ITD 3227 (Rev. 4/24)
dmv.idaho.gov

RESTRICTED DRIVING PERMITAPPLICATION

Restricted driving permits (RDP) are issued only to applicants who meet all eligibility requirements. Applicants must havecompleted mandatory suspension periods. Incomplete applications will not be accepted. Answer the questions below tohelp determine your eligibility for a restricted driving permit. Applicant will receive a response by email, if so requested,
or by mail. Please allow 3 to 5 business days to process.
(mailtimenotunderincluded).
Driverphysicallypermit in order to drive . Yes
1)
Wereyouthe ageof 17must
whencited for posses
this offense?

NoIf yes, you do not qualify for an RDP.

2) Are you an Idaho resident?

YesNoContinue.

3) Do you have a non-expired driver’s license?

Yes

No

If no, you do not qualify for an RDP.

4) Is your license currently suspended or revoked in another state?

Yes

NoContinue.

5) Are you seeking a restricted driving permit due to an administrative
license sus-pension (ALS)? Alcohol or drug.

YesNoContinue.

5A) If yes, is this your second ALS within the past five years?

Yes

NoIf yes, you do not qualify for an RDP.

6) Have your driving privileges been revoked or suspended within the lastthree years?

Yes

NoContinue.

6A) If yes, have your privileges been revoked or suspended threeor more times within this three-year period?

Yes

NoIf yes, you do not qualify for an RDP.

7) Have you been issued an RDP within the last 2 years for a similar offense? Yes

NoIf yes, you do not qualify for an RDP.

8) Have all your reinstatement requirements been met, or will they beconsidered met with submission of this application packet?

No

If no, you do not qualify for an RDP.

Yes

Applicant’s Name

Driver’s License No.

Date of Birth (00/00/0000)

SSN

This address will be registered with the Idaho Transportation Department.
Residential Address

CityState

Zip

Mailing Address (if diﬀerent from above)

CityState

Zip

Temporary Residential Address (if applicable)

CityState

Zip

Contact Phone Number

Email Address

Restricted driving permit subject to eligibility requirements. This is not a permit.

REQUIRED DOCUMENTATION AND PAYMENTTHE FOLLOWING ITEMS MUST BE SUBMITTED WITH THE RESTRICTED DRIVING PERMIT APPLICATION.

1234

Proof of Insurance
Proof of valid motor vehicle liability insurance (SR-22 if required) in your name.

Driver’s Agreement
A signed and dated driver’s agreement (ITD 3238).

Work and/or School Verification for Restricted Driving Permit
The work and/or school veriﬁcation for restricted driving permit (ITD 3208) must be completed by the employee andsigned by the employer and/or school administrator if seeking permission to drive a noncommercial vehicle for workor school.

Reinstatement Fee(s)To view your reinstatement fees, go to dmv.idaho.gov. Select the blue tab for Driver’s License/ID Cards. In theyellow box to the right, select Driver’s License Reinstatement.
Or you may call DMV Operations at (208) 584-4343.

5Restricted Driving Permit Fee
The restricted driving permit fee of $60.00.

Authorize payment using your credit card.
Total Amount

Reinstatement Fee + $60.00 Permit Fee = Total Amount To Be ChargedCredit Card Number

Expiration Date

Authorized Signature$Applicant Oath and Signature
By affixing my signature below, I hereby state under penalty of perjury pursuant to the law of the State of Idaho, that:• I have not made a false, incomplete, or incorrect statement of any fact on this application;• I am physically and mentally capable of safely operating a motor vehicle;• This permit will not allow for the operation of a commercial motor vehicle (CMV) as defined in I.C. 49-123(2)(D).
Applicant’s Signature

Date

Parent/Legal Guardian Signature if Applicant is Under 18 Years of AgeDateSubmit the completed restricted driving permit application with all required materials to:
Idaho Transportation Department
DMV Operations —Restricted Permits
PO Box 34
Boise, ID 83731-0034

Email to: RDPermits@itd.idaho.gov

Restricted driving permit subject to eligibility requirements. This is not a permit.

ITD 3238 (Rev. 4/24)
dmv.idaho.gov

DRIVER’S AGREEMENT

This permit is issued in accordance with IDAPA 39.02.70, which requires:
a. Cause exists to suspend or revoke the driver’s license or privileges of the applicant and that the driver’s license of theapplicant is sus-pended or revoked;
b. The applicant shall obey all motor vehicle laws;c. The applicant shall provide and maintain adequate motor vehicle liability insurance;d. The applicant shall notify the Department within one (1) business day following arrest, citation, accident or warnings by any
law enforcement officer with regard to motor vehicle violations or alleged violations, and any change of address, telephone
number, or place of employment;e. The applicant shall not operate any motor vehicle after consuming any alcohol, drugs, or other intoxicating substances;f. The applicant shall submit to any evidentiary testing to determine alcohol concentration at any time at the request of any
peace officer;
g. The applicant shall operate a motor vehicle only for those reasons specified on the restricted driving permit;h. The applicant shall abide by all rules and regulations concerning the restricted driving permit;
i. The applicant’s restricted driving permit may be canceled by the Department without a hearing for violation of the terms of theagreement or other conditions specified on the restricted driving permit (Section 600); andj. The applicant understands that if he/she pleads guilty, is found guilty of, or forfeits bond to any future moving traffic violation(s)or receives an additional Department or court suspension, the restricted driving permit may be canceled, the driving privileges
may be resuspended or revoked, and the applicant may not be eligible to receive another restricted driving permit for said
suspension.
CANCELLATION OF RESTRICTED DRIVING PERMITThe Department may cancel a restricted driving permit and shall re-activate the suspension or revocation order which will expire
according to the original order if the terms or restrictions of the written driver’s agreement are violated (Section 500.02).

