Wv Dui Safety - Treatment Program Indigent Determination Packet

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STATE OF WEST VIRGINIA
DEPARTMENT OF HEALTH AND HUMAN RESOURCES
Earl Ray Tomblin
Bureau for Behavioral Health and Health Facilities
Michael J. Lewis, M.D., Ph.D.
Governor
350 Capitol Street, Room 350
Cabinet Secretary
Charleston, West Virginia 25301
Telephone: (877) 215-2522 Fax: (304) 558-3275
Safety & Treatment Program
IMPORTANT INFORMATION • READ CAREFULLY
West Virginia Motor Vehicle Law §1 7C-SA-3 establishes the development of the Safety and Treatment
Program through the Department of Health and Human Resources, Bureau of Behavioral Health and
Health Facilities. The Safety and Treatment Program is to provide a comprehensive program for persons
whose licenses have been revoked for driving a motor vehicle under the influence of alcohol, controlled
substances and/or drugs.
What do I need to do in order to get my license re-instated?
1. Call the program provider nearest you
2. Bring a complete copy of the your driving record from the Division of Motor Vehicles that is
inclusive of all states and territories of the US
3. If it is determined by your individual assessment and evaluation that alcohol and/or drugs are or
have the potential for creating problems for you, additional treatment will be required. The extent
of treatment will be determined upon completion of your assessment by the provider. The
enrollment fee does not include treatment costs.
4. The cost for enrolling in the Safety and Treatment Program starts at $400. If you believe that you
may qualify for financial assistance you must bring the following documentation to support you:
a. Information from the local DHHR that an eligibility determination has been conducted
and you and your family are considered to be eligible for financial assistance, or each of
the following:
i. Documentation verifying your annual income (most recent IRS tax forms
signed-1040 and W-2) or
ii. income tax return from the most recently filed calendar year
b. Documentation to prove West Virginia residence:
i. Recent personal property tax assessment or
ii. Current vehicle registration in the your name
c. Government issued ID
d. A complete copy of the your driving record from the Division of Motor Vehicles that is
inclusive of all states and territories of the US
West Virginia Motor Vehicle Laws require that any and ALL fees related to reinstatement must be
paid before any consideration can be given to reinstating the driving privileges. The final decision
to reissue your driver’s license will be made by the Commissioner of Motor Vehicles or his
designee.
Received 12/6/2011 from
Lisa Bruer, WVBHHF DUI Program Coordinator

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