Fill and Sign the Suspended License Form

IN THE CIRCUIT COURT OF _________ COUNTY, ____________ NAME OF PLAINTIFF ) ) ) V. ) NO. ) ) NAME OF DEFENDANT ) ) Commissioner of Public Safety and the State of ____________________ ) ) PETITION COMES NOW _____________ and files this petition requesting a temporary order reducing the period of suspension of his/her driver's license and in support would show, to-wit: Petitioner is an adult resident citizen of the City of _____________, _____________ County, _____________, who resides at ___________________________ _____________ _____________. His/Her driver's license number is _____________. Petitioner has entered a plea of guilty and has been convicted in the Municipal C ourt of _____________ in _____________ County, _____________, as a first offender for DUI. He/She has not previously been convicted of any offense. His/Her driver's license was officia lly suspended on _____________. Petitioner has completed the _____________ Alcohol Safety Education Program and his/her certificate indicating completion of such program is attached hereto as Exhibit "A". Petitioner is under a severe hardship due to the suspension of his/her driver's license. WHEREFORE, PREMISES CONSIDERED, Petitioner requests that his/her petition be filed and received, that upon proper process, he/she be granted a temporary order reducing the period of suspension of his/her driver's license to _______ (___) days, pursuant to ___________ as amended in _____ by House Bill Number _____, and that absent a request of the Commissioner of Public Safety within _______ (___) days for an extension that the temporary order be made final.Respectfully submitted, ___________ By: ______________________________ ___________ CERTIFICATE OF SERVICE I, ___________________, attorney for ____________, do hereby certify that I have this date mailed, postage prepaid, a true and correct copy of the above and foregoing Pet ition to Reinstate Driving Privilege to Commissioner of Public Safety, by mailing same to the Attorney General, State of ___________, Post Office Box _____, ___________, ___________ ___________; and, ___________, County Attorney, ___________ County, ___________, Post Office Box _____, ___________, ___________ ___________. This the ____ day of _________, 20__ . ______________________________ ___________