Rules and Regulations

Rules and Regulations for Chapter 375-3-3

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375-3-3-.06 Suspension, Revocation, and Cancelation Forms Based on Violations. Amended.

(1) Form SR-22 - Georgia Financial Responsibility Insurance Certificate, future proof of insurance. (Furnished by insurance company) Section 40-9-81.

(2) Form SR-24 - Notice of Change of Motor Vehicle Under Financial Responsibility Insurance Certificate. (Furnished by insurance company) Section 40-9-81.

(3) Form SR-26 - Notice of Cancellation or Termination of Financial Responsibility Insurance Certificate. (Furnished by insurance company) Section 40-9-82.

(4) Form DS-76 - A form indicating Point Reduction Under Driver Improvement Law. O.C.G.A. 40-5-86.

(5) Form DS-148 - An official Notice of Suspension for Bail Bonds. O.C.G.A. 17-6-11.

(6) Form DS-1240 - An official Notice of Revocation for Physical/Mental Disabilities. O.C.G.A. 40-5-59.

(7) Form DS-1130 - An official Notice of Suspension for one or three years for accumulation of points. O.C.G.A. 40-5-57.

(8) Form DS-1012 - An official Notice of Suspension for one year or three years for mandatory suspension. O.C.G.A. 40-5-54.

(9) Form DS-1420 - A Notice of SR-22 insurance filing being canceled. Habitual violator probationary license will be canceled unless new proof is filed. O.C.G.A. 40-5-58.

(10) Form DS-234 - A hearing not requested within ten (10) days of letter. O.C.G.A. 40-5-4.

(11) Form DS-1330 and 1331 - An official Notice of Suspension for six months for offense of driving while license is suspended. O.C.G.A. 40-5-121.

(12) Form DS-1440 - An official Notice of License Cancellation O.C.G.A. 40-5-50.

(13) Form DS-240 - An official Request for Police (personal) Service and/or pick up of driver's license. O.C.G.A. 40-5-4.

(14) Form DS-240A - An official Request for Police (personal) Service and/or pick up of driver's license for declared habitual violators. O.C.G.A. 40-5-58.

(15) Form DS-243 - An official Notice to Licensee of request by insurance carrier for licensee to be re-examined. Assigned Risk Plan. O.C.G.A. 40-5-59.

(16) Form DS-244 - An official Notice to Insurance Company of status after request for recertification is issued. Assigned Risk Plan. O.C.G.A. 40-5-59.

(17) Form DS-250A - A Lost license affidavit. O.C.G.A. 40-5-61.

(18) Form DS-266 - Future proof of financial responsibility certificate (SR-22 insurance), filed by owner, employer, or company for up to three years. O.C.G.A. 40-9-81.

(19) Form DS-303 - A letter of clearance. O.C.G.A. 40-5-4.

(20) Form DS-1220 - An official Notice of Revocation of limited permit. O.C.G.A. 40-5-64.

(21) Form DS-412 - A request for hearing based on suspension/revocation of driver's license. O.C.G.A. 40-5-4.

(22) Form DS-439 - A notice of hearing scheduled in connection with suspensions. (Sent to licensee upon request for a hearing in connection with suspended license.) O.C.G.A. 40-5-4.

(23) Form DS-454A - A notice of hearing scheduled in connection with suspension of limited permits. O.C.G.A. 40-5-64 and 40-5-71.

(24) Form DS-565 - Revocation of limited permit. An initial decision of hearing officer. O.C.G.A. 40-5-64.

(25) Form DS-665 - An application for limited driving permit. O.C.G.A. 40-5-64 and 33-34-12.

(26) Form DS-716 - A notice of action taken as the result of a court order that a change be made in the driving record. O.C.G.A. 40-5-4.

(27) Form DS-734 - An application for habitual violator probationary driver's license. O.C.G.A. 40-5-58.

(28) Form DS-735 - A letter of approval and further instructions reference application for habitual violator probationary driver's license. O.C.G.A. 40-5-58.

(29) Form DS-736 - A letter or rejection of application for habitual violator probationary driver's license. O.C.G.A. 40-5-58.

(30) Form DS-2050 - An official notice of revocation for declared habitual violator. O.C.G.A. 40-5-58.

(31) Form DS-1230 - An official notice of revocation of habitual violator probationary driver's license. O.C.G.A. 40-5-58.

(32) Form DS-1020 - A notice sent to licensee after suspension or revocation expires or reinstatement requirements have been met. O.C.G.A. 40-5-4.

(33) Form DS-1030 - An official notice of revocation. Personal service on habitual violator. O.C.G.A. 40-5-58.

(34) Form DS-2040 - An official notice of suspension for failure to appear in court and satisfy terms of citations issued. O.C.G.A. 40-5-56.

(35) Form DS-1052 - A notice for a hearing scheduled in connection with suspension based on failure to appear in court. O.C.G.A. 40-5-56.

(36) Form DS-1053 - An initial decision of a hearing officer in hearings related to suspensions based on failure to appear in court. O.C.G.A. 40-5-56.

(37) Form DS-1119 - A letter of reinstatement of driver's license when requirements have been met. O.C.G.A. 40-5-4.

(38) Form DS-1119A - A letter acknowledging receipt of Driver Improvement Clinic Certificate for completion of the Alcohol Level I Course. O.C.G.A. 40-6-391.

(39) Form DS-1050 - An official notice of pending suspension upon accepted plea of nolo contenders to the offense of DUI. O.C.G.A. 40-6-391.1.

(40) Form DS-1060 - An official notice of suspension upon conviction of DUI. O.C.G.A. 40-6-391.

(41) Form DS-1070 and DS-1012 - An official notice of suspension for the offense of homicide by vehicle.

(a) DS Form 1070 - 1st degree;

(b) DS-Form 1012 - 2nd Degree. O.C.G.A. 40-5-54.

(42) Form DS-1128 - An authorization of 30-day extension of 180 day driving permit. O.C.G.A. 40-5-4.

 

Authority: Ga. L. 1969, Act 570 (Ga. Code Ann. Sec. 92A-603). O.C.G.A. Sec. 40-5-4.
Filed Date: 1/9/2003
Effective Date: 1/29/2003