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Domestic Violence
DUI – Level II – 16 Hrs
DUI – Level I – 36 Hrs
Underage Drinking – Level II – 8 Hrs
Underage Drinking – Level II – 16 Hrs
Screenings/Evaluations
Alcohol Screening
Drug Screening
Revocation
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Courses
Domestic Violence
DUI – Level II – 16 Hrs
DUI – Level I – 36 Hrs
Underage Drinking – Level II – 8 Hrs
Underage Drinking – Level II – 16 Hrs
Screenings/Evaluations
Alcohol Screening
Drug Screening
Revocation
Help
Completion Report – Other (court not listed)
Please select the program you completed
DUI Education/Treatment, 16 hours, level II
Underage Drinking Program 8 hours
DUI Education/Treatment, 36 hours, level I
Underage Drinking Program 16 hours
Name of referring court
Full Name
Case number
Driver's License
Date of incident
Hour
Min
am/pm
a.m.
p.m.
DOB
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