Form SF-0263 "Application for Hardship/Temporary Hardship Driver License" - Tennessee

What Is Form SF-0263?

This is a legal form that was released by the Tennessee Department of Safety & Homeland Security - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2013;
  • The latest edition provided by the Tennessee Department of Safety & Homeland Security;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SF-0263 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Safety & Homeland Security.

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Download Form SF-0263 "Application for Hardship/Temporary Hardship Driver License" - Tennessee

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TENNESSEE DEPARTMENT OF SAFETY
AND HOMELAND SECURITY
IMPORTANT INFORMATION ABOUT THE
HARDSHIP DRIVER LICENSE APPLICATION
Overview:
The Tennessee Department of Safety and Homeland Security may issue a minor who is fourteen (14) or fifteen (15) years
of age a special restricted license when facts presented to the Department indicate there is a good reason to issue such
restricted license. This license shall hereinafter be referred to as a Hardship License (Class H/XH).
Definition:
A Hardship License is a special license issued to a minor fourteen (14) or fifteen (15) years of age. This special class of
license shall be restricted to operation of a Class D (passenger vehicle) or Class M (motor-driven cycle) vehicle. This
license shall be valid for use in daylight hours only. Travel to authorized locations will be specified by the Department of
Safety and Homeland Security along with any restrictions deemed appropriate by the Department and set forth in
administrative rules and regulations.
Only those applicants who can provide verifiable documentation of a true hardship, which would cause extreme privation
and/or suffering, should apply. Privation is defined as “the lack of the basic necessities or comforts of life.”
Please note, the Department of Safety and Homeland Security can verify any and all information submitted.
Eligibility:
1.
Applicant must be a Tennessee resident and be between fourteen (14) and sixteen (16) years of age. All Hardship
th
Licenses expire on the 16
birthday. Temporary Hardship licenses expire based upon legal presence documents
th
or on the 16
birthday.
2.
For a first-time license, an applicant must be in compliance with the Compulsory School Attendance Law.
3.
Applicants for a Hardship License must meet the same eligibility standards for Class D License.
4.
Applicants who are fourteen (14) years of age, or those who have not held a Learner Permit for at least three
(3) months must show proof of successful completion of a State approved Driver Education/Training Course.
License Requisites:
1.
Persons holding a valid Hardship license may operate Class D (passenger vehicle or Class M (motor-driven cycle)
vehicles only. However to drive a Class M vehicle, the applicant will be required to take the Class M driving test
in addition to the Class D test.
2.
Valid only for daylight hours; no earlier than 5:00 a.m. and no later than 7:00 p.m. No exceptions.
3.
Valid only for travel to pre-authorized locations that are specified on the approval letter.
4.
Passengers are limited to immediate family members only.
5.
A Hardship license will be approved for the most direct route only, with a mileage limitation of 25 miles, one-
way.
- 1 -
SF-0263 (Rev. 12/13)
TENNESSEE DEPARTMENT OF SAFETY
AND HOMELAND SECURITY
IMPORTANT INFORMATION ABOUT THE
HARDSHIP DRIVER LICENSE APPLICATION
Overview:
The Tennessee Department of Safety and Homeland Security may issue a minor who is fourteen (14) or fifteen (15) years
of age a special restricted license when facts presented to the Department indicate there is a good reason to issue such
restricted license. This license shall hereinafter be referred to as a Hardship License (Class H/XH).
Definition:
A Hardship License is a special license issued to a minor fourteen (14) or fifteen (15) years of age. This special class of
license shall be restricted to operation of a Class D (passenger vehicle) or Class M (motor-driven cycle) vehicle. This
license shall be valid for use in daylight hours only. Travel to authorized locations will be specified by the Department of
Safety and Homeland Security along with any restrictions deemed appropriate by the Department and set forth in
administrative rules and regulations.
Only those applicants who can provide verifiable documentation of a true hardship, which would cause extreme privation
and/or suffering, should apply. Privation is defined as “the lack of the basic necessities or comforts of life.”
Please note, the Department of Safety and Homeland Security can verify any and all information submitted.
Eligibility:
1.
Applicant must be a Tennessee resident and be between fourteen (14) and sixteen (16) years of age. All Hardship
th
Licenses expire on the 16
birthday. Temporary Hardship licenses expire based upon legal presence documents
th
or on the 16
birthday.
2.
For a first-time license, an applicant must be in compliance with the Compulsory School Attendance Law.
3.
Applicants for a Hardship License must meet the same eligibility standards for Class D License.
4.
Applicants who are fourteen (14) years of age, or those who have not held a Learner Permit for at least three
(3) months must show proof of successful completion of a State approved Driver Education/Training Course.
License Requisites:
1.
Persons holding a valid Hardship license may operate Class D (passenger vehicle or Class M (motor-driven cycle)
vehicles only. However to drive a Class M vehicle, the applicant will be required to take the Class M driving test
in addition to the Class D test.
2.
Valid only for daylight hours; no earlier than 5:00 a.m. and no later than 7:00 p.m. No exceptions.
3.
Valid only for travel to pre-authorized locations that are specified on the approval letter.
4.
Passengers are limited to immediate family members only.
5.
A Hardship license will be approved for the most direct route only, with a mileage limitation of 25 miles, one-
way.
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SF-0263 (Rev. 12/13)
6.
Persons holding a valid Hardship License are not allowed to tow other vehicles or trailers.
7.
Destinations that will be considered for approval with appropriate justification include:
 School-only if no bus transportation is provided.
 Extracurricular School Activities-only if no bus transportation is provided and these activities are school
sponsored, or accredited courses and extreme privation exists.
 Work-only if income is required to help financially support the family.
