Fillable Form 1.: REHABILITATION REQUIREMENTS (Minnesota Auto & Driver's License of Brainerd)

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Form 1.: REHABILITATION REQUIREMENTS (Minnesota Auto & Driver's License of Brainerd)

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REHABILITATION REQUIREMENTS
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
445 Minnesota Street Suite 170
Phone: (651) 296-2025 TTY: (651)
A person who is involved in three (3) or more alcohol or controlled substances incidents may have their driving
privileges canceled as inimical to public safety (M.S. § 171.04). NO DRIVING PRIVILEGES, INCLUDING A WORK
OR LIMITED LICENSE, WILL BE ISSUED UNTIL ALL OF THE REHABILITATION REQUIREMENTS HAVE BEEN
SATISFIED.
Abstain from the consumption of any drink or product containing alcohol or controlled substances, at all times, even when
not operating or in physical control of a motor vehicle. The person must document abstinence from the consumption of
alcohol or controlled substances as follows:
1.
For Reinstatement after: Minimum Abstinence Period: If there is an additional
alcohol or controlled
substance incident after
cancelation:
If the person does not complete
treatment/aftercare, has non-
favorable prognosis, or
fraudulently represents facts:
First Rehabilitation One (1) year
Plus One (1) year
Plus One (1) year
Second Rehabilitation Three (3) years
Plus One (1) year
Plus One (1) year
Any Additional
Rehabilitations
Six (6) years Plus One (1) year Plus One (1) year
Note: Additional abstinence time may be required if the person lives in a controlled environment (prison, jail, halfway
house, etc.) during the abstinence period.
Submit a discharge summary showing successful completion of chemical dependency treatment. The program must be at
least 48 hours long, abstinence based and state approved. The treatment must be completed after the last consumption of
any drink or product containing alcohol or controlled substances. The summary must include:
2.
a) A narrative regarding the treatment program and results
b) The date that any drink or product containing alcohol or controlled substances was last consumed
c) The starting and ending dates of treatment
d) A prognosis regarding progress in the program, a recommendation regarding aftercare and verification that aftercare has
been completed
A relapse treatment program of at least 24 hours may be substituted if treatment has been previously completed. An
additional year of abstinence will be required if the requirement for treatment is waived per Minnesota Rule 7503.1700,
Subpart 2a.
Provide evidence of weekly attendance in a generally recognized, ongoing abstinence-based support group, such
as AA, for a minimum of three months immediately prior to reinstatement.
3.
Demonstrate abstinence. The person must submit support statements from at least five (5) people who have had weekly
contact with the person during the required abstinence period. The letter writers must agree to notify the Minnesota
Department of Public Safety in writing if the person, they are supporting, consumes any drink or product containing alcohol
or controlled substances after the abstinence date they certified. The required statement is on the back and may be
photocopied.
4.
Interview. The person must have an interview with a Driver Improvement Specialist. At the interview, the person must
complete a statement that outlines the conditions under which the person’s driving privileges will be issued.
5.
To be reinstated the person must complete rehabilitation as required by Minnesota Rule 7503.1700
. Briefly, the person must:
a) For the Twin Cities Area: Interviews are held between 8:00 A.M. and 3:30 P.M., Monday thru Friday, except
holidays, at the Town Square building, #170, 445 Minnesota Street, St. Paul
b)
If you have questions, please call 651-296-2025, or write to the address listed above.
For an Interview in greater Minnesota: In greater Minnesota, or for out of state residents, submit the above
documentation to the Driver Evaluation Unit at Driver & Vehicle Services, 445 Minnesota Street, Suite 170,St. Paul,
Minnesota 55101-5170. An interview will be scheduled in the person’s home area. For out of state residents who are not
near an interview site, it may be possible to meet the requirement by mail. The rehabilitation documents must be
submitted before an interview will be scheduled.
These requirements are based on Minnesota Statutes and Rules and are subject to change without notice.
Saint Paul, MN 55101-5170
282-6555 Web: dps.mn.gov/divisions/dvs
PS31091-02 6/11
- over -
Print Form
SUPPORT STATEMENT FOR A PERSON
REQUESTING REINSTATEMENT
Support statements showing weekly contact with the person seeking reinstatement must be provided for the required abstinence
period.
I am supporting driver license reinstatement for:
First Name
Middle Name
Last name
Date of Birth
1)
I certify that I have not witnessed nor have other knowledge that the above named person has consumed any drink or
product containing alcohol or controlled substances since (date)
2)
I certify that I have been in weekly contact with the above named person since (date)
3)
In further support of reinstatement for the above named person I certify that
4)
I certify that I will promptly report in writing to the Commissioner of the Minnesota Department of Public Safety the
consumption of any drink or product containing alcohol or controlled substances, by the above named person. Notification
should be mailed to Driver and Vehicle Services, 445 Minnesota Street, Suite 170, St. Paul, Minnesota 55101-5170.
5)
I certify that I am not related to the above named person by blood, marriage or adoption. Also, the above named person is
not my parent, step-parent, guardian, employee or employer. Furthermore, I do not reside intermittently or regularly in the
same dwelling as the above named person and I am not the person's spouse.
Supporter's Full Printed Name:
Date of Birth:
City:
State:
Zip:
Address:
Daytime Phone Number:
I certify that all the information I have given is true and correct:
Supporter's Signature: Date:
Letters attesting to abstinence will not be accepted if more than 30 days old. This statement plus statements from four (4)
other individuals are required for reinstatement under Minnesota Rule 7503.1700.
PS31091-02 6/11
DRIVER AND VEHICLE SERVICES, 445 Minnesota Street, Suite 170, Saint Paul, MN 55101-5170
Phone: (651) 296-2025 TTY: (651) 282-6555 Web: dps.mn.gov/divisions/dvs
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Form 1.: REHABILITATION REQUIREMENTS (Minnesota Auto & Driver's License of Brainerd)

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Completed 27 February 2021

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