Drinking Driver Program Registration DDP Registration Form Name* First Last Date of Birth* Month Day Year Phone Number*Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Required Program Length*6 Week – Wet Reckless Program3 Month – First Offender Program6 Month – First Offender Program9 Month – First Offender Program12 Month – Multiple Offender Program18 Month – Multiple Offender ProgramUnknownDrivers License # (8 characters)* Violation Date Month Day Year Case Number Court Conviction Comments/Additional InformationA down payment of $160 toward the total program fee is required at the orientation. If you don’t have the down payment at that time, you will still be seen.CAPTCHA AppointmentsQuestionsBrowse SpecialtiesBrowse Specialties