 Medical-only for serious illnesses of immediate family members. Family members may include parents,
grandparents, stepparents or legal guardians if living in the same household as applicant.
If the holder of the Hardship license is at least fifteen (15) years of age, the Class H license may be used as an
instructional permit for Class D vehicles, as long as all other requirements pertaining to appropriate Learner Permit (Class
PD/XPD) license are met.
NOTE: If driver is found to be driving before or after hours, on unapproved routes, or with non-approved passengers,
license can be suspended.
Before submitting application, please remember:
1.
All correspondence must be in writing. Mail completed application to:
Tennessee Department of Safety and Homeland Security
Driver Services Division-Hardship License
1150 Foster Avenue
Nashville, TN 37243
2.
When completing the application, please type or print with black ink. If application is not complete or not
legible, it will be disapproved.
3.
All information should be filled in completely and correctly. List the names of all roadways and streets requested
in order of travel. Only include the most direct route along with the mileage.
4.
Acceptable proof of hardship must be submitted with the application.
5.
If approved, your original application will be returned along with an Authorization Letter. This letter will
advise you what to take to the Driver Service center for testing. If your application is denied, or if any
individual routes are denied, you may appeal the decision. (Appeals Process outlined below).
Appeals Process:
To make an appeal, the applicant must submit a letter requesting appeal of the denial. If application is denied in whole or
in part, the applicant may file an appeal of the denial. The applicant must include the denial letter and the original
hardship application. The applicant shall mail the appeal to:
Tennessee Department of Safety and Homeland Security
Driver Services Division-Hardship License
1150 Foster Avenue
Nashville, TN 37243
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SF-0263 (Rev. 12/13)
INSTRUCTIONS FOR COMPLETING THE
HARDSHIP DRIVER LICENSE APPLICATION
Type or print legibly with black ink.
Please ensure that all information is filled in correctly.
Ensure all roadways and street names are listed in order of travel for all routes requested.
Include the total mileage of each route requested.
Incomplete and illegible applications will be disapproved.
All correspondence must be in writing and mailed to:
Tennessee Department of Safety and Homeland Security
Driver Services Division-Hardship License
1150 Foster Avenue
Nashville, TN 37243
SECTION A-APPLICANT INFORMATION
1.
Provide your full legal name-first, middle, last and any suffix. Nicknames and/or initials will not be accepted.
2.
Provide your physical street address. A Post Office Box or Rural Route Number will not be accepted.
3.
A social security number is required for the Department’s records if one has been issued.
SECTION B-PRIMARY HOUSEHOLD
1.
Fill out this section to describe the primary household.
2.
If someone other than a parent has legal custody, a copy of the legal documents(s) supporting this fact must be
submitted with the application.
3.
If self-employed, provide the name and nature of the business.
SECTION C-SECONDARY HOUSEHOLD
Use this section for information regarding biological parent(s) not in the household.
SECTION D-OTHER MEMBERS OF HOUSEHOLD
List everyone in the household that is 14 years of age and older by their first name, middle name, last name and suffix.
SECTION E-HARDSHIP DESTINATION(S)
1.
Most hardships fit into one category or destination. No destination outside the State of Tennessee will be
approved.
2.
Include all the names of roadways and streets for routes requested in order of travel.
3.
If you need more space to describe the hardship or the route, attach additional sheet(s) using the same format.
4.
Include all roadways and streets requested in order of travel. Only the most direct route will be considered.
SECTION F-SIGNATURES REQUIRED
Application must be notarized by a Notary Public.
APPEALS PROCESS:
If application is denied in whole or in part, the applicant may file an appeal of the denial. The applicant shall include in
the appeal the denial letter and the original hardship application. The appeal should be mailed to the address listed above.
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SF-0263 (Rev. 12/13)
BLANK PAGE
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SF-0263 (Rev. 12/13)
TENNESSEE DEPARTMENT OF SAFETY
AND HOMELAND SECURITY
APPLICATION FOR HARDSHIP/TEMPORARY HARDSHIP DRIVER LICENSE
The Tennessee Department of Safety and Homeland Security can verify any and all information submitted.
There are penalties for submitting a fraudulent application. Tenn. Code Ann. § 55-50-602
Check box below for reason you are applying for a Hardship License/Temporary Hardship License
To drive to/from work (Applicant must be working to help financially support the family)
Complete Sections A, B, C (if applicable), D, E-1 and F
To drive to/from school
Complete Sections A, B, C (if applicable), D, E-2 and F
To drive to/from school and extracurricular school activities
Complete Sections A, B, C (if applicable), D, E-2 and F
To drive to/from school and work
Complete Sections A, B, C (if applicable), D, E-1, E-2 and F
Other (Grocery, Doctor)
Complete Sections A, B, C (if applicable), D, E-3, and F
SECTION A-APPLICANT INFORMATION (required)
Full Name _______________________________________________________________________________________________
First
Middle
Last
Suffix
Home Address (Required) _________________________________________________________________________________
Must include Street Number, Street Name and any Apartment number if Applicable
_______________________________________________________________________________________________
City
State
Zip Code
Mailing Address, if different from home address __________________________________________________________________________
____________________________________________________________________________________________________________________
Home Telephone Number (______) ____________________________ Alternate Phone Number (______) __________________________
Applicant’s Date of Birth ________________________________/________________/ __________________
MONTH
DAY
YEAR
_________________________________________
Tennessee Identification License or Learner Permit Number, if applicable
Applicant’s Social Security Number: _____________________________________________________
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SF-0263 (Rev. 12/13)
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