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How to fill out the Dhhrwvdui Form online
Filling out the Dhhrwvdui Form online can be a straightforward process when you follow clear instructions. This guide will help you through each section of the form to ensure that you provide accurate information for your needs.
Follow the steps to complete the Dhhrwvdui Form online:
- Press the ‘Get Form’ button to access the Dhhrwvdui Form. This will allow you to open the document for completion.
- In Section I, enter the date of filling out the form. Indicate the referring agency, which should be WV DHHR/DUI Unit, and fill in the receiving agency information. Input the referral's name in the format of last, first, and middle initial. Provide the social security number, date of birth, West Virginia driver’s license number, and the DUI file number from the Division of Motor Vehicles.
- Complete the address section by adding the required home and work phone numbers.
- Section II is to be completed by WV BHHF staff only. Leave this section blank unless you fall under this category.
- For Section III, those completing the assessment or programming from out of state should indicate the services recommended and any services that were completed at the time of transfer. Describe any special conditions that apply.
- Verify the completion status by filling out the initial enrollment/evaluation/assessment date, and include the dates for any educational components or intensive treatment components, if applicable.
- If participation in the alcohol test and lock device program is applicable, add the date here. Ensure that you attach any necessary documentation, including a signed consent for the release of information.
- Below Section III, you will also need to fill out your name, title, address, and telephone number. Ensure your signature and the date are included.
- In Section IV, which is designated for WV DHHR – BHHF staff only, leave these sections blank unless you are authorized to complete them.
- Once you have filled in all applicable sections, save changes, and consider downloading, printing, or sharing the form as necessary.
Complete the Dhhrwvdui Form online today to ensure your submission is processed efficiently.
Several states, including West Virginia, allow online DUI classes as a part of their legal education requirements. Each state has specific regulations and approved providers, so it is important to check local laws before enrolling. Utilizing resources like the Dhhrwvdui Form can help you navigate these requirements seamlessly. This flexibility has made the process easier for many individuals dealing with DUI issues.
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