Indicate how many individuals in your household hold a valid license and whether public transportation is available in your area.
5. Provide a detailed reason for requesting the waiver. If you need more space, utilize the reverse side of the form.
6. Finally, sign and date the application. If you are under eighteen, ensure a parent or guardian also signs.

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