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10/2011 Division of Behavioral Health Driving Under the Influence (DUI) Program 275 East Main Street, 4-WG Frankfort, KY 40621-0001 (502)564-9208 (502)564-9335 (fax) REPORT OF CHANGE FORM (A separate
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How to fill out DUI Form 12 Revised:

01
Begin by carefully reading the instructions provided with the form. It is important to understand the purpose of the form and the information it requests.
02
Start by providing your personal information in the designated sections of the form. This may include your full name, address, date of birth, and driver's license number.
03
In the next section, provide details about the specific incident for which you are filling out the form. This may include the date, time, and location of the incident, as well as any relevant law enforcement agency or officer involved.
04
Continue by providing any relevant details about your arrest or charges. This may include information about any court appearances, previous convictions, or related legal documentation.
05
Read through each question on the form carefully and answer honestly and accurately. Provide all required information and leave no blanks or unanswered questions.
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If applicable, provide information about any witnesses or evidence that may support your case or provide additional context.
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Sign and date the form in the designated areas to confirm the accuracy and completeness of the information provided.
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Make copies of the completed form for your records before submitting it to the appropriate authority or legal entity.

Who needs DUI Form 12 Revised:

01
Individuals who have been charged with a DUI (Driving Under the Influence) or related offense may need to fill out DUI Form 12 Revised. This form is typically required as part of the legal process and is used to gather information about the incident and the individual's history.
02
The form may be required by law enforcement agencies, courts, or other legal entities involved in the prosecution or adjudication of the DUI case.
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It is important to consult with legal counsel or seek guidance from the appropriate authorities to determine if you need to fill out DUI Form 12 Revised in your specific situation.
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Dui form 12 revised is a form used for reporting DUI incidents.
Drivers who have been involved in a DUI incident are required to file dui form 12 revised.
Dui form 12 revised can be filled out by providing details of the DUI incident including date, location, and circumstances.
The purpose of dui form 12 revised is to gather information about DUI incidents for legal and administrative purposes.
Information such as date, time, location, parties involved, and actions taken during the DUI incident must be reported on dui form 12 revised.
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