DUI Pre-Registration Forms
The Florida Safety Council’s DUI Counterattack program offers online pre-registration as a way to speed up the process when registering in person. In order to pre-register you must complete the Pre-Registration Form and review the Program Rules. You may print these forms from this site.
After reading the Program Rules, Student Conduct Form, Confidential Information Form and completing the Pre-Registration Form, you may bring the completed forms with you when you come to register. You must register in person.
The items listed below must be included with the signed Program Rules & the Pre-Registration Form when you come in to register.
You will not be scheduled for class or evaluation until the DUI Program has received the following items:
- Court Order (if convicted).
- Current Photo ID.
- Arrest Affidavit (Can be obtained at the Clerk of the Circuit/County Court). Copies must be legible.
- Arrest Citation (Copy must be legible).
- Breath/Blood Alcohol Level reading.
Failure to provide the above information will result in a delay of enrollment until provided.
Upon completion of the above items along with the signed Program Rules, Student Conduct Form and Confidential Information Form you will be ready to come in person to any of our locations to complete the registration process. At the time of registration you will be scheduled for the appropriate DUI class and evaluation.
Printing Forms
We have provided you with an easy way to print or download the following forms:
- DUI Program Rules
- Student Conduct Form
- Confidential Information Form
- DUI Pre-Registration Form
- Registration Information
Please choose one of these printing options:
- Download PDF. To use this option, you must have Adobe Acrobat Reader 5.0 or higher installed on your computer.
Download Registration Form » - Print from web browser. View and print all the forms from within your web browser.
Print Web Form »
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