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10/2011 Division of Behavioral Health DUI Program 275 East Main Street, 4-WG Frankfort, Kentucky 40621-0001 (502) 564-9208 FAX (502) 564-9335 APPLICATION FOR DUI PROGRAM RECERTIFICATION FORM Program
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How to fill out application for dui program

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How to fill out an application for a DUI program:

01
Read the instructions: Before starting the application, carefully read through the instructions provided. This will ensure that you understand the requirements and can gather all the necessary information and documents.
02
Personal information: Start by providing your personal information accurately. This includes your full name, date of birth, address, phone number, and email address. Make sure to double-check the spelling and accuracy of this information.
03
Offense details: Provide the necessary details about your DUI offense, including the date of the incident, location, and any other relevant information. Be honest and provide all the required information to avoid any delays or complications in the application process.
04
Legal representation: If you had legal representation during your DUI case, you may need to provide the name and contact information of your attorney. This is important for verification purposes and to ensure that the program has all the necessary information regarding your case.
05
Substance abuse history: Many DUI programs require applicants to disclose their substance abuse history. This includes any previous DUI offenses, participation in other alcohol or drug-related programs, or any treatment received for substance abuse issues. Provide all the requested information accurately and honestly.
06
Supporting documents: Depending on the DUI program, you may be required to provide supporting documents such as a copy of your driver's license, court documentation related to your DUI case, or any other relevant paperwork. Gather these documents beforehand and attach them to your application as instructed.
07
Payment: Some DUI programs may require an application fee. If this is the case, ensure that you include the appropriate payment method, such as a check or money order, along with your application. Follow the instructions provided to ensure that your payment is processed correctly.

Who needs an application for a DUI program?

Individuals who have been charged with a DUI (Driving Under the Influence) offense may need to fill out an application for a DUI program. These programs are usually mandatory for individuals convicted of DUI and are designed to help them address their drinking and driving behaviors. The application acts as a formal request to participate in the program and provides the necessary information for the program administrators to assess the individual's eligibility and needs.
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The application for dui program is a form that individuals must fill out in order to participate in a program that addresses driving under the influence.
Individuals who have been charged with a DUI offense may be required to file an application for a DUI program.
The application for dui program can typically be filled out online or in person, and requires the individual to provide information about their DUI offense.
The purpose of the application for dui program is to determine if the individual is eligible to participate in the program and to gather information about the DUI offense.
Information such as personal details, details of the DUI offense, and any previous DUI offenses may need to be reported on the application for dui program.
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