Article Guide
The Missouri 4595 form serves as an essential application for individuals seeking limited driving privileges in the state. This form is primarily utilized by those who have faced restrictions on their driving rights due to various circumstances, such as legal issues or participation in rehabilitation programs. Applicants must provide personal information, including their driver license number, date of birth, and social security number. Additionally, the form requires details about the applicant's residence and contact information. It is crucial for applicants to specify the reasons for requesting limited driving privileges, which may include employment, education, medical treatment, or other essential activities. Each reason necessitates additional documentation, such as the name and address of employers, educational institutions, or childcare providers. Furthermore, proof of insurance, specifically an SR-22, must be submitted alongside the application. If approved, the applicant will receive a Limited Driving Privilege Notice, which must be carried while operating a vehicle. The form is submitted to the Missouri Department of Revenue's Driver License Bureau, ensuring that individuals can navigate their daily responsibilities despite their driving limitations.
Missouri 4595 Preview
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Missouri Department of Revenue |
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Application for Limited Driving Privilege |
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4595 |
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Driver License Number |
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Date of Birth (MM/DD/YYYY) |
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Name (Last, First, Middle Initial) |
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Social Security Number |
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Street Address (Do not use P.O. Box) |
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City, State, ZIP Code |
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Mailing Address (If different from street address) |
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City, State, ZIP Code |
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Phone Number |
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(___ ___ ___)___ ___ |
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Limited Driving Privilege Reasons
Applicant is requesting a limited driving privilege for the following reason(s): (Must select at least one box)
rEmployment (Must provide name and address of employer(s) or if
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rEducation (Must provide the school(s) name and address.) ______________________________________________________
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rAttending a Substance Abuse Traffic Offender Program (SATOP) (Provide name and address of alcohol or drug treatment program, if known.) ___________________________________________________________________________________________
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rTo and from a certified ignition interlock device (IID) service facility
rSeeking medical treatment
Being unable to operate a motor vehicle will result in a hardship to the applicant because traveling is required:
rTo and from child care (Must provide child care provider(s) name and address.)____________________________________
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rTo and from bank (Must provide the name and address of the bank.) _____________________________________________
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rTo transport child or children to and from school(s) (Must provide the school(s) name and address.)__________________
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rTo transport child or children to and from spousal or guardian visitation (Must provide the address.) __________________
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rOTHER ____________________________________________________________________________________________________
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r To and from grocery store |
r To and from gas station |
r To seek employment |
rTo and from pharmacyr To and from court obligations r To and from church
The applicant must have proof of insurance (i.e.,
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Applicant’s Signature |
Date of Application (MM/DD/YYYY) |
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If the application is approved, an order granting the limited driving privilege will be mailed to you.
You must carry the original copy of the Limited Driving Privilege Notice with you when operating a motor vehicle.
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Driver License Bureau |
Phone: (573) |
Form 4595 (Revised |
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Visit http://dor.mo.gov/drivers/ldp.php |
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P.O. Box 200 |
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(573) |
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for additional information. |
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Jefferson City, MO |
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Dos and Don'ts
When filling out the Missouri 4595 form, there are some important dos and don'ts to keep in mind. Here’s a simple guide to help you through the process:
- Do provide accurate personal information, including your full name and address.
- Do select at least one reason for requesting a limited driving privilege.
- Do include any required documentation, such as proof of employment or school enrollment.
- Do ensure you have proof of insurance, like an SR-22, ready to submit.
- Don't use a P.O. Box for your street address; provide a physical address instead.
- Don't forget to sign and date the application before submitting it.
Following these tips can help make your application process smoother and increase the chances of approval.
Key takeaways
Here are some important points to keep in mind when filling out and using the Missouri 4595 form for a Limited Driving Privilege:
- Eligibility Requirements: Ensure you meet the eligibility criteria for applying for a limited driving privilege.
- Complete Information: Fill in all required fields, including your driver license number, date of birth, and contact details.
- Reason for Request: Select at least one reason for needing a limited driving privilege. Options include employment, education, or medical needs.
- Proof of Insurance: You must have proof of insurance, such as an SR-22, on file with the Department of Revenue when you submit your application.
- Additional Documentation: If applicable, provide proof of Ignition Interlock Device (IID) service or installation.
- Signature Required: Don’t forget to sign and date the application before submitting it.
- Keep a Copy: After approval, carry the original Limited Driving Privilege Notice with you when driving.
- Contact Information: If you have questions, you can reach the Driver License Bureau by phone, fax, or email for assistance.
Following these key takeaways can help ensure a smoother application process for your limited driving privilege in Missouri.
Misconceptions
Misconceptions about the Missouri 4595 form can lead to confusion and delays in obtaining a limited driving privilege. Here are eight common misconceptions:
- The form is only for DUI offenders. Many believe that only individuals with DUI convictions can apply. However, the form is available for various reasons, including employment and education.
- You do not need proof of insurance. Some applicants think they can submit the form without insurance documentation. In fact, proof of insurance, such as an SR-22, is required.
- Submitting the form guarantees approval. Many assume that completing and submitting the form will automatically result in approval. Approval is contingent upon meeting specific eligibility criteria.
- Only certain types of employment qualify. Applicants may believe that only full-time jobs are acceptable. Part-time or self-employment also qualifies, provided the necessary information is included.
- All reasons for requesting a privilege must be listed. Some think they must include every possible reason for needing a limited driving privilege. It is sufficient to select at least one reason that applies.
- The application can be submitted without additional documentation. There is a misconception that the form alone is enough. Additional documentation, such as addresses for employers or schools, is often required.
- Once approved, the limited driving privilege is permanent. Many believe that the privilege lasts indefinitely. It is typically temporary and may require renewal or reapplication.
- You can operate any vehicle with a limited driving privilege. Some applicants think they can drive any vehicle. The privilege may have restrictions, such as only allowing driving vehicles equipped with an ignition interlock device.
Understanding these misconceptions can help applicants navigate the process more effectively and increase their chances of obtaining the necessary driving privileges.
Similar forms
The Missouri 4595 form, which is the Application for Limited Driving Privilege, shares similarities with several other documents that serve specific purposes related to driving and legal compliance. Below are five documents that are comparable to the Missouri 4595 form, along with explanations of how they are similar.
- Form SR-22: This document is a certificate of insurance that proves an individual has the required liability coverage. Like the Missouri 4595, it is often necessary for individuals who have had their driving privileges suspended and need to demonstrate financial responsibility to regain their driving rights.
- Application for Restricted License: This form is used in various states for individuals seeking limited driving privileges under specific conditions. Similar to the Missouri 4595, it requires the applicant to outline the reasons for needing a restricted license, such as work or education commitments.
- Ignition Interlock Device (IID) Installation Form: This document is required for individuals mandated to install an IID in their vehicle. The Missouri 4595 also references the need for proof of IID service or installation, highlighting the shared focus on compliance with driving restrictions.
- Driver's License Reinstatement Application: When a driver's license is suspended, individuals often must submit a reinstatement application. Like the Missouri 4595, this document requires personal information and may necessitate proof of insurance and compliance with other legal requirements.
- Traffic Offender Program Enrollment Form: Individuals required to attend a substance abuse traffic offender program must fill out this form. The Missouri 4595 also allows for the request of limited driving privileges while attending such programs, emphasizing the connection between rehabilitation and driving rights.