IN THE GENERAL COURT | |
STATE OF NORTH | OF JUSTICE |
CAROLINA | RESTRICTED DRIVING |
COUNTY OF_______ | PRIVILEGES |
This cause coming on to be heard and being heard before the Honorable ________, Judge presiding, and it appearing to the court that the defendant, ________, has been convicted of the offense of excessive speeding in violation of G.S. 20-16.1(a), and it further appearing to the court that the defendant should be issued a restrictive driving license and is entitled to the issuance of a restrictive driving privilege under and by the authority of G.S. 20-16.1(b);
Now, therefore, it is ordered, adjudged and decreed that the defendant be allowed to operate a motor vehicle under the following conditions and under no other circumstances.
Name:______________________________________________
Race:___________________ Sex:________________________
Height:_________________ Weight:_____________________
Color of Hair:____________ Color of Eyes:________________
Birth Date:__________________________________________
Driver's License Number:_______________________________
Signature of Licensee:_________________________________
Conditions of Restriction:___________________________________
Type of Vehicle:__________________________________________
Geographic Restrictions:____________________________________
Hours of Restriction:_______________________________________
Other Restrictions:________________________________________
This limited license shall be effective from _______________ to _____________ subject to further orders as the court in its discretion may deem necessary and proper.
This the _____ day of _______, ____
_____________________________________
(Judge Presiding)
The preceding provisions of this subsection do not apply to applicants who do not own currently registered motor vehicles and who do not operate nonfleet private passenger motor vehicles that are owned by other persons and that are not insured under commercial motor vehicle liability insurance policies. In such cases, the applicant shall sign a written certificate to that effect. Such certificate shall be furnished by the Division. Any material misrepresentation made by such person on such certificate shall be grounds for suspension of that person's license for a period of 90 days.
For the purpose of this subsection "nonfleet private passenger motor vehicle" has the definition ascribed to it in Article 40 of General Statute Chapter 58.
The Commissioner may require that certificates required by this subsection be on a form approved by the Commissioner. Such granting of limited driving privileges shall be conditioned upon the maintenance of such financial responsibility during the period of the limited driving privilege. Nothing in this subsection precludes any person from showing proof of financial responsibility in any other manner authorized by Articles 9A and 13 of this Chapter.
N.C. Gen. Stat. § 20-16.1