How to Use or Fill Out the Temporary Restricted License Request Form Online
- Click ‘Get Form’ to open it in our editor.
- Begin with Part I, 'Applicant's Certification.' Here, you must acknowledge the restrictions of the temporary license and provide your signature and date.
- 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.
- 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.
- 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.
- If participating in the 24/7 Sobriety Program, complete Part VI by confirming your participation and signing where required.
- Finally, if updating any information, use Part VIII to check the appropriate boxes and provide updated details as necessary.
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