The Restricted Driverâs License Order (DC-265) is a legal document issued by a court in Virginia that permits individuals convicted of certain driving offenses, specifically related to alcohol or drugs, to drive under restricted conditions. This form is necessary for those entering an alcohol safety action program and differs from other types of driver's license applications by emphasizing restrictions based on offenses and compliance with specific programs.
This form is essential for individuals who have been convicted of driving-related offenses involving alcohol or drugs and whose driverâs licenses have been suspended or revoked. It is used when seeking permission to drive under restricted circumstances while completing an alcohol safety action program, helping individuals regain access to driving privileges legally and safely.
This form does not typically require notarization unless specified by local law. However, it is important to check with the court or legal counsel to ensure compliance with any potential requirements related to your specific case.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
This form serves as a legal instrument to facilitate restricted driving privileges for individuals undergoing court-mandated rehabilitation programs. Violating the terms of the order can lead to further legal penalties, including potential incarceration.
Attend a driver improvement clinic. Provide DMV's Medical Review Services with a medical and/or vision report from a physician, nurse practitioner or physician's assistant. Provide proof of enrollment in, and completion of, the Virginia Alcohol Safety Action Program (VASAP)
A "9" will be displayed in the restriction field on the front of the license and will be decoded on the back of the license as follows: Insulin-dependent diabetes. Speech impairment. Intellectual disability (IntD will display) Autism spectrum disorder (ASD will display)
Medical Indicators on ID Cards A "9" will be displayed in the restriction field on the front of the license and will be decoded on the back of the license as follows: Insulin-dependent diabetes. Speech impairment. Intellectual disability (IntD will display)
C Mechanical/Adaptive devices This restriction is placed on the driver's license of a person who is physically unable to operate a motor vehicle without the aid of a mechanical or other adaptive device.
No court is required to issue restricted driving privileges. The court may grant you restricted driving privileges at the time of conviction if you were convicted, or found not innocent (if you are a juvenile), of the following violations: Driving Under the Influence (DUI), 1st Offense. Reckless Driving.
If a driver is convicted of a second DUI within 5 years, he can apply for a restricted license after 1 year (Va. Code §18.2-271.1(E)) . If he is convicted of a second DUI in 10 years, he can apply for a restricted license after 4 months (Va. Code (§18.2-271.1(E)).
What are some typical or Common Restrictions on a Virginia Restricted License? Driving only to and from work. Driving only on official work business. Driving only to and from school. Driving only to and from medical treatment for yourself or another person, such as an elderly parent, if authorized.
What are some typical or Common Restrictions on a Virginia Restricted License? Driving only to and from work. Driving only on official work business. Driving only to and from school. Driving only to and from medical treatment for yourself or another person, such as an elderly parent, if authorized.