Sc Restricted Form PDF Details

Are you filing an unemployment insurance claim in South Carolina? If so, you will need to use the Restricted Use Form issued by the State of South Carolina Department of Employment and Workforce (DEW). This form is required for any UI claimant in SC who wants to remain eligible for benefits throughout the duration of their claim. In this article, we’ll discuss what information needs to be included on the Restricted Use Form, as well as important tips for keeping up with your weekly reporting requirements. We'll also provide a link where you can download the official pdf version of this form from the DEW website. So read on to learn more about filing your unemployment insurance claim in South Carolina!

QuestionAnswer
Form NameSc Restricted Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessc form dl 127, restricted license sc, form restricted license, route restricted license sc

Form Preview Example

South Carolina Department of Motor Vehicles

Route Restricted Driver’s License Application

DL-127

(Rev. 06/19)

Do NOT send cash, check or money order with this application. This application must be typed or printed in black ink.

Name:

Address:

 

 

 

 

 

City:

 

State:

 

Zip Code:

 

 

 

Date of Birth:

 

Email address:

 

 

 

Driver’s License Number:

 

Under penalties of perjury, I hereby certify the following:

Phone Number:

 

 

 

 

 

 

 

a)On the date of the violation, I was a licensed driver.

b)I live further than one mile from my place of employment or educational institutions and that adequate public transportation is not available.

c)The below information is true and correct. I am also aware that any variation in the times or route listed below may result in a charge of Driving Under Suspension and, upon conviction, suspension of any driving privileges.

Signature

 

Date

Instructions: The route(s) must be explained in detail. Begin at residence street address and end at the (Section #1) employment street address, (Section #2) college or university or court ordered drug program street address. Use back of form if more space is needed.

SECTION 1 - I am employed by:

Name of Employer:

Address:

City:State:Zip Code:

The time I commute to and from work:

Leave Residence

Arrive at Work

Leave Work

Arrive at Residence

(Fill in the appropriate spaces)

 

AM

 

AM

 

AM

 

AM

 

 

PM

 

PM

 

PM

 

PM

Route:

SECTION 2 - I am enrolled in (College or University approved by the SC Commission on Higher Education or a court ordered drug program):

A complete list of acceptable colleges can be found at http://www.che.sc.gov/InfoCntr/Coll_Univ.htm. A Route Restricted License issued for delinquent child support suspension cannot be used to travel to ADSAP or a court ordered drug program.

Name of Learning Institution:

Address:

City:State:Zip Code:

The time I commute to and from the

Leave Residence

Arrive at Class

Leave Class

Arrive at Residence

learning institution:

 

AM

 

AM

 

AM

 

AM

(Fill in the appropriate spaces)

 

 

 

 

 

 

 

 

 

PM

 

PM

 

PM

 

PM

 

 

 

 

 

Route:

This document is not authentic unless it is signed and dated below. This document along with your South Carolina Route Restricted driver’s license must be in your possession at all times when operating a motor vehicle. Present this document in conjunction with the Route Restricted driver’s license whenever law enforcement requests to see your driver’s license.

The below information is for DMV Office use only

Type Susp:

 

Susp Begin Date:

 

Date Route Approval Expires:

 

_______________________________________________________________________________________

__________________

 

Signature of employee in Driver Records who is authorized to approve routes

 

 

Date

SC Department of Motor Vehicles, PO Box 1498, Blythewood, SC 29016-0028

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