Form Dc 273 PDF Details

Device manufacturers have a responsibility to update users about recalls and provide guidance on what to do if a product is recalled. In the wake of several high-profile product recalls in recent years, the US Senate has proposed a bill that would require device manufacturers to notify federal agencies and post recall information on their websites. The proposal, known as Form Dc 273, is sponsored by Senators Cory Booker (D-NJ) and Chuck Grassley (R-IA). If passed, the law would apply to all consumer products, including pharmaceuticals, medical devices, cars, and toys.

Question	Answer
Form Name	Form Dc 273
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	pursuant, petitions, undersigned, enrolled

Form Preview Example

PETITION FOR AUTHORIZATION FOR RESTRICTED						Case No
PETITION FOR AUTHORIZATION FOR RESTRICTED						Case No
DRIVER’S LICENSE – CONVICTION FOR
UNAUTHORIZED DRIVING						Hearing Date:
UNAUTHORIZED DRIVING						Hearing Date:
Commonwealth of Virginia		VA. CODE §§ 46.2-301(E), 18.2-271.1
						[ ] General District Court		[	] Circuit Court
						[ ] General District Court		[	] Circuit Court
						[ ] Juvenile and Domestic Relations District Court
..................................................................................................................................................................
		CITY OR COUNTY
		CITY OR COUNTY			.......................................................................................................................................
..............................................................................................................................

		PETITIONER			DRIVER’S LICENSE NUMBER				STATE

..............................................................................................................................				.......................................................................................................................................

		ADDRESS					DATE OF BIRTH
	..............................................................................................................................

	CITY/STATE		ZIP CODE

To the above-named court:

I, ................................................................................................................., the undersigned, respectfully request this Court to authorize the

PRINT NAME

Department of Motor Vehicles to issue to me a restricted driver’s license, for good cause shown, and further state the following:

My privilege to drive a motor vehicle on the highways of the Commonwealth was suspended by this Court pursuant to § 46.2-301(D) for a violation of § 46.2-301(B), specifically, driving any motor vehicle or any self-propelled machinery or equipment on any highway in Virginia after having my driver’s license, learner’s permit, or privilege to drive a motor vehicle suspended or revoked; after having been directed not to drive by any court or by the Commissioner; or after having been forbidden to operate a motor vehicle as required by statute or by ordinance, in connection with the following cases:

............................................................................................................................................................................................................................................................................

CASE NUMBEROFFENSEOFFENSE DATECONVICTION DATE

CASE NUMBER	OFFENSE	OFFENSE DATE	CONVICTION DATE
		[	] Additional sheet attached

[] I have additional license suspensions in other Virginia courts pursuant to § 46.2-301(D) for a violation of § 46.2-301(B), specifically, driving any motor vehicle or any self-propelled machinery or equipment on any highway in Virginia after having my driver’s license, learner’s permit, or privilege to drive a motor vehicle suspended or revoked; after having been directed not to drive by any court or by the Commissioner; or after having been forbidden to operate a motor vehicle as required by statute or by ordinance.

[] Copies of the petitions seeking relief for those suspensions are attached.

Upon knowledge and belief, I am otherwise eligible for a restricted license, and the period of time for which my license was suspended by the court pursuant to § 46.2-301(D), if measured from the date of conviction, has expired even though the suspension itself has not expired.

I request the Court to authorize the Department of Motor Vehicles to issue to me a restricted driver’s license for the following purpose(s):

(a)[] travel to or from my place of employment as described below.

(b)[] travel to and from an alcohol rehabilitation or safety action program.

(c)[] travel during my hours of employment, because the operation of a motor vehicle is necessary to my employment described below.

EMPLOYER NAME AND WORK LOCATION

HOURS FOR TRAVEL TO AND FROM WORK

HOURS OF EMPLOYMENT

(d)[] travel to and from school. (I understand that I must provide proper written verification to the court that I am enrolled in a continuing program of education.)

SCHOOL NAME AND LOCATION

REQUESTED DATES AND TIMES FOR TRAVEL TO AND FROM SCHOOL

(e)[] medically necessary travel for [] me [] elderly parent [] person residing in my household. (I understand that I must provide written verification from a licensed health professional of the need for such travel for an elderly parent or household member.)

NAME AND LOCATION OF PROVIDER OF MEDICAL SERVICES

FORM DC-273 (MASTER, PAGE ONE OF TWO) 10/09

(g 1-3) [] travel necessary to transport a minor child or children under my care

(1)[] to and from school (2)[] to and from day care

(3)[] to and from facilities housing medical service provider.

NAME AND LOCATION OF SCHOOL/DAY CARE/MEDICAL SERVICE PROVIDER

(h) [] travel to and from court ordered visitation with my child or children.

NAME(S) AND LOCATION OF CHILD OR CHILDREN

(i-1) [] travel to and from appointments with my probation officer.

NAME AND LOCATION OF PROBATION ENTITY

(i-2) [] travel to and from programs required by court or as a condition of probation.

PROGRAM NAME AND LOCATION

(j) [] travel to and from a place of religious worship.