I have read and understand the Driver’s Agreement and agree to comply with its terms.
This agreement will be null and void should eligibility requirements for the restricted driving permit not be met.
Print Applicant’s NameDL Number or SSN

Applicant’s Signature

Date

Parent/Legal Guardian Signature if Applicant is Under 18 Years of AgeDateSubmit the completed Driver’s Agreement with the restricted driving permit application to:
Idaho Transportation Department
DMV Operations —Restricted Permits
PO Box 34
Boise, ID 83731-0034

Email to: RDPermits@itd.idaho.gov

Restricted driving permit subject to eligibility requirements. This is not a permit.

ITD 3208 (Rev. 4/24)
dmv.idaho.gov

WORK VERIFICATION FOR
RESTRICTED DRIVINGPERMIT

This form must be completed and signed by the employer and/or by a school oﬃcial. Return this form with the restricteddriving permit application (ITD form 3227) .
The following information concerning the individual’s driving needs is required by the Idaho Transportation Department forissuance of a restricted driving permit (RDP). If self-employed, the same information must be provided and the driver
must sign as the Business Representative. If you operate a vehicle for an employer, please provide your employers
insurance information.
This permit will not allow for the operation of a commercial motor vehicle (CMV) as defined in I.C. 49-123(2)(D).
WORK VERIFICATION
Employee Work Information
Employee’s Name

Driver’s License No.

Employee’s Occupation

Self-EmployedY

During work

Use of employer’s vehicle (non-CMV only)
To work
From work
Name of employer’s auto insurance company (if applicant uses employer’s vehicle)

List counties in which driving privileges are required for work:N

List states in which driving privileges are required for work:

Employer Verification
By signing below, the employer/supervisor verifies that the information supplied above is complete and accurate.
Business NameBusiness Telephone

Business Street Address

City

Business Representative’s Printed NameTitle

Business Representative’s Signature

DateStateZip CodeIT IS THE EMPLOYEE’S RESPONSIBILITY TO CARRY A COPY OF THEIR CURRENT WORK SCHEDULE WITH
THE RESTRICTED DRIVING PERMIT.

Restricted driving permit subject to eligibility requirements. This is not a permit.

SCHOOL VERIFICATIONFOR RESTRICTED DRIVING PERMITVerification must be provided for applicants enrolled full or part-time in an academic or vocational training program. Continue tothe appli-cant oath and signature if not enrolled in school.
SCHOOL VERIFICATION
Student School Information

Student’s Name

Driver’s License No.

Enrolled Full-time Student

Enrolled Part-time Student

Institution Verification
By signing below, the institution’s representative verifies that the information supplied above is complete and accurate.
Name of Educational Institution

Business Telephone

Educational Institution Street Address

City

Educational Institution Representative’s Printed Name

Title

Educational Institution Representative’s Signature

Date

StateZip CodeIT IS THE STUDENT’S RESPONSIBILITY TO CARRY A COPY OF THEIR CURRENT CLASS SCHEDULE
WITH THE RESTRICTED DRIVING PERMIT.

APPLICANT OATH AND SIGNATURE
By aﬃxing my signature below, I hereby state under penalty of perjury pursuant to the law of the State of Idaho, that:•I have not made a false, incomplete, or incorrect statement of any fact on this application;•This permit will not allow for the operation of a commercial motor vehicle (CMV) as defined in I.C. 49-123(2)(D)Applicant’s Signature

Date

Parent/Legal Guardian Signature if Applicant is Under 18 Years of Age

Date

Submit the completed restricted driving permit application to:
Idaho Transportation Department
DMV Operations —Restricted Permits
PO Box 34Boise, ID 83731-0034

Email to: RDPermits@itd.idaho.gov

Please allow 3 to 5 business days for processing, you will be notified by mail.

Restricted driving permit subject to eligibility requirements. This is not a permit.

Physician Information

Idaho state code 18-8002A (9) Restricted Driving Privileges. A person served with notice of suspension for (90) days pursuant tothis section may apply to the Department for restricted driving privileges, to become effective after a thirty (30) day absolutesuspension has been completed. The request may be made at any time after service of the notice of suspension. Restricteddriving privileges will be issued for the person to drive to and from work and for work purposes, to attend an alternative highschool, work on a GED, for postsecondary education, or to meet the medical needs of the person or his family if the person iseligible for restricted driving privileges. The Department has determined that 'for work purposes' shall include seeking
employment. The restrictions would be 8 a.m. to 5 p.m., Monday through Friday.

This form is for those who are seeking a permit for medical purpose, it is not applicable to everyone.
Driver's Name

Driver’s License No.

Patient's NameRelation to Driver

Name of Physician

Business Telephone

Physician Street Address

City

Name of Secondary Physician

Business Telephone

Physician Street Address

CityState

Zip CodeStateZip CodeAPPLICANT OATH AND SIGNATURE
By aﬃxing my signature below, I hereby state under penalty of perjury pursuant to the law of the State of Idaho, that:•I have not made a false, incomplete, or incorrect statement of any fact on this application;•This permit will not allow for the operation of a commercial motor vehicle (CMV) as defined in I.C. 49-123(2)(D).

Applicant’s Signature

Date

Parent/Legal Guardian Signature if Applicant is Under 18 Years of Age

DateSubmit the completed restricted driving permit application to:
Idaho Transportation Department
DMV Operations —Restricted Permits
PO Box 34
Boise, ID 83731-0034

Email to: RDPermits@itd.idaho.gov

Please allow 3 to 5 business days for processing, you will be notified by mail.

Restricted driving permit subject to eligibility requirements. This is not a permit.