Steuben county driver diversion program affadavit 2014 form-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and address in the designated fields. Ensure that your contact information is accurate for any follow-up communication.
3. Fill in the 'Town of Offense(s) Occurred' and specify what the ticket(s) were for. This information is crucial for processing your application.
4. In the statement section, confirm your identity by entering your birth date and affirming your request to participate in the program. This shows your understanding of the program's discretionary nature.
5. Indicate whether you agree to pay the administration fee by selecting either $250 or $150, depending on your situation.
6. Answer all application questions with a simple Yes or No. Be honest, as false statements can lead to serious consequences.
7. If applicable, provide a brief statement regarding any mitigating circumstances related to your offense.
8. Finally, ensure you have included all required documents before submitting: completed application, traffic ticket copy, driving record abstract, and a self-addressed stamped envelope.

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