Limited driving priv (suspension)

Summit County Court of Common Pleas Juvenile Division

Petition for Limited Driving Privileges - Suspension
Limited driving privileges are granted at the discretion of the court which means they are not always granted.

The court may grant limited driving privileges if there is reasonable cause to believe that the suspension will seriously affect your ability to continue in the below options. Below you will need to explain why having your license suspended is an issue for the options that you choose.

If the court finds it appropriate to grant you limited driving privileges during the time of your suspension you will at a minimum be required to comply with the following:

1. When traveling to and from the places listed on your permit you MUST take a direct route, and you are not permitted to stop for any purpose (store. etc.) other than stopping to get gas when en route to one of the places privileges has been granted for.

2. No passengers are permitted in the car ehile you are driving other than a parent. Unless otherwise specified by the court.

3. You must strictly comply with ALL traffic laws (traffic,criminal, no phone usage while driving, curfew, etc.)

5. You must maintain automobile liability insurance the entire suspension.

Certain documentaion is needed for each selection you are wanting driving privileges for. You will be prompted at the end of the form to upload any and all proofs needed for considertation of the limited driving privileges you are requesting.

Any questions please call the traffic clerks office at 330-643-2977.

Name:*

First NameLast Name
Case number:*
Date of birth:*

MonthDayYear
Social security number*
Drivers license number *
Phone #:*
Requesting the following privileges:*

SchoolAdditional / Vocational schoolRepeated school activityEmploymentMedical / Counseling appointmentsPractice with parent/guardianOther
Please explain below why not being able to drive would affect you in the above reasons selected:*

Home and School information:
Current home address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you live at more than one address?

YESNO
Second home address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School name:
School address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School days / hours:
EX: M-F 7am-3pm
Additional school name / vocational school:
Additional school / vocational school address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional school / vocational school days / hours:
EX: M-F 7am-3pm
School activities:
School activity location(s): Please list the name and address of where any and all school activities are taking place that you are requesting driving privileges to:

Employment
Employer:
Work address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Days and hours that you work:

Regular medical or counseling appointments
Name of medical / counseling office:
Address of medical / counseling office:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Days and hours of appointments:
Any additional information you need/want to provide:
A current copy of proof of insurance:*

Cancelof
School letter on school letterhead - stating that you are a student and what days/hours school is in: *

If college a copy of your schedule is sufficient.
Cancelof
Additional school or vocational school letter on school letterhead - stating that you are a student and what days/hours school is in: *

Cancelof
For school activities - a schedule indicating what days and times you need to be at the school activity:*

Cancelof
Employment - a letter from your place of employment on a work letterhead stating that you are an employee and what days/hours you will be working as well as the manager/supervisors name and phone number. Normal hours of operations to be indicated on letter as well: *

Cancelof
Medical / counseling appointments - a letter OR schedule from your DR indicating the dates, times, and place of your appointments: *

Cancelof
Other - Any additional information that you are wanting to submit to the court:*

Cancelof
**Note: O.R.C 4510.31(C)(1) requires that the court specify the purposes, dates, times, and places to and from which the juvenile will be driving. If the information for the places you are requesting limited driving privliges to are not provided, the court will not grant your request.

If you have any questions regarding your application for limited driving privileges please contact the traffic clerks office at 330-643-2977.

I have attached all proofs needed for the locations I am requesting limited driving privileges to.

I understand that limited driving privileges are discretionary and will not automatically be granted upon submission of this application and I may not receive all pirivileges that I am asking for.

I understand that if I am granted limited driving privileges and I violate them in any way the court may revoke the limited driving privileges that I was granted.

I further understand that if there is any change in the above information that I have provided I will report it to the court as soon as the change occurs to get an updated permit for my limited driving privileges. Failure to do so may result in my permit being invalid.

I hereby certify I have read and understand all the above information, and all information is true to the best of my knowledge and belief.
Juveniles signature:*

Clear
Date*

MonthDayYear
Date
As the parent/guardian of the above juvenile I hereby certify that I have reviewed the information provided in the above application and that the information is true to the best of my knowledge and belief.
Parent/guardian signature:*

Clear
Date*

MonthDayYear
Date
APPLICATION FILED ON:

MonthDayYear
Date
SUSPENDED FOR:
SUSPENSION START:

MonthDayYear
Date
SUSPENSION END:

MonthDayYear
Date
PERMIT EXPIRES:

MonthDayYear
Date
PASSENGERS ALLOWED PER COURT:
Magistrate/Judge
Should be Empty:

Summit County Court of Common Pleas Juvenile Division

Home and School information:

Employment

Regular medical or counseling appointments