Form PS31091 "Rehabilitation Requirements" - Minnesota

What Is Form PS31091?

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

Form Details:

  • Released on June 1, 2011;
  • The latest edition provided by the Minnesota Department of Public Safety;
  • 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 fillable version of Form PS31091 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Public Safety.

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Download Form PS31091 "Rehabilitation Requirements" - Minnesota

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MINNESOTA DEPARTMENT OF PUBLIC SAFETY
Print Form
DRIVER AND VEHICLE SERVICES
445 Minnesota Street Suite 170
Saint Paul, MN 55101-5170
Phone: (651) 296-2025 TTY: (651)
282-6555
Web: dps.mn.gov/divisions/dvs
RE HABI LI TA T ION R EQUIR EMENTS
A person who is involved in three (3) or more alcohol or controlled substances incidents may have their driving
privileges canceled as inimical to public safety
(M.S. §
171.04). NO DRIVING PRIVILEGES, INCLUDING A WORK
OR LIMITED LICENSE, WILL BE ISSUED UNTIL ALL OF THE REHABILITATION REQUIREMENTS HAVE BEEN
SATISFIED.
To be reinstated the person must complete rehabilitation as required by
Minnesota Rule
7503.1700. Briefly, the person must:
1.
Abstain from the consumption of any drink or product containing alcohol or controlled substances, at all times, even when
not operating or in physical control of a motor vehicle. The person must document abstinence from the consumption of
alcohol or controlled substances as follows:
For Reinstatement after:
Minimum Abstinence Period: If there is an additional
If the person does not complete
alcohol or controlled
treatment/aftercare, has non-
substance incident after
favorable prognosis, or
cancelation:
fraudulently represents facts:
First Rehabilitation
One (1) year
Plus One (1) year
Plus One (1) year
Second Rehabilitation
Three (3) years
Plus One (1) year
Plus One (1) year
Any Additional
Six (6) years
Plus One (1) year
Plus One (1) year
Rehabilitations
Note: Additional abstinence time may be required if the person lives in a controlled environment (prison, jail, halfway
house, etc.) during the abstinence period.
2.
Submit a discharge summary showing successful completion of chemical dependency treatment. The program must be at
least 48 hours long, abstinence based and state approved. The treatment must be completed after the last consumption of
any drink or product containing alcohol or controlled substances. The summary must include:
a)
A narrative regarding the treatment program and results
b)
The date that any drink or product containing alcohol or controlled substances was last consumed
c)
The starting and ending dates of treatment
d)
A prognosis regarding progress in the program, a recommendation regarding aftercare and verification that aftercare has
been completed
A relapse treatment program of at least 24 hours may be substituted if treatment has been previously completed. An
additional year of abstinence will be required if the requirement for treatment is waived per
Minnesota Rule 7503.1700,
Subpart
2a.
3.
Provide evidence of weekly attendance in a generally recognized, ongoing abstinence-based support group, such
as AA, for a minimum of three months immediately prior to reinstatement.
4.
Demonstrate abstinence. The person must submit support statements from at least five (5) people who have had weekly
contact with the person during the required abstinence period. The letter writers must agree to notify the Minnesota
Department of Public Safety in writing if the person, they are supporting, consumes any drink or product containing alcohol
or controlled substances after the abstinence date they certified. The required statement is on the back and may be
photocopied.
5.
Interview. The person must have an interview with a Driver Improvement Specialist. At the interview, the person must
complete a statement that outlines the conditions under which the person’s driving privileges will be issued.
a)
For the Twin Cities Area: Interviews are held between 8:00 A.M. and 3:30 P.M., Monday thru Friday, except
holidays, at the Town Square building, #170, 445 Minnesota Street, St. Paul
For an Interview in greater Minnesota: In greater Minnesota, or for out of state residents, submit the above
b)
documentation to the Driver Evaluation Unit at Driver & Vehicle Services, 445 Minnesota Street, Suite 170,St. Paul,
Minnesota 55101-5170. An interview will be scheduled in the person’s home area. For out of state residents who are not
near an interview site, it may be possible to meet the requirement by mail. The rehabilitation documents must be
submitted before an interview will be scheduled.
If you have questions, please call 651-296-2025, or write to the address listed above.
These requirements are based on Minnesota Statutes and Rules and are subject to change without notice.
PS31091-02 6/11
- over -
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
Print Form
DRIVER AND VEHICLE SERVICES
445 Minnesota Street Suite 170
Saint Paul, MN 55101-5170
Phone: (651) 296-2025 TTY: (651)
282-6555
Web: dps.mn.gov/divisions/dvs
RE HABI LI TA T ION R EQUIR EMENTS
A person who is involved in three (3) or more alcohol or controlled substances incidents may have their driving
privileges canceled as inimical to public safety
(M.S. §
171.04). NO DRIVING PRIVILEGES, INCLUDING A WORK
OR LIMITED LICENSE, WILL BE ISSUED UNTIL ALL OF THE REHABILITATION REQUIREMENTS HAVE BEEN
SATISFIED.
To be reinstated the person must complete rehabilitation as required by
Minnesota Rule
7503.1700. Briefly, the person must:
