Fill and Sign the Suspension 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 Court 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 officially 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 Petition 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 __ . ______________________________ ___________