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Get ND DoT SFN 2254 2019-2024

OGRAM I confirm that I am participating in the 24/7 Sobriety Program. I understand that by participating in the 24/7 Sobriety Program, I must provide Driver's License Division proof of participation by means of a Bond Order from the court or other proof of participation acceptable to the director. Applicant's Signature (needed only if participating in the sobriety program) Date VII. COUNSELING/TREATMENT INFORMATION Name of Counseling Center Telephone Number Business Address (Not PO Box) Cit.

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