Get In State Form 28622 2018

Filling out the IN State Form 28622 is an important step in requesting a hardship waiver for driving privileges in Indiana. This guide will provide you with clear instructions to assist you in completing the form accurately and effectively online.

Follow the steps to fill out the IN State Form 28622 online

1. Click ‘Get Form’ button to access the form and open it in your chosen online document editor.
2. Begin by filling out your date of birth in the format mm/dd/yyyy. Ensure that you are at least sixteen (16) years of age as required.
3. Provide your full name, including your last name, first name, and middle initial.
4. Enter your complete address, including the number and street name, city, state (IN), and ZIP code.
5. Fill out your telephone number, ensuring to include the area code.
6. If you hold a driver's license, enter your driver's license number.
7. Indicate the type of waiver you are requesting by checking the appropriate box—Age, Experience, Practice Driving, or All.
8. Answer the question regarding how many individuals in your household currently hold a valid driver’s license.
9. Specify the place and location of your employment by entering the city.
10. State whether public transportation is available in your area by selecting 'Yes' or 'No'.
11. In the section provided, clearly state your reasons for requesting the waiver. If you need more space, make sure to use the reverse side of the form. Supporting documentation of hardship circumstances must be included.
12. Affirm the accuracy of the information you have provided by signing the form. If you are under eighteen (18), your parent or guardian must also sign.
13. Finally, save your changes, and download or print the completed form before mailing it to the Indiana Bureau of Motor Vehicles for review.

Complete your IN State Form 28622 online and ensure your application for a hardship waiver is accurately submitted.