Application For Restricted Driver's License
Virginia · Supreme Court of Virginia
This form is an application to the court asking for a restricted driver's license. It asks the applicant to explain the reasons why they need the restricted license and details the specific locations and purposes for which they need to drive.
Where this fits in a case
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This form is used when a person's driver's license has been suspended or denied due to an offense, and they are eligible to apply for a restricted license.
Either party may file.
Official instructions
How-to guides published by the court for this form.
Common questions
- Who fills out this form?
- The form is an application, so the person asking the court for the license fills it out. It is filed with the court.
- Does this form require a fee?
- The provided text does not mention any filing fees for this form.
Revision history
No changes recorded since we started tracking this form on October 10, 2026.
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