Out of State Review
Client Information Sheet has basic demographics that must be filled in to complete proper paperwork for completion
Form 5 Client Information Sheet.pdf
Adobe Acrobat document [144.7 KB]
Client Rights and Grievance Policy allows to make requests on client behalf, to order driving record and to complete 508 form as required
Form 6 Client Rights Grievance Policy.pd[...]
Adobe Acrobat document [113.9 KB]
Driving History Form provides permission to order driving record for completion of 508 form
Driving History Form.pdf
Adobe Acrobat document [157.9 KB]
Credit Card Authorization offers permission to charge credit card for payment of review
Credit Card Authorization.pdf
Adobe Acrobat document [57.2 KB]
Out of State Reviews
Please read the following information regarding North Carolina DWI requirements:
When a person receives a DWI in North Carolina (no matter how far back it was), the
client is required to have a Comprehensive Substance Abuse assessment and treatment or
education. The assessment must be done by a state approved DWI treatment facility.
Please send a copy of the assessment and recommended treatment or education so that we
can make sure it meets North Carolina requirements. The results of the assessment will
determine the amount of treatment or education that the client needs. Treatment will be
what your state requires If the client has more than one DWI
the treatment will be adjusted by the assessing agency as to the needs of the client. The
substance abuse treatment needs to be completed to satisfy North Carolina’s requirements
to release the hold on license.
When client completes this treatment, North Carolina DMV requires that the facility or
you to mail or fax to us a letter or certificate stating the following:
● Start date
● Completion date
● Number of hours of treatment/education completed
Forms Required
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