Form Ps31091 02 PDF Details

In order to complete your tax return form, you will need to know your Adjusted Gross Income. This number is used to determine many of the tax breaks and credits that you may be eligible for. Here's a guide on how to find your Adjusted Gross Income. To calculate your adjusted gross income, you will need: Your taxable income from line 22 of Form 1040 Your total deductions and adjustments from lines 23 through 37 The amount from line 38 if it is more than zero The amount from line 8b of Form 2119, if applicable The amount from Worksheet 2-1 in the instructions for Schedule 1, if applicable The following steps will help you determine your adjusted gross income: 1. Add lines 7, 10, 12, 14, 16, 18, and 20. This is your total income minus any exclusions or deductions. 2. Subtract line 21 (amounts previously included on lines 7-20) from line 1. This is your adjusted gross income. Knowing what this number represents and how to calculate it can be helpful when completing your taxes

Form NameForm Ps31091 02
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesDL_Rehabilitati onRequirements dpsmngovdivisionsdvs form

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445 Minnesota Street Suite 170

Saint Paul, MN 55101-5170

Phone: (651) 296-2025 TTY: (651)282-6555



A person who is involved in three (3) or more alcohol or controlled substances incidents may have their driving privileges canceled as inimical to public safety (M.S. § 171.04). 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. Briefly, the person must:

1.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. The person must document abstinence from the consumption of alcohol or controlled substances as follows:

For Reinstatement after:

Minimum Abstinence Period:

If there is an additional

If the person does not complete



alcohol or controlled

treatment/aftercare, has non-



substance incident after

favorable prognosis, or




fraudulently represents facts:

First Rehabilitation

One (1) year

Plus One (1) year

Plus One (1) year





Second Rehabilitation

Three (3) years

Plus One (1) year

Plus One (1) year





Any Additional

Six (6) years

Plus One (1) year

Plus One (1) year









Note: Additional abstinence time may be required if the person lives in a controlled environment (prison, jail, halfway house, etc.) during the abstinence period.

2.Submit a discharge summary showing successful completion of chemical dependency treatment. The program must be at least 48 hours long, abstinence based and state approved. The treatment must be completed after the last consumption of any drink or product containing alcohol or controlled substances. The summary must include:

a)A narrative regarding the treatment program and results

b)The date that any drink or product containing alcohol or controlled substances was last consumed

c)The starting and ending dates of treatment

d)A prognosis regarding progress in the program, a recommendation regarding aftercare and verification that aftercare has been completed

A relapse treatment program of at least 24 hours may be substituted if treatment has been previously completed. An additional year of abstinence will be required if the requirement for treatment is waived per Minnesota Rule 7503.1700, Subpart 2a.

3.Provide evidence of weekly attendance in a generally recognized, ongoing abstinence-based support group, such as AA, for a minimum of three months immediately prior to reinstatement.

4.Demonstrate abstinence. 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 letter writers must agree to notify the Minnesota Department of Public Safety in writing if the person, they are supporting, consumes any drink or product containing alcohol or controlled substances after the abstinence date they certified. The required statement is on the back and may be photocopied.

5.Interview. The person must have an interview with a Driver Improvement Specialist. At the interview, the person must complete a statement that outlines the conditions under which the person’s driving privileges will be issued.

a)For the Twin Cities Area: Interviews are held between 8:00 A.M. and 3:30 P.M., Monday thru Friday, except holidays, at the Town Square building, #170, 445 Minnesota Street, St. Paul

b)For an Interview in greater Minnesota: In greater Minnesota, or for out of state residents, submit the above documentation to the Driver Evaluation Unit at Driver & Vehicle Services, 445 Minnesota Street, Suite 170,St. Paul, Minnesota 55101-5170. An interview will be scheduled in the person’s home area. 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.

If you have questions, please call 651-296-2025, or write to the address listed above.

These requirements are based on Minnesota Statutes and Rules and are subject to change without notice.

PS31091-02 6/11

- over -



Support statements showing weekly contact with the person seeking reinstatement must be provided for the required abstinence period.

I am supporting driver license reinstatement for:

First Name

Middle Name

Last name

Date of Birth

1)I certify that I have not witnessed nor have other knowledge that the above named person has consumed any drink or product containing alcohol or controlled substances since (date)

2)I certify that I have been in weekly contact with the above named person since (date)

3)In further support of reinstatement for the above named person I certify that

4)I certify that I 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 above named person. Notification should be mailed to Driver and Vehicle Services, 445 Minnesota Street, Suite 170, St. Paul, Minnesota 55101-5170.

5)I certify that I am not related to the above named person by blood, marriage or adoption. Also, the above named person is not my parent, step-parent, guardian, employee or employer. Furthermore, I do not reside intermittently or regularly in the same dwelling as the above named person and I am not the person's spouse.

Supporter's Full Printed Name:

Date of Birth:







Daytime Phone Number:

I certify that all the information I have given is true and correct:

Supporter's Signature:



Letters attesting to abstinence will not be accepted if more than 30 days old. This statement plus statements from four (4) other individuals are required for reinstatement under Minnesota Rule 7503.1700.

DRIVER AND VEHICLE SERVICES, 445 Minnesota Street, Suite 170, Saint Paul, MN 55101-5170

Phone: (651) 296-2025 TTY: (651) 282-6555 Web:

PS31091-02 6/11

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1. It is critical to fill out the Form Ps31091 02 accurately, therefore be mindful when filling in the segments comprising all of these fields:

Completing part 1 in Form Ps31091 02

2. Once your current task is complete, take the next step – fill out all of these fields - been completed, A relapse treatment program of at, Provide evidence of weekly, Demonstrate abstinence The person, Interview The person must have an, For the Twin Cities Area, For an Interview in greater, If you have questions please call, These requirements are based on, and over with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

For the Twin Cities Area, Provide evidence of weekly, and For an Interview in greater of Form Ps31091 02

It is possible to make errors when filling in the For the Twin Cities Area, so be sure you look again prior to deciding to finalize the form.

3. The next step is considered quite uncomplicated, I am supporting driver license, First Name, Middle Name, Last name, Date of Birth, I certify that I have not, product containing alcohol or, I certify that I have been in, In further support of, and I certify that I will promptly - all these form fields must be filled out here.

The right way to fill out Form Ps31091 02 portion 3

4. This next section requires some additional information. Ensure you complete all the necessary fields - I certify that I am not related to, Supporters Full Printed Name, Date of Birth, Address, City, Daytime Phone Number, I certify that all the information, State, Zip, Supporters Signature, and Date - to proceed further in your process!

Ways to fill in Form Ps31091 02 part 4

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