Dvs Form Ps2122 02 PDF Details

In the realm of driving privileges, maintaining a clean record is essential for the continuation and reinstatement of one’s driving license, especially in cases where restrictions have been imposed due to alcohol or drug use. The DVS PS2122 02 form plays a pivotal role in the state of Minnesota, functioning as a formal request for the removal of a specific license restriction tagged as ‘ANY USE OF ALCOHOL OR DRUGS INVALIDATES LICENSE.’ This restriction significantly impacts an individual’s driving record and rights, being eligible for removal only after a decade has elapsed under certain conditions. Managed by the MINNESOTA DEPARTMENT OF PUBLIC SAFETY, DRIVER AND VEHICLE SERVICES, this procedure necessitates a thorough background check over the past ten years to ensure that there are no offenses related to alcohol or drug usage by the requester. Upon a clean background verification, the individual is directed towards applying for a duplicate or a renewed driver’s license, effectively removing the previously imposed restriction. The form accommodates various submission methods, including fax, personal delivery to a Driver Exam Station, or mailing to the designated office, ensuring a widely accessible process for applicants. Additionally, the provision of contact details and an official website offers necessary support and guidance throughout the process, emphasizing the structured approach towards reinstating driving privileges while underscoring the importance of responsible behavior and rehabilitation.

QuestionAnswer
Form NameDvs Form Ps2122 02
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDL RestrictionRemo val restriction removal notification form

Form Preview Example

MINNESOTA DEPARTMENT OF PUBLIC SAFETY

DRIVER AND VEHICLE SERVICES

Restriction Removal Notification

Instructions: This form must be signed to request removal of the ‘ANY USE OF ALCOHOL OR DRUGS INVALIDATES LICENSE’ restriction on the driver’s license and driving record after 10 years.

This form can be faxed to (651) 797-1298. You may also bring this form to any Driver Exam Station (Visit the DVS Website for all Office Locations) or mail this form to Driver and Vehicle Services, 445 Minnesota Street, Suite 170, St. Paul, Minnesota 55101. For questions, contact DVS at (651) 296-2025 or visit dvs.dps.mn.gov.

I,

 

 

 

am requesting

 

(First Name)

(Middle Name)

(Last Name)

removal of the 'Any use of alcohol or drugs invalidates license’ restriction on my driver’s license. I understand that a background check of the past 10 years is required before removal is approved. If the background check is returned without a reference to alcohol consumption, use or possession of a controlled substance, you will be notified to apply for a duplicate or renewal driver license to have the restriction removed.

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Driver's License Number

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(First Name)

 

(Middle Name)

 

 

(Last Name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

City/State/Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth

 

 

 

Daytime Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

Date

 

 

PS2122-02 05/12

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