Form PS31091 at a glance
What it is: Support statement for a person requesting reinstatement: support statements showing weekly contact with the person seeking reinstatement must be provided for the required abstinence period.
Who signs: Under I certify that all the information I have given is true and correct, sign on the Supporter's Signature line and enter the Date.
What to bring and attach to Form PS31091
The person must submit support statements from at least five (5) people who have had weekly contact with the person during the required abstinence period. The required statement is on the back and may be photocopied.
A filled-in Form PS31091 example: a friend signs a support statement
How to fill out Form PS31091, box by box
I am supporting driver license reinstatement for
Under I am supporting driver license reinstatement for, enter the First Name, Middle Name, Last name and Date of Birth.
I certify: 1), 2), 3), 4) and 5)
In 1), you certify that you have not witnessed nor have other knowledge that the named person has consumed any drink or product containing alcohol or controlled substances since (date); enter that date.
In 2), you certify that you have been in weekly contact with the named person since (date); enter that date.
In 3), write what you certify in further support of reinstatement for the named person.
In 4), you certify that you will promptly report in writing to the Commissioner of the Minnesota Department of Public Safety the consumption of any drink or product containing alcohol or controlled substances, by the named person. Notification should be mailed to Driver and Vehicle Services, 445 Minnesota Street, Suite 170, St. Paul, Minnesota 55101-5170.
In 5), you certify that you are not related to the named person by blood, marriage or adoption. Also, the named person is not your parent, step-parent, guardian, employee or employer. Furthermore, you do not reside intermittently or regularly in the same dwelling as the named person and you are not the person's spouse.
Your name, address and phone
Enter your Full Printed Name, Date of Birth, Address, City, State, Zip and Daytime Phone Number.
Letters attesting to abstinence
Letters attesting to abstinence will not be accepted if more than 30 days old.
More rules for Form PS31091
This statement plus statements from four (4) other individuals are required for reinstatement under Minnesota Rule 7503.1700.
No driving privileges, including a work or limited license, will be issued until all of the rehabilitation requirements have been satisfied.
To be reinstated the person must complete rehabilitation as required by Minnesota Rule 7503.1700, and must abstain from the consumption of any drink or product containing alcohol or controlled substances, at all times, even when not operating or in physical control of a motor vehicle.
If your situation is different
In greater Minnesota or out of state
In greater Minnesota, or for out of state residents, submit the documentation to the Driver Evaluation Unit at Driver & Vehicle Services, 445 Minnesota Street, Suite 170, St. Paul, Minnesota 55101-5170. For out of state residents who are not near an interview site, it may be possible to meet the requirement by mail. The rehabilitation documents must be submitted before an interview will be scheduled.
Sources
[1] Form PS31091-02 (6/11), Rehabilitation Requirements and Support Statement, Minnesota Department of Public Safety, Driver and Vehicle Services (the Official source link on this page).