Get Vermont Project Crash Completion Form

Filling out the Vermont Project Crash Completion Form online is essential for providing confidential information necessary for the completion of the Project CRASH program. This guide will walk you through each section of the form to ensure you fill it out correctly and efficiently.

Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your full name in the designated field at the top of the form.
3. Next, provide your date of birth in the format ___/___/___ to confirm your identity.
4. Authorize Project CRASH to disclose your information by checking the appropriate agency boxes to specify who will receive your data, including the Vermont Department of Motor Vehicles and Department of Corrections.
5. If you wish to disclose information to additional agencies or individuals, check the relevant boxes and provide the required names or agency details as specified.
6. Articulate the purpose of the disclosure by selecting the applicable options that align with your situation, such as satisfying probation conditions or reinstatement of driving privileges. You may also write an other specified purpose.
7. Review the statement regarding the confidentiality of your alcohol and/or drug treatment records. Make sure you understand the implications of consenting to disclose your information.
8. Finally, sign the form to authorize the disclosure and enter the date of your signature.
9. Once all sections are completed, save your changes, and choose to download, print, or share the form as needed.

Complete your forms online today for speed and convenience.