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FY19 MOSS IMPAIRED DRIVING GRANT APPLICATION (154/405) Mississippi Office of Highway Safety 1025 North Park Drive Ridgeland, MS 39157 Phone: (601)9773700; Fax: (601)9773701 Moss DPs.ms.gov1. Applicant
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How to fill out fy19 mohs impaired riving
How to fill out fy19 mohs impaired riving
01
To fill out the FY19 MOHS impaired driving form, follow these steps:
02
Start by providing your personal information such as name, address, date of birth, and driver's license number.
03
Indicate the date and time of the impaired driving incident.
04
Describe the location of the incident and any other relevant details.
05
Specify the reason for driving impairment, whether it was due to alcohol, drugs, or other factors.
06
Provide information about any passengers or witnesses present during the incident.
07
If applicable, detail any injuries or damages caused by the impaired driving.
08
Finally, sign and date the form to confirm the accuracy of the information provided.
Who needs fy19 mohs impaired riving?
01
FY19 MOHS impaired driving form is needed by individuals who have been involved in an impaired driving incident during the fiscal year 2019.
02
This can include drivers who were under the influence of alcohol or drugs while operating a vehicle, as well as those who may have witnessed such incidents.
03
The form is necessary for documenting and reporting the incident to the appropriate authorities.
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