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SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF: DEFENDANT: FOR COURT USE ONLY
People of the State of California
PETITION FOR RESTRICTED LICENSE (CVC §13201.5 and 13202.5)
CASE NUMBER:
I, the undersigned, declare that I was under the age of twenty-one at the time of violation in the above-entitled case for an offense which requires that my privilege to drive be suspended for one year. My driving privilege is not currently suspended for any other reason at this time. I, the undersigned, declare that my privilege to drive is suspended for a violation in the above-entitled case only. I have a critical need to drive as described below, and public or other mode of transportation is not adequate. I live at ______________________________________________, __________________________, _______, __________
Street Address City State Zip
My driver's license number is _________________________. The school I attend is ______________________________, which is _________ miles from home. I am in my ___________________ year, and I am currently carrying ________ units.
(first, second, etc.)
I work at ________________________________________, which is _________ miles from home, ________ hours a week. My supervisor is ____________________________________________________ Phone: __________________________ I also need to drive to ___________________________________________________________ because (explain in detail):
Public or other transportation is inadequate because (explain in detail):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at _________________________________________________, California, on ___________________________ ____________________________________________________ Defendant's Signature
DO NOT WRITE BELOW THIS LINE FOR COURT USE ONLY
ORDER
The petition for a restricted driver's license is granted as follows: To and from work To and from school To and from treatment program During the course of work
Other: _________________________________________________________________________________________
Enclosed is a restriction card, which you should attach to your driver's license. An abstract with the restriction information has been transmitted to the Department of Motor Vehicles in Sacramento.
The petition for a restricted license is denied because: No critical need has been shown Insufficient evidence; Defendant may resubmit Other: __________________________________________________________________________________________ Dated: Judicial Officer of the Superior Court
WARNING: THIS IS NOT A LICENSE TO DRIVE. This order allowing you to drive on a restricted basis is NOT VALID unless you are also in possession of a currently valid driver's license issued by DMV.
SC-8006 [Rev. April 18, 2003]
PETITION FOR RESTRICTED LICENSE
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CVC §13201.5, 13202.5
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