Mike Rice

Specializing in MVD  Revocation Evaluations

CCS, Inc.
Specializing in MVD  Revocation Evaluations

What's involved?  The Revocation Packet consists of 3 documents: 

Document A:  Revocation Certificate: 

Complete the general data information about yourself.  If you don’t have your last driver’s license, your license number is the same number found on your Identification card.


Answer the following 3 Yes or No questions.


The Box stating “Authorization To Release Information” asks you to mark if you have completed or are currently involved in any alcohol/drug treatment or education programs.  The counselor or therapist’s name will then go in the box.  You can wait until you see the counselor who can put in his/her name or if you know who will be doing your evaluation, you can put their name in the space.  At the bottom of the box, you will sign and date it.


Below the Authorization Box is the space for the Notary to sign.  DO NOT sign your own name until you are in the presence of the Notary.  You can locate a notary at your bank, any MVD office, or any office such as real estate or insurance company that has a notary.


Document B: Court Compliance Statement

Fill in the information at the top portion and sign and date it.  Then submit the document to the court where you appeared for your last DUI charge.  The clerk of the court will complete it usually while you wait.  If you have a Probation Officer, that person may also be able to complete this portion of Document B.


NOTE:  Both the notary of document A and document B can be completed before OR after you complete the evaluation with the counselor.  If you get them completed after your evaluation, you will still need to return both documents to the counselor for him/her to complete the process.  You will only have 30 days from the date of your evaluation to return these documents if not completed beforehand.  Evaluations are only valid for 30 days.


Document C:  the Substance Abuse Evaluation

Your evaluation will consist of 3 standardized screening instruments.  CCS utilizes the SASSI-3, which will consist of questions that are neither right or wrong, but more so, how you feel or think about the questions.  They will consist of past and current behavior questions.  On the reverse side of the SASSI-3 are questions that pertain to the last 12 months relating to alcohol and drugs, including prescription drugs.


The next questionnaire is the Abusive Inventory and consists of questions to be answered in regard to the last 6 months.


The 3rd questionnaire is the M.A.S.T. that has true or false questions that are to be answered over your lifetime of use of drugs/alcohol.


1:1 Interview:  Mr. Rice will have some 60 questions he will ask that will consist of acquiring your drinking/using history of alcohol and other drugs from the first use up to the present time.  Following these questions will be other questions about your overall symptoms and behaviors of alcohol/drugs over your lifetime to the present. 


This will complete the evaluation and will give the counselor all aspects of your past, present, and possible future use of drugs and alcohol.  After all the pieces of the puzzle are put together, (past, present, future) the results of “does affect” or “does not affect” your ability to safely operate a motor vehicle.


Once the packet is sent by the counselor to the MVD office, you will be contacted by mail by one of 4 investigators who review your revocation packet and determine the final outcome for your reinstatement or denial of reinstatement.  These 4 investigators oversee all of the revocation packets in the entire State of Arizona so you can expect to wait at least 4 weeks to as much as 6 weeks before you receive notice in the mail.

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