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    Sample - Specialized Driving Privileges

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    Nathan Kelby
    This document is a petition filed in an Indiana court requesting specialized driving privileges. It provides biographical information about the petitioner and details the hardship suspension of driving privileges is causing. It lists the specific driving routes and times being requested and agrees to conditions like maintaining insurance and providing the court order if stopped.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Sample - Specialized Driving Privileges

    Uploaded by

    Nathan Kelby
    29 views3 pages
    This document is a petition filed in an Indiana court requesting specialized driving privileges. It provides biographical information about the petitioner and details the hardship suspension of driving privileges is causing. It lists the specific driving routes and times being requested and agrees to conditions like maintaining insurance and providing the court order if stopped.

    Original Description:

    Petition for Specialized Driving Privileges in Indiana.

    Copyright

    © © All Rights Reserved

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    This document is a petition filed in an Indiana court requesting specialized driving privileges. It provides biographical information about the petitioner and details the hardship suspension of driving privileges is causing. It lists the specific driving routes and times being requested and agrees to conditions like maintaining insurance and providing the court order if stopped.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views3 pages

    Sample - Specialized Driving Privileges

    Uploaded by

    Nathan Kelby
    This document is a petition filed in an Indiana court requesting specialized driving privileges. It provides biographical information about the petitioner and details the hardship suspension of driving privileges is causing. It lists the specific driving routes and times being requested and agrees to conditions like maintaining insurance and providing the court order if stopped.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    STATE OF INDIANA ) IN THE ​[County]​ CIRCUIT COURT

    ) SS:
    COUNTY OF ​[County] ) CAUSE NO.

    [Petitioner]​, )
    Petitioner, )
    )
    vs. )
    )
    PETER LACY, BMV commissioner, and )
    [Prosecutor]​, Prosecutor of ​[County] ​County, )
    Indiana, )
    Respondents. )

    VERIFIED PETITION FOR


    SPECIALIZED DRIVING PRIVILEGES

    COMES NOW, the Petitioner, ​[Petitioner Name]​, by Counsel, Nathan K. Vining, and

    respectfully submits his/her ​Verified Petition for Specialized Driving Privileges​, and in support

    thereof states as follows:

    1. That the Petitioner is ​[Petitioner Name]​.

    2. That the Petitioner is ​[Age]​ years old, having been born on ​[Date of Birth]​.

    3. That the Petitioner resides at the following address: ​[Petitioner’s Address]​.

    4. That the Petitioner and his family are suffering from hardship as a result of the

    Petitioner’s inability to drive. Specifically, ​[Reason for hardship: - Example: “the

    Petitioner drives for work in order to provide for his family and is unable to do so

    due to a suspended license. Petitioner is in desperate need of his ability to drive

    himself to and from work. Petitioner is also need of his ability to drive his children

    to doctor appointments in school.”]


    5. That the Petitioner is praying this Court permits him the ability to drive to and from his

    residence at ​[Home Address]​, and the following locations during the times relevant and

    enumerated times.

    a. The Petitioner’s place of employment located at ​[Employment Location]​. The

    Petitioner works between ​[Time of Work]​. Petitioner would be traveling during

    the corresponding times.

    b. His children's school located at ​[School Location]​. School starts at 7:30am and

    ends at 3pm. Petitioner would be traveling during the corresponding times.

    c. His children’s doctor appointments located at ​[Location of Doctor]​.

    d. The Walmart located at ​[First Store Location] and the Kroger located at ​[Second

    Store Location]​.

    6. That the Petitioner’s driving privileges are currently suspended ​[Reason for

    Suspension]​.

    7. That the Petitioner had a valid Indiana operator’s License in the past, specifically drivers

    license number ​[Drivers License Number]​.

    8. That the Petitioner does not hold a Commercial Driver’s License.

    9. That the Petitioner did not refuse to submit to a Certified Chemical Test offered under

    Indiana Code § 9-30-6 that resulted in his current suspension.

    10. That the Petitioner has not previously been granted Specialized Driving Privileges;

    11. That the Petitioner agrees to the following:

    a. Maintain proof of future financial responsibility insurance during the period of

    Specialized Driving Privileges;


    b. Carry a copy of the Order Granting Specialized Driving Privileges or have the

    Order in the vehicle being operated by the Defendant; and,

    c. Produce the copy of the Order Granting Specialized Driving Privileges upon the

    request of a law enforcement officer.

    12. That his Petition has been served upon the Indiana Bureau of Motor Vehicles and the

    [Name of County] ​County Prosecutor.

    13. That the Petitioner respectfully requests this Court Stay any suspension and grant him/her

    Specialized Driving Privileges pursuant to Indiana Code § 9-30-16-4.

    WHEREFORE, the Petitioner, by Counsel, respectfully prays the Court issue an Order

    STAYING the suspension of the Petitioner’s driving privileges; GRANT the Petitioner

    Specialized Driving Privileges for a period of not less than one hundred eighty (180) days as

    requested hereinabove; and for all other relief just and proper in the premises.

    _________________ __________________________________________
    Date NAME

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