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NOTICE OF SUSPENSION
TEMPORARY DRIVING PERMIT
SUBJECT’S NAME DL/ID NO./STATE DOB
ADDRESS
PHYSICAL DESCRIPTION (if unlicensed) Race: Sex: Height: Weight: Eyes: Hair:
DATE OF ARREST: TIME OF ARREST: COUNTY OF ARREST:
YOUR LICENSE, PERMIT OR PRIVILEGE TO OPERATE A MOTOR VEHICLE OR WATERCRAFT WILL BE SUSPENDED OR DENIED EFFECTIVE 40
DAYS AFTER THE DATE YOU RECEIVE THIS NOTICE BECAUSE YOU:
ADULT:
REFUSED to provide a specimen or specimens of breath or blood following an arrest for an offense prohibiting the operation of a motor vehicle
or watercraft while intoxicated, while under the influence of alcohol, or while under the influence of a controlled substance.
PROVIDED a specimen of breath or blood, and an analysis of the specimen showed an alcohol concentration of .08 or greater following an arrest
for an offense involving the operation of a motor vehicle or watercraft.
MINOR (Under 21):
REFUSED to provide a specimen or specimens of breath or blood following an arrest for an offense prohibiting the operation of a motor vehicle
or watercraft while intoxicated, while under the influence of alcohol, or while under the influence of a controlled substance.
PROVIDED a specimen of breath or blood, and an analysis of the specimen showed either an alcohol concentration of .08 or greater or a
detectable amount of alcohol following an arrest for an offense involving the operation of a motor vehicle or watercraft.
WERE NOT REQUESTED TO SUBMIT to the taking of a specimen following an arrest involving the operation of a motor vehicle or watercraft,
as the presence of alcohol was detected or measured by other means.
If your Texas driver license was confiscated, this document will serve as your temporary driving permit. It is subject to the same restrictions
and endorsements as your Texas driver license. If you hold a commercial driver license, this permit authorizes the operation of commercial
motor vehicles. This permit does not provide you with any driving privileges if you do not have a Texas driver license or if your Texas driver
license is expired, suspended, revoked, cancelled, or disqualified. This permit is valid for 40 days from the date of service shown below. If you
request a hearing, this permit will remain in effect until the administrative law judge makes a final decision in your case.
Driver License Confiscated: Yes No If no, explain
Date Notice Served:
Officer’s Signature
Officer’s Printed Name
Agency
Telephone No.
DRIVER INFORMATION
You may request a hearing to contest the suspension by calling (800) 394-9913, faxing (512) 424-2650 or writing the Texas Department of Public
Safety, Driver Improvement Bureau, at PO Box 4040, Austin, Texas 78765-4040. All correspondence must include the following information: Full name,
date of birth, driver license number and state, current mailing address, home and daytime telephone numbers, date and county of arrest, arresting agency,
arresting officer, whether the test was failed, refused or not requested, and such other information as requested by the Department. Please specify if you
wish to have your hearing by telephone or in person. The request for hearing must be received by the Texas Department of Public Safety no later
than 15 days after you receive or are presumed to have received notice of suspension. Failure to request a hearing within this time is a waiver of
your right to a hearing. You will be notified of the date, time, and location of your hearing. You will be required to pay a $125 reinstatement fee to the Texas
Department of Public Safety, Driver Improvement Bureau, PO Box 15999, Austin, Texas 78761-5999, in addition to any other fees required by law. See
reverse side for periods of suspension and statutory references. DPS Copy—White Driver’s Copy—Yellow
FOR DEPARTMENT USE ONLY
DIC-25 (Rev. 10/09)
PERIODS OF SUSPENSION
ADULTS:
Refused to provide a specimen or specimens of breath or blood following an arrest for an offense prohibiting the operation of a motor vehicle or
watercraft while intoxicated, while under the influence of alcohol, or while under the influence of a controlled substance (Tex. Transp. Code Ann.
Ch. 724):
180 DAYS First Offense
2 YEARS If previously suspended for failing or refusing a breath or blood test or previously suspended for a DWI, Intoxication Assault or
Intoxication Manslaughter conviction during the 10 years preceding the date of arrest.
Provided a specimen of breath or blood with an alcohol concentration of 0.08 or greater following an arrest for an offense under Section 49.04,
49.07 or 49.08, Penal Code, involving the operation of a motor vehicle or watercraft (Tex. Transp. Code Ann. Ch. 524):
90 DAYS First Offense
1 YEAR If previously suspended for failing or refusing a breath or blood test or previously suspended for a DWI, Intoxication Assault or
Intoxication Manslaughter conviction during the 10 years preceding the date of arrest.