NAME AND LOCATION OF PLACE OF RELIGIOUS WORSHIP

REQUESTED DAY (ONE DAY PER WEEK) AND TIME FOR TRAVEL TO AND FROM PLACE OF WORSHIP

(k)[] travel to and from appointments approved by the Division of Child Support Enforcement of the Department of Social Services as requirement of participation in a court-ordered intensive case monitoring program for child support for which I will have with me written proof of the appointment, including written proof of date and time of the appointment.

(m) [] travel to and from jail to serve a jail sentence that is to be served on weekends or on nonconsecutive days.

I understand that the court may decide not to authorize the Department of Motor Vehicles to issue to me a restricted driver’s license.

If this court does authorize the Department of Motor Vehicles to issue to me a restricted driver’s license, I understand that I may not drive unless all courts that suspended my driver’s license for a violation of § 46.2-301(B), specifically, driving any motor vehicle or any self-propelled machinery or equipment on any highway in Virginia after having my driver’s license, learner’s permit, or privilege to drive a motor vehicle suspended or revoked; after having been directed not to drive by any court or by the Commissioner; or after having been forbidden to operate a motor vehicle as required by statute or by ordinance, have authorized a restricted driver’s license and until receipt of such a restricted license from the Department of Motor Vehicles.

I understand that a restricted driver’s license will not permit me to operate a commercial motor vehicle.

I understand that a restricted driver’s license will not authorize visitation of my child or children if visitation is otherwise prohibited.

.......................................................................	_______________________________________________________________________

DATE	PETITIONER’S SIGNATURE

FORM DC-273 (MASTER, PAGE TWO OF TWO) 07/11

How to Edit Form Dc 273 Online for Free

Should you would like to fill out undersigned, there's no need to download any sort of programs - just try our PDF editor. Our editor is consistently evolving to grant the best user experience achievable, and that is because of our dedication to continuous improvement and listening closely to user feedback. If you're seeking to get going, here's what it will take:

Step 1: Click on the "Get Form" button at the top of this webpage to open our PDF tool.

Step 2: The tool will let you change nearly all PDF documents in a variety of ways. Improve it by writing any text, correct original content, and put in a signature - all possible within minutes!

With regards to the fields of this precise document, here's what you should know:

1. For starters, when filling in the undersigned, start with the area that contains the next blank fields:

2. Just after filling in this section, go to the next stage and complete the essential particulars in these fields - CASE NUMBER CASE NUMBER CASE, CONVICTION DATE, CONVICTION DATE, OFFENSE DATE, CONVICTION DATE, OFFENSE DATE, CONVICTION DATE, OFFENSE DATE, OFFENSE DATE, OFFENSE, OFFENSE, OFFENSE, OFFENSE, Additional sheet attached, and I have additional license.

CONVICTION DATE, CONVICTION DATE, and CONVICTION DATE in residing

3. This third part is normally rather simple, EMPLOYER NAME AND WORK LOCATION, HOURS FOR TRAVEL TO AND FROM WORK, HOURS OF EMPLOYMENT, d travel to and from school I, continuing program of education, SCHOOL NAME AND LOCATION, REQUESTED DATES AND TIMES FOR, e medically necessary travel for, written verification from a, NAME AND LOCATION OF PROVIDER OF, and FORM DC MASTER PAGE ONE OF TWO - all of these empty fields will need to be filled in here.

The best ways to complete residing stage 3

4. The next subsection needs your details in the following parts: g travel necessary to transport, to and from school to and from, NAME AND LOCATION OF SCHOOLDAY, h travel to and from court, i travel to and from, NAMES AND LOCATION OF CHILD OR, i travel to and from programs, NAME AND LOCATION OF PROBATION, PROGRAM NAME AND LOCATION, j travel to and from a place of, NAME AND LOCATION OF PLACE OF, and REQUESTED DAY ONE DAY PER WEEK AND. It is important to give all of the needed information to move onward.

5. The final stage to conclude this PDF form is pivotal. Make sure to fill in the necessary form fields, for example k travel to and from, REQUESTED DAY ONE DAY PER WEEK AND, Services as requirement of, m travel to and from jail to, I understand that the court may, DATE, and PETITIONERS SIGNATURE, before finalizing. Failing to do it could generate an incomplete and possibly nonvalid document!

residing conclusion process described (stage 5)

It is possible to get it wrong while completing the DATE, for that reason make sure that you look again before you decide to submit it.

Step 3: Be certain that the details are correct and then press "Done" to complete the process. Go for a 7-day free trial option at FormsPal and get immediate access to undersigned - which you can then use as you want in your personal account page. At FormsPal.com, we do everything we can to make certain that all your information is kept private.

Form Dc 273 – Fill Out and Use This PDF

Form Dc 273 PDF Details

Form Preview Example

How to Edit Form Dc 273 Online for Free

Form Dc 273 isn’t the one you’re looking for?

Form Dc 273 – Fill Out and Use This PDF

Form Dc 273 PDF Details

Form Preview Example

How to Edit Form Dc 273 Online for Free

Form Dc 273 isn’t the one you’re looking for?

Related Documents