DEFENDANT: [NAME & ADDRESS] FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF AMADOR REQUEST FOR RECOMMENDATION RE: FOR RESTRICTED LICENSE AND COURTS DECISION TO RECOMMEND or NOT RECOMMEND CASE NUMBER: On __________________ my driver's license was suspended as a result of a conviction for ______________________________. [date] [code violated] My driver's license number is ____________________________ I have a critical need to drive as described below: I am currently employed with: I attend school at: _____________________ at _____________________, _________________ Company Name Street Address City ______________________________________ in _______________________________ Name of School City and State My place of employment/school is _______ miles from my home. My critical need to drive is based on: Please explain in detail Public transportation is inadequate because: Please explain in detail I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct: Executed at ____________________________________________, California, on _____________________________________ City Date ____________________________________________ Defendant's Signature DO NOT WRITE BELOW THIS LINE ­ FOR COURT USE ONLY COURT'S DECISION PER VEHICLE CODE §13201.5 The Court Recommends a restricted driver's license be issued for the following purposes: To and from work To and from school To and from treatment program During the course of work Other: The Court will NOT recommend a restricted license be issued because: No critical need has been shown Other reason: Dated: ________________________________ ______________________________________________________ Judicial Officer WARNING: YOUR DRIVER'S LICENSE HAS BEEN SUSPENDED. It is ILLEGAL to drive. You must contact the Department of Motor Vehicles at (916) 227-2970 to schedule an appointment to request a restricted license. REQUEST FOR RECOMMENDATION RE: FOR RESTRICTED LICENSE AND COURTS DECISION-(Rev. 02/07)-CRIM-032 1 American LegalNet, Inc. www.FormsWorkFlow.com PROOF OF SERVICE BY MAIL B. COCKERHAM of the County of Amador, State of California, and not a party to the within entitled action, served the attached. REQUEST FOR RECOMMENDATION on the parties in said action, by placing a true copy thereof enclosed in a sealed envelope with postage thereon addressed as shown, for collection and mailing pursuant to the ordinary business practice of the office which is that mail is collected and deposited with the United States Postal Service on the same day in the ordinary course of business. AMADOR COUNTY OFFICE OF THE DISTRICT ATTORNEY 708 COURT STREET JACKSON, CA 95642 AMADOR COUNTY PROBATION DEPARTMENT 675 NEW YORK RANCH ROAD JACKSON, CA 95642 _______________________________________________ [YOUR NAME] _______________________________________________ [YOUR MAILING ADDRESS] _______________________________________________ [YOUR MAILING ADDRESS] _______________________________________________ [YOUR PHONE NUMBER] [TO BE COMPLETED BY CLERK] COUNSEL FOR PEOPLE (VIA INTER OFFICE MAIL) (VIA INTER OFFICE MAIL) DEFENDANT I declare under penalty of perjury that the foregoing is true and correct. Executed at Jackson, California on . B. COCKERHAM, CLERK By ________________________________ Deputy Clerk REQUEST FOR RECOMMENDATION RE: FOR RESTRICTED LICENSE AND COURTS DECISION-(Rev. 02/07)-CRIM-032 2 American LegalNet, Inc. www.FormsWorkFlow.com