MINORS (UNDER 21 YEARS OF AGE):
Refused to provide a specimen or specimens of breath or blood following an arrest for an offense prohibiting the operation of a motor vehicle or
watercraft while intoxicated, while under the influence of alcohol or while under the influence of a controlled substance (Tex. Transp. Code Ann. Ch.
724):
180 DAYS First Offense
2 YEARS If previously suspended for failing or refusing a breath or blood test or previously suspended for a DWI, Intoxication Assault or
Intoxication Manslaughter conviction during the 10 years preceding the date of arrest.
Provided a specimen of breath or blood with an alcohol concentration of 0.08 or greater or a detectable amount of alcohol following an arrest for
an offense under Section 49.04, 49.07 or 49.08, Penal Code, or Section 106.041, Alcoholic Beverage Code, involving the operation of a motor
vehicle or watercraft (Tex. Transp. Code Ann. Ch. 524):
60 DAYS First Offense
120 DAYS If previously convicted of an offense under Sections 49.04, 49.07 or 49.08, Penal Code, or Section 106.041, Alcoholic Beverage
Code, involving the operation of a motor vehicle or watercraft.
180 DAYS If previously convicted twice or more of an offense under Sections 49.04, 49.07 or 49.08, Penal Code, or Section 106.041, Alcoholic
Beverage Code, involving the operation of a motor vehicle or watercraft.
COMMERCIAL DRIVER LICENSE (CDL) HOLDERS: Pursuant to Tex. Transp. Code Ann. Chapter 522, your commercial driving privilege will be
disqualified for one year (three years if transporting hazardous material required to be placarded) if you refused to submit to a test under Chapter
724 to determine your alcohol concentration or the presence in your body of a controlled substance or drug while operating a motor vehicle in a
public place; or if an analysis of your breath or blood under Chapter 524 determines that you had an alcohol concentration of 0.08 or more while
operating a motor vehicle, other than a commercial motor vehicle, in a public place.
DRIVER LICENSE REINSTATEMENT FORM
Name DL No. DOB
Address
You are required to pay a $125 fee to reinstate your driver license. Payment must be made in the form of a cashier’s check or money order made
payable to the Texas Department of Public Safety. Please complete this form and return it, along with your reinstatement fee, to the Texas
Department of Public Safety at the following address: DRIVER IMPROVEMENT BUREAU, PO BOX 15999, AUSTIN TX 78761-5999.

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Notice of Suspension Temporary Driving Permit

  • 1. NOTICE OF SUSPENSION TEMPORARY DRIVING PERMIT SUBJECT’S NAME DL/ID NO./STATE DOB ADDRESS PHYSICAL DESCRIPTION (if unlicensed) Race: Sex: Height: Weight: Eyes: Hair: DATE OF ARREST: TIME OF ARREST: COUNTY OF ARREST: YOUR LICENSE, PERMIT OR PRIVILEGE TO OPERATE A MOTOR VEHICLE OR WATERCRAFT WILL BE SUSPENDED OR DENIED EFFECTIVE 40 DAYS AFTER THE DATE YOU RECEIVE THIS NOTICE BECAUSE YOU: ADULT: REFUSED to provide a specimen or specimens of breath or blood following an arrest for an offense prohibiting the operation of a motor vehicle or watercraft while intoxicated, while under the influence of alcohol, or while under the influence of a controlled substance. PROVIDED a specimen of breath or blood, and an analysis of the specimen showed an alcohol concentration of .08 or greater following an arrest for an offense involving the operation of a motor vehicle or watercraft. MINOR (Under 21): REFUSED to provide a specimen or specimens of breath or blood following an arrest for an offense prohibiting the operation of a motor vehicle or watercraft while intoxicated, while under the influence of alcohol, or while under the influence of a controlled substance. PROVIDED a specimen of breath or blood, and an analysis of the specimen showed either an alcohol concentration of .08 or greater or a detectable amount of alcohol following an arrest for an offense involving the operation of a motor vehicle or watercraft. WERE NOT REQUESTED TO SUBMIT to the taking of a specimen following an arrest involving the operation of a motor vehicle or watercraft, as the presence of alcohol was detected or measured by other means. If your Texas driver license was confiscated, this document will serve as your temporary driving permit. It is subject to the same restrictions and endorsements as your Texas driver license. If you hold a commercial driver license, this permit authorizes the operation of commercial motor vehicles. This permit does not provide you with any driving privileges if you do not have a Texas driver license or if your Texas driver license is expired, suspended, revoked, cancelled, or disqualified. This permit is valid for 40 days from the date of service shown below. If you request a hearing, this permit will remain in effect until the administrative law judge makes a final decision in your case. Driver License Confiscated: Yes No If no, explain Date Notice Served: Officer’s