NO. ________________
THE STATE OF TEXAS
VS.
OF
______________________
I.
II.
Defendant/Petitioners drivers license to operate a motor vehicle was suspended on the _______ day
of __________________, __________, in accordance with a judgment, a true and correct copy of same
being attached hereto as Exhibit A. Said suspension was not because of physical or mental disability
or impairment.
III.
The essential need for Defendant/Petitioner operating a motor vehicle in the performance of
his/her occupation or trade is set forth in detail as follows:
a. He/she is employed as a ____________________________________________ at
__________________________ located at_____________________________________;
The distance from Defendant/Petitioners residence to his/her place of employment is __________ miles
and the most direct route between two places is, in detail, as follows:.
Subscribed and sworn to before me, the undersigned, on this the ________ day of ___________, ________.
______________________________
Notary Public in and for Fort Bend
County, Texas.
NO. ______________
THE STATE OF TEXAS IN THE COUNTY COURT
VS. at LAW # _________
OF
FORT BEND COUNTY
ORDER
On this, the _______ day of _______________________, __________, came on to be heard the request
by Petition of ____________________________________________, Defendant/Petitioner in the above
numbered Criminal Case, for an Occupational Drivers License; and the Court having considered the
Petition, exhibits attached hereto, and other evidence, is of the opinion that the following findings and
order should be entered: The Court finds that an essential need exists for the Defendant/Petitioner,
_______________________________________________________________, to operate a motor vehicle
in the performance of his/her occupation or trade;
The Court further orders that the said operation of a motor vehicle be restricted as follows:
1. Only in performance of the occupation or trade of
________________________________________________________________________________.
2. Only between the residence of ________________________________________________________ at
and his/her place of employment at _____________________________ located at
___________________________________________________________________________________
3. Only between the hours of _______.M. and _______.M. on the following days of the week
___________________________________________________________________________________.
6. A certified copy of this Order shall be delivered to Defendant/Petitioner and said Order will be a
substitute for Restricted Occupational License for a period of 14 days from date.
It is further ordered that the Clerk of this Court shall mail to Texas Department of Public Safety the
following to Wit:
1. A report of the conviction
2. Said driver's license of Defendant/Petitioner
3. Copy of Judgment of Conviction of this Court
4. Proof of liability of insurance in accordance with provisions of Texas Motor Vehicle Safety
Responsibility Act as provided in amended Article 670lh of Revised Civil Statutes of Texas by
furnishing a true and correct copy of Form SR-22
5. A certified copy of Defendant/Petitioner Petition for an occupational license with all exhibits
attached hereto
6. A certified copy of this Order
SIGNED and entered this _________day of ________________, ______________.
Judge Presiding
PETITION BY DEFENDANT FOR OCCUPATIONAL
DRIVERS LICENSE i:\CIVIL\FORMS\OCCUTDL.DOC