Michigan Substance Abuse Evaluation Form

Michigan Substance Abuse Evaluation Form - I authorize the evaluator named on page 2 to furnish the information set forth on this form and to discuss the information with the michigan department of state. This is required if you have been arrested for any alcohol. I understand this form may also be used as. If you have been charged with a substance use related offense you may be required to obtain an alcohol screening or substance abuse evaluation. You will need to satisfy the substance abuse. Persons charged with a substance use related traffic offense may be required to obtain an alcohol screening or substance abuse evaluation, or participate in awareness classes.

I understand this form may also be used as. I authorize the evaluator named on page 2 to furnish the information set forth on this form and to discuss the information with the michigan department of state. If you have been charged with a substance use related offense you may be required to obtain an alcohol screening or substance abuse evaluation. You will need to satisfy the substance abuse. Persons charged with a substance use related traffic offense may be required to obtain an alcohol screening or substance abuse evaluation, or participate in awareness classes. This is required if you have been arrested for any alcohol.

Persons charged with a substance use related traffic offense may be required to obtain an alcohol screening or substance abuse evaluation, or participate in awareness classes. If you have been charged with a substance use related offense you may be required to obtain an alcohol screening or substance abuse evaluation. You will need to satisfy the substance abuse. I understand this form may also be used as. I authorize the evaluator named on page 2 to furnish the information set forth on this form and to discuss the information with the michigan department of state. This is required if you have been arrested for any alcohol.

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I understand this form may also be used as. This is required if you have been arrested for any alcohol. Persons charged with a substance use related traffic offense may be required to obtain an alcohol screening or substance abuse evaluation, or participate in awareness classes. I authorize the evaluator named on page 2 to furnish the information set forth.

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I authorize the evaluator named on page 2 to furnish the information set forth on this form and to discuss the information with the michigan department of state. If you have been charged with a substance use related offense you may be required to obtain an alcohol screening or substance abuse evaluation. You will need to satisfy the substance abuse..

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This is required if you have been arrested for any alcohol. Persons charged with a substance use related traffic offense may be required to obtain an alcohol screening or substance abuse evaluation, or participate in awareness classes. If you have been charged with a substance use related offense you may be required to obtain an alcohol screening or substance abuse.

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I authorize the evaluator named on page 2 to furnish the information set forth on this form and to discuss the information with the michigan department of state. I understand this form may also be used as. Persons charged with a substance use related traffic offense may be required to obtain an alcohol screening or substance abuse evaluation, or participate.

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I understand this form may also be used as. If you have been charged with a substance use related offense you may be required to obtain an alcohol screening or substance abuse evaluation. This is required if you have been arrested for any alcohol. Persons charged with a substance use related traffic offense may be required to obtain an alcohol.

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This is required if you have been arrested for any alcohol. Persons charged with a substance use related traffic offense may be required to obtain an alcohol screening or substance abuse evaluation, or participate in awareness classes. You will need to satisfy the substance abuse. If you have been charged with a substance use related offense you may be required.

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Persons charged with a substance use related traffic offense may be required to obtain an alcohol screening or substance abuse evaluation, or participate in awareness classes. This is required if you have been arrested for any alcohol. I understand this form may also be used as. I authorize the evaluator named on page 2 to furnish the information set forth.

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I authorize the evaluator named on page 2 to furnish the information set forth on this form and to discuss the information with the michigan department of state. Persons charged with a substance use related traffic offense may be required to obtain an alcohol screening or substance abuse evaluation, or participate in awareness classes. This is required if you have.

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If you have been charged with a substance use related offense you may be required to obtain an alcohol screening or substance abuse evaluation. You will need to satisfy the substance abuse. I understand this form may also be used as. I authorize the evaluator named on page 2 to furnish the information set forth on this form and to.

I Authorize The Evaluator Named On Page 2 To Furnish The Information Set Forth On This Form And To Discuss The Information With The Michigan Department Of State.

If you have been charged with a substance use related offense you may be required to obtain an alcohol screening or substance abuse evaluation. You will need to satisfy the substance abuse. This is required if you have been arrested for any alcohol. I understand this form may also be used as.