Affidavit And Order For Restricted Driver License {MC 210} | Pdf Fpdf Doc Docx | Michigan

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Affidavit And Order For Restricted Driver License {MC 210} | Pdf Fpdf Doc Docx | Michigan

Affidavit And Order For Restricted Driver License {MC 210}

This is a Michigan form that can be used for Motor Vehicle Offenses within Statewide.

Alternate TextLast updated: 8/16/2006

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Original - Court Approved, SCAO 1st copy - Defendant STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT AFFIDAVIT AND ORDER FOR JUDICIAL CIRCUIT RESTRICTED DRIVER LICENSE COUNTY PROBATE Court address Court telephone no. The State of Michigan Defendants name, address, and telephone no. THE PEOPLE OF v Driver license no. DOB In the matter of AFFIDAVIT 1. I state that I am unable to take public transportation, and do not have family members or others able to provide transportation: a. to and from home to work only to and from home to work and for employer only Hours Days for employer only at: Employer name and address or territory to and from home to work only to and from home to work and for employer only Hours Days for employer only at: Employer name and address or territory b. to and from school Hours Days School name c. to and from alcohol/drug education treatment. probation. community service. d. to and from home or work and a place of regularly occurring medical treatment for a serious condition for me or a member of my household or immediate family. Defendant signature Subscribed and sworn to before me on , County, Michigan.My commission expires: Signature: Notary public/Deputy court clerk ORDER FOR RESTRICTED DRIVER LICENSE THE COURT FINDS: 2. The defendants operator or chauffeur license was ordered suspended. 3. The defendant is unable able to take public transportation, or be provided transportation by family members or others, to and from the locations stated above. IT IS ORDERED: 4. The defendants request is denied. 5. The Secretary of State shall issue the defendant a restricted driver license if the defendant is otherwise eligible to be licensed. Date Judge Bar no. MCL 257.625b(6), (9), (10), (11);MC 210 (6/97) AFFIDAVIT AND ORDER FOR RESTRICTED DRIVER LICENSE MSA 9.2325(2)(6), (9), (10, (11)

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