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Get In Infraction Deferral Intake Form - Elkhart County 2017-2025
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How to fill out the IN Infraction Deferral Intake Form - Elkhart County online
The IN Infraction Deferral Intake Form allows users to apply for the Infraction Deferral Program in Elkhart County. This guide provides step-by-step instructions on completing the form online, ensuring a smooth application process.
Follow the steps to successfully complete the intake form.
- Click 'Get Form' button to access the intake form and open it for editing.
- Start by entering your full name in the designated field. Ensure that you include your first, middle, and last name clearly.
- Fill in your address details, including your street address, city, state, and ZIP code.
- Provide both your home and work phone numbers in the respective sections.
- Indicate your employer’s name and complete the date of birth and social security number sections, ensuring accuracy.
- Select your driver's license type and enter your driver's license number along with the state of issue.
- Follow the instructions for circling 'yes' or 'no' answers to the required questions regarding previous traffic violations and current participation in any other programs.
- If applicable, provide a copy of your five-year driving record, specifically if you do not hold an Indiana driver’s license.
- Affirm that the information you provided is true by signing and dating the form at the bottom.
- Review all entered information for accuracy before submitting the form.
- Upon completion, you may save your changes, download a copy for your records, or print the form for sharing.
Complete your IN Infraction Deferral Intake Form online today for a smooth application process.
The Safe Driver Deferral Program allows individuals charged with a traffic infraction an opportunity to keep the infraction from appearing on their driving record by paying a one-time fee and agreeing to not commit any further traffic violations for six months.
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