Signature Officer’s Printed Name Agency Telephone No. DRIVER INFORMATION You may request a hearing to contest the suspension by calling (800) 394-9913, faxing (512) 424-2650 or writing the Texas Department of Public Safety, Driver Improvement Bureau, at PO Box 4040, Austin, Texas 78765-4040. All correspondence must include the following information: Full name, date of birth, driver license number and state, current mailing address, home and daytime telephone numbers, date and county of arrest, arresting agency, arresting officer, whether the test was failed, refused or not requested, and such other information as requested by the Department. Please specify if you wish to have your hearing by telephone or in person. The request for hearing must be received by the Texas Department of Public Safety no later than 15 days after you receive or are presumed to have received notice of suspension. Failure to request a hearing within this time is a waiver of your right to a hearing. You will be notified of the date, time, and location of your hearing. You will be required to pay a $125 reinstatement fee to the Texas Department of Public Safety, Driver Improvement Bureau, PO Box 15999, Austin, Texas 78761-5999, in addition to any other fees required by law. See reverse side for periods of suspension and statutory references. DPS Copy—White Driver’s Copy—Yellow FOR DEPARTMENT USE ONLY DIC-25 (Rev. 10/09)
  • 2. PERIODS OF SUSPENSION ADULTS: Refused to provide a specimen or specimens of breath or blood following an arrest for an offense prohibiting the operation of a motor vehicle or watercraft while intoxicated, while under the influence of alcohol, or while under the influence of a controlled substance (Tex. Transp. Code Ann. Ch. 724): 180 DAYS First Offense 2 YEARS If previously suspended for failing or refusing a breath or blood test or previously suspended for a DWI, Intoxication Assault or Intoxication Manslaughter conviction during the 10 years preceding the date of arrest. Provided a specimen of breath or blood with an alcohol concentration of 0.08 or greater following an arrest for an offense under Section 49.04, 49.07 or 49.08, Penal Code, involving the operation of a motor vehicle or watercraft (Tex. Transp. Code Ann. Ch. 524): 90 DAYS First Offense 1 YEAR If previously suspended for failing or refusing a breath or blood test or previously suspended for a DWI, Intoxication Assault or Intoxication Manslaughter conviction during the 10 years preceding the date of arrest. MINORS (UNDER 21 YEARS OF AGE): Refused to provide a specimen or specimens of breath or blood following an arrest for an offense prohibiting the operation of a motor vehicle or watercraft while intoxicated, while under the influence of alcohol or while under the influence of a controlled substance (Tex. Transp. Code Ann. Ch. 724): 180 DAYS First Offense 2 YEARS If previously suspended for failing or refusing a breath or blood test or previously suspended for a DWI, Intoxication Assault or Intoxication Manslaughter conviction during the 10 years preceding the date of arrest. Provided a specimen of breath or blood with an alcohol concentration of 0.08 or greater or a detectable amount of alcohol following an arrest for an offense under Section 49.04, 49.07 or 49.08, Penal Code, or Section 106.041, Alcoholic Beverage Code, involving the operation of a motor vehicle or watercraft (Tex. Transp. Code Ann. Ch. 524): 60 DAYS First Offense 120 DAYS If previously convicted of an offense under Sections 49.04, 49.07 or 49.08, Penal Code, or Section 106.041, Alcoholic Beverage Code, involving the operation of a motor vehicle or watercraft. 180 DAYS If previously convicted twice or more of an offense under Sections 49.04, 49.07 or 49.08, Penal Code, or Section 106.041, Alcoholic Beverage Code, involving the operation of a motor vehicle or watercraft. COMMERCIAL DRIVER LICENSE (CDL) HOLDERS: Pursuant to Tex. Transp. Code Ann. Chapter 522, your commercial driving privilege will be disqualified for one year (three years if transporting hazardous material required to be placarded) if you refused to submit to a test under Chapter 724 to determine your alcohol concentration or the presence in your body of a controlled substance or drug while operating a motor vehicle in a public place; or if an analysis of your breath or blood under Chapter 524 determines that you had an alcohol concentration of 0.08 or more while operating a motor vehicle, other than a commercial motor vehicle, in a public place. DRIVER LICENSE REINSTATEMENT FORM Name DL No. DOB Address You are required to pay a $125 fee to reinstate your driver license. Payment must be made in the form of a cashier’s check or money order made payable to the Texas Department of Public Safety. Please complete this form and return it, along with your reinstatement fee, to the Texas Department of Public Safety at the following address: DRIVER IMPROVEMENT BUREAU, PO BOX 15999, AUSTIN TX 78761-5999.