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How to Use or Fill Out the Temporary Restricted License Request Form Online

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  1. Click ‘Get Form’ to open it in our editor.
  2. Begin with Part I, 'Applicant's Certification.' Here, you must acknowledge the restrictions of the temporary license and provide your signature and date.
  3. In Part II, 'Applicant's Information,' fill in your full name, address (not a PO Box), date of birth, and telephone number. Clearly explain why you need the temporary restricted license.
  4. If employed, complete Part III with your employer's information including their name, business address, and type of work performed. Ensure the employer signs and dates this section.
  5. For self-employed individuals, fill out Part IV with your business details. If applicable, provide school information in Part V along with a signature from a school administrator.
  6. If participating in the 24/7 Sobriety Program, complete Part VI by confirming your participation and signing where required.
  7. Finally, if updating any information, use Part VIII to check the appropriate boxes and provide updated details as necessary.

Start filling out your Temporary Restricted License Request form online for free today!

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An online form is an electronic application in which data is entered by the person filling it out for recording and further processing via predefined data fields. Such electronic forms can be found, for example, on websites or as attachments in e-mails.
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How to Create a Request Form Define Your Use Case and Requirements. Start Building Your Form. Add and Customize Form Fields. Personalize the Form Design. Set Up Notifications and Approvals. Publish and Share Your Form. Test and Manage Submissions.
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