Form Dr 500 001 PDF Details

Navigating the road to regaining driving privileges in Washington state can seem daunting, especially under the shadow of a suspension or revocation. The DR-500-001 form plays a vital role in this journey, offering a beacon of hope for those seeking a temporary restricted driver license. As a crucial step for individuals whose driving freedom has been curtailed, this form serves as an application to restore a semblance of normalcy to their daily commute, albeit under certain conditions. With a detailed process outlined, applicants are required to submit this form alongside a $100 nonrefundable application fee, either in person to a driver licensing office or via mail. Eligibility criteria are stringent, highlighting that not all suspensions qualify for a restricted license—exclusions apply, including but not limited to, suspensions due to alcohol or drug-related offenses without meeting specific conditions, failure to pay child support, or for reasons of public safety including habitual traffic offender status. Furthermore, holders of any issued restricted license must strictly adhere to designated where and when they can drive, emphasizing the license’s validity strictly within state boundaries and its inapplicability for commercial vehicle operation. The documentation demands underscore the gravity of maintaining financial responsibility, often proven by filing an SR-22, and, if applicable, installation of an ignition interlock device. Despite the hurdles, the form also outlines provisions for employment-related exemptions and financial assistance for qualifying individuals, marking essential waypoints on the path to reinstatement of driving privileges in Washington.

QuestionAnswer
Form NameForm Dr 500 001
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameswa driver form licensing template, washington restricted license form dol, wa driver form licensing, wa restricted driver license dol

Form Preview Example

RESLRESA

Restricted Driver License Application

Use this form to apply for a temporary restricted driver license if your driving privilege in Washington is currently suspended or revoked. To apply, take this completed application and a $100 nonrefundable application fee to any driver licensing ofice or mail your application with a check or money order payable to the Department of Licensing to:

Restricted Licensing

Department of Licensing

PO Box 3907

Seattle, WA 98124-3907

For validation only 106-040-254-0005

Restricted license fee __________ Date received ___________

LSR initials __________________ Ofice no._______________

PRINT OR TYPE Name (Last, First, Middle initial)

Driver license number

State /Jurisdiction

Date of birth

(Area code) Daytime telephone number

Gender

Male Female

Height

Weight

Eye color

Address (Street address or PO Box, City, State, ZIP code)

Eligibility / Restrictions

We will determine what type of temporary restricted license you qualify for based on our evaluation of your driving record.

Any restricted license issued will only be valid within the state of Washington and cannot be used to operate a commercial motor vehicle.

We may also restrict where and when you can drive.

Your suspension / revocation cannot be for a minor in possession, intermediate license violations, failure to pay child support, fraud, violation of court-ordered probation, medical or vision reasons, habitual trafic offender status, failure to enter into or comply with a required alcohol / drug treatment program, or vehicular assault or homicide (except under certain conditions).

You must be a Washington licensed driver or hold a valid out-of-state driver license. The restricted license is only legal within the state of Washington.

A second application fee is not required for a new suspension based on the same incident date.

Required documentation

Proof of inancial responsibility – the most common method is by iling a form called an SR-22. You can get one from most automobile insurance agents.

If you are suspended for an alcohol or drug-related offense, contact an ignition interlock company that installs Washington certiied devices. They will send us proof of installation.

If your employment requires you to drive a vehicle during working hours that is owned, leased, rented, or the temporary responsibility of your employer, it may be exempt. You must carry a signed Employer Declaration for Ignition Interlock Exemption (DR-500-025), available at dol.wa.gov.

If you are indigent, you may be eligible for assistance with costs of ignition interlock device installation, removal, and leasing. To apply, submit a Financial Assistance Application (DR-500-024) located at dol.wa.gov.

We must receive proof of the SR-22 insurance and any other required documentation within 30 days of receiving this application. If not, you must submit a new application and another $100 fee.

Keeping your restricted license

Your restricted driver license will be cancelled if any of the following occurs:

You are convicted of violating the restrictions.

Your driving privilege is suspended or revoked while your restricted license is in effect.

We receive evidence that your reason for driving is no longer valid.

We receive notiication that your inancial responsibility (SR-22) is cancelled.

We receive notiication that your ignition interlock device is no longer functioning or has been removed.

Acknowledgment

Answer the following

I have read the above information and agree to all terms and conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

Signature

X

Date

RCW 46.20.308; 46.20.385; 46.20.391

DR-500-001 (R/9/18)VWA

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wa license application online completion process explained (stage 1)

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