Rule 62 - Drivers' Cases
Rule 62.3.4 - Form 454
IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI
AT KANSAS CITY AT INDEPENDENCE
APPLICANT,
v. No. _________________
DIRECTOR OF REVENUE,
STATE OF MISSOURI,
RESPONDENT.
ORDER GRANTING HARDSHIP DRIVING PRIVILEGES
Now on _________________________, 19 ____, the Application of ______________________________ for hardship driving privileges coming on to be heard, and the Court being satisfied that undue hardship will be occasioned if said Application is not granted, and being further satisfied that all of the requisites of Section 302.309, RSMo, have been met,
IT IS ORDERED THAT:
COMMENCING _________________ THROUGH AND INCLUDING _________________, APPLICANT IS GRANTED THE PRIVILEGE OF OPERATING A MOTOR VEHICLE ONLY UNDER THE FOLLOWING CONDITIONS:
1. APPLICANT MAY DRIVE IN A DIRECT ROUTE BETWEEN THE RESIDENCE LOCATED AT __________________________________
AND_____________________________________________________
_________________________________________________________
_________________________________________________________
ONLY BETWEEN THE HOURS OF ________A.M. AND ______P. M.
ON ______________________________________.
(DAYS OF THE WEEK)
2. FOR THE PURPOSE OF (EMPLOYMENT) (SEEKING MEDICAL TREATMENT) (ATTENDING SCHOOL) (ATTENDING ALCOHOL OR DRUG TREATMENT PROGRAMS) (THE FOLLOWING CIRCUMSTANCES_______________________________________APPLICANT MAY DRIVE BETWEEN THE HOURS OF _________ .
3. THE PRIVILEGE OF OPERATING A MOTOR VEHICLE IS SUBJECT TO THE FURTHER RESTRICTION CONTAINED ON APPLICANT'S DRIVING LICENSE OF _______________________.
___________________ __________________________
DATE JUDGE
NOTE: The Applicant or Applicant's Attorney is responsible for preparing this Order.
Adopted 5/20/94