Fill and Sign the Louisiana Hardship License Application Form

DOCKET NO. _______ _______ JUDICIAL DISTRICT COURT IN AND FOR THE PARISH OF _______, STATE OF LOUISIANA ___________________ VS. STATE OF LOUISIANA DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS Filed: ______________, 20___ ____________________, Dy. Clk. * * * PETITION FOR HARDSHIP LICENSE Petitioner, _______________ , who is domiciled in the Parish of _______, State of Louis iana, respectfully represents: l. Named Defendant herein is LOUISIANA DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS, State of Louisiana. 2. On the ___ day of _______ , 20___, the Petitioner was stopped in _______ Parish by Louisiana State Police for improper lane usage. 3. Because the State Trooper believed he detected an odor of alcoholic beverages on Petitioner's breath, Petitioner was taken to the _______ Police Station for the purpose of Petitioner taking a breath test. 4. Petitioner contends that at the _______ Police Station he performed the breath test, and this test resulted in a reading of _______ . 5. Petitioner has been informed that as a result of the breath test, t he Department of Public Safety intends to suspend Petit ioner's driving privileges for _______ days. 6. Petitioner further contends that he is employed by _______________ , and that he works as a salesman for both companies. 7. Because of Petitioner's employment, he is required to travel throughout the State and, therefore, it is necessary that he be permitted to drive. 8. Petitioner has been informed that his driver's license suspension b egins the ___ day of _______, 20___, and, therefore, Petitioner desires that a temporary restraining order be issued prohibiting the Louisiana Departmen t of Public Safety and Corrections from enforcing the suspension until such time as a hearing can be held in this matter. 9. Petitioner requests the Department of Public Safety and Corrections show ca use on the date and hour fixed by the Court, why he sho uld not be granted a Hardship License, pursuant to La R.S. 32:4l5.1. WHEREFORE, Petitioner prays that a temporary restrainin g order be issued herein prohibiting the Department of Public Safety and Corrections from enforcing the suspension, and the Department of Public Safety and Corrections show cause on the date and hour set by this Honorable Court, why Petitione r, _______________ , Driver's License No. ___________, should not be granted a Hardship License. Respectfully Submitted: ____________________________ _______________ Attorney at Law _______________ _______, LA _______ ( ___ )_______ Please serve the Defendant: State of Louisiana Department of Public Safety and Corrections Baton Rouge, Louisiana a nd State of Louisiana through the Attorney General Baton Rouge, Louisiana DOCKET NO. _______ _______ JUDICIAL DISTRICT COURT IN AND FOR THE PARISH OF _______, STATE OF LOUISIANA ________________ VS. STATE OF LOUISIANA DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS Filed: ______________, 20___ ____________________, Dy. Clk. * * * O R D E R Considering the foregoing petition: IT IS ORDERED that a temporary restraining order is sue herein immediately, without bond, directed to the Defendant, LOUISIANA DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS, restraining, enjoining and prohibiting the Defendant, its agents or assigns, from enforcing the suspension of Petitioner's driving privileges. IT IS FURTHER ORDERED that the Defendant show cause on the _____ day of ________________ 20___ , at _____ o’clock ___.M., before the Honorable ________________________, Judge, why Petitioner, _______________, Driver's License No. ___________, should not be granted a Hardship License. THUS DONE AND SIGNED this _____ day of ____________ ______, 20___, at _______________, Louisiana. _____________________________ JUDGE