Get SC DL-127 2019-2024

This document along with your South Carolina Route Restricted driver s license must be in your possession at all times when operating a motor vehicle. South Carolina Department of Motor Vehicles DL-127 Rev. 06/19 Route Restricted Driver s License Application Do NOT send cash check or money order with this application. This application must be typed or printed in black ink. Che. sc.gov/InfoCntr/CollUniv.htm. A Route Restricted License issued for delinquent child support suspension cannot be used to travel to ADSAP or a court ordered drug program. Name of Learning Institution learning institution Arrive at Class Leave Class This document is not authentic unless it is signed and dated below. Name Address State Email address City Date of Birth Driver s License Number Phone Number Zip Code Under penalties of perjury I hereby certify the following a On the date of the violation I was a licensed driver. b I live further than one mile from my place of employment or educational institutions and that adequate public transportation is not available. c The below information is true and correct. I am also aware that any variation in the times or route listed below may result in a charge of Driving Under Suspension and upon conviction suspension of any driving privileges. Signature Date Instructions The route s must be explained in detail* Begin at residence street address and end at the Section 1 employment street address Section 2 college or university or court ordered drug program street address. Use back of form if more space is needed* SECTION 1 - I am employed by Name of Employer The time I commute to and from work Fill in the appropriate spaces Leave Residence AM PM Route Arrive at Work Leave Work Arrive at Residence SECTION 2 - I am enrolled in College or University approved by the SC Commission on Higher Education or a court ordered drug program A complete list of acceptable colleges can be found at http //www. Present this document in conjunction with the Type Susp Susp Begin Date Date Route Approval Expires Signature of employee in Driver Records who is authorized to approve routes SC Department of Motor Vehicles PO Box 1498 Blythewood SC 29016-0028. Name Address State Email address City Date of Birth Driver s License Number Phone Number Zip Code Under penalties of perjury I hereby certify the following a On the date of the violation I was a licensed driver. b I live further than one mile from my place of employment or educational institutions and that adequate public transportation is not available. b I live further than one mile from my place of employment or educational institutions and that adequate public transportation is not available. c The below information is true and correct. I am also aware that any variation in the times or route listed below may result in a charge of Driving Under Suspension and upon conviction suspension of any driving privileges. c The below information is true and correct. I am also aware that any variation in the times or route listed below may result in a charge of Driving Under Suspension and upon conviction suspension of any driving privileges. Signature Date Instructions The route s must be explained in detail* Begin at residence street address and end at the Section 1 employment street address Section 2 college or university or court ordered drug program street address. .