1.
Abstain from the consumption of any drink or product containing alcohol or controlled substances, at all times, even when
not operating or in physical control of a motor vehicle. The person must document abstinence from the consumption of
alcohol or controlled substances as follows:
For Reinstatement after:
Minimum Abstinence Period: If there is an additional
If the person does not complete
alcohol or controlled
treatment/aftercare, has non-
substance incident after
favorable prognosis, or
cancelation:
fraudulently represents facts:
First Rehabilitation
One (1) year
Plus One (1) year
Plus One (1) year
Second Rehabilitation
Three (3) years
Plus One (1) year
Plus One (1) year
Any Additional
Six (6) years
Plus One (1) year
Plus One (1) year
Rehabilitations
Note: Additional abstinence time may be required if the person lives in a controlled environment (prison, jail, halfway
house, etc.) during the abstinence period.
2.
Submit a discharge summary showing successful completion of chemical dependency treatment. The program must be at
least 48 hours long, abstinence based and state approved. The treatment must be completed after the last consumption of
any drink or product containing alcohol or controlled substances. The summary must include:
a)
A narrative regarding the treatment program and results
b)
The date that any drink or product containing alcohol or controlled substances was last consumed
c)
The starting and ending dates of treatment
d)
A prognosis regarding progress in the program, a recommendation regarding aftercare and verification that aftercare has
been completed
A relapse treatment program of at least 24 hours may be substituted if treatment has been previously completed. An
additional year of abstinence will be required if the requirement for treatment is waived per
Minnesota Rule 7503.1700,
Subpart
2a.
3.
Provide evidence of weekly attendance in a generally recognized, ongoing abstinence-based support group, such
as AA, for a minimum of three months immediately prior to reinstatement.
4.
Demonstrate abstinence. The person must submit support statements from at least five (5) people who have had weekly
contact with the person during the required abstinence period. The letter writers must agree to notify the Minnesota
Department of Public Safety in writing if the person, they are supporting, consumes any drink or product containing alcohol
or controlled substances after the abstinence date they certified. The required statement is on the back and may be
photocopied.
5.
Interview. The person must have an interview with a Driver Improvement Specialist. At the interview, the person must
complete a statement that outlines the conditions under which the person’s driving privileges will be issued.
a)
For the Twin Cities Area: Interviews are held between 8:00 A.M. and 3:30 P.M., Monday thru Friday, except
holidays, at the Town Square building, #170, 445 Minnesota Street, St. Paul
For an Interview in greater Minnesota: In greater Minnesota, or for out of state residents, submit the above
b)
documentation to the Driver Evaluation Unit at Driver & Vehicle Services, 445 Minnesota Street, Suite 170,St. Paul,
Minnesota 55101-5170. An interview will be scheduled in the person’s home area. For out of state residents who are not
near an interview site, it may be possible to meet the requirement by mail. The rehabilitation documents must be
submitted before an interview will be scheduled.
If you have questions, please call 651-296-2025, or write to the address listed above.
These requirements are based on Minnesota Statutes and Rules and are subject to change without notice.
PS31091-02 6/11
- over -
SUP PORT S TAT EM ENT FOR A PE RSON
RE QUE S TING REINSTAT EMENT
Support statements showing weekly contact with the person seeking reinstatement must be provided for the required abstinence
period.
I am supporting driver license reinstatement for:
Date of Birth
Middle Name
Last name
First Name
1) I certify that I have not witnessed nor have other knowledge that the above named person has consumed any drink or
product containing alcohol or controlled substances since (date)
2) I certify that I have been in weekly contact with the above named person since (date)
3) In further support of reinstatement for the above named person I certify that
4) I certify that I will promptly report in writing to the Commissioner of the Minnesota Department of Public Safety the
consumption of any drink or product containing alcohol or controlled substances, by the above named person. Notification
should be mailed to Driver and Vehicle Services, 445 Minnesota Street, Suite 170, St. Paul, Minnesota 55101-5170.
5) I certify that I am not related to the above named person by blood, marriage or adoption. Also, the above named person is
not my parent, step-parent, guardian, employee or employer. Furthermore, I do not reside intermittently or regularly in the
same dwelling as the above named person and I am not the person's spouse.
Supporter's Full Printed Name:
Date of Birth:
Address:
Zip:
State:
City:
Daytime Phone Number:
I certify that all the information I have given is true and correct:
Supporter's Signature:
Date:
Letters attesting to abstinence will not be accepted if more than 30 days old. This statement plus statements from four (4)
other individuals are required for reinstatement under Minnesota Rule 7503.1700.
DRIVER AND VEHICLE SERVICES, 445 Minnesota Street, Suite 170, Saint Paul, MN 55101-5170
Phone: (651) 296-2025
TTY: (651) 282-6555 Web: dps.mn.gov/divisions/dvs
PS31091-02 6/11
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