Interstate DWI Information

If You Received a DWI In North Carolina and You Live in Another State When you receive a DWI in North Carolina (no matter how long ago it was), you are required to have an assessment and treatment to satisfy North Carolina's requirements to release the hold on your ability to get a license. The agency will be required to give you a DWI assessment and recommendation for treatment (minimum is 20 hours). When you complete this treatment, North Carolina DMV requires a letter outlining the treatment. (Page 4 below)

What you need to do:

 You will need to download and print pages 1,2,3 and 4 (below).

 Fill out pages 1,2 and 3 as described below. Mail pages 1,2 and 3 to us immediately so we can begin to process your information.

 You must find a treatment agency in your state (as described above) and complete the necessary treatment, recommended in your assessment.

Make sure you give them page 4 and have them call us if there are ANY questions.

Important: You must also contact the North Carolina DMV and send them a $100 reinstatement fee. We can't do this for you. You must send the check directly to the DMV at the following address: NC DMV Attn: Audit Unit 3111 Mail Service Center Raleigh, NC 27699

 Important: You are required to obtain a driving record from the DMV in the state in which you currently live. Some states allow you to get a driving record electronically off their website. Others require you to request it by mail or at one of their offices. If you are able to obtain your driving records directly from their website, get them and send them to us along with the other documents on this page. (Pages 1,2 and 3) If you must request your driving records by mail, have your DMV send them directly to us.

Send pages 1,2,3 and your driving record, if you were able to download it from your DMV, to us (Trinity Counseling Services LLC) along with a check or money order in the amount of $150, for each DWI you have in North Carolina.

We also accept VISA and Mastercard. Download this Credit Card Authorization(page 5) and mail it with the other pages. When we receive all necessary documentation and processing fees, we will begin the process of having your license removed from the National Register.

It will take about 1-1 ½ weeks to get your North Carolina driving record, so please send pages 1,2,3 in as quickly as possible. When everything has been completed and there are no complications, the hold on your license will be lifted.

Make Credit Card, Certified Bank Check or Money Order payable to: Trinity Counseling Services LLC. Amount of certified bank check, money order or credit card: $150.00 Mail documents and payment to: Trinity Counseling Services LLC 1801 N Tryon St STe 311 Charlotte NC  28206 Phone:704-921-9600 Fax: 704-921-9675 Email: melissatrinitycounseling@gmail.com

Page 1: DMV Driving History Release Form - Driver Privacy Protection Act Authorization To Disclose Personal Information Form - NC DMV We need to have a copy of your North Carolina driving history - even if this DWI is the only offense in North Carolina, it is still required.

 Fill in your full name (first, last, middle and/or JR or III).

 If you had a NC Drivers license at any time and know the # then fill it in, otherwise put your SSN and DOB.

 REMEMBER to sign the form.

If you have ANY questions, please call us at 704-921-9600

Page 2: Client Information Sheet This is a page in which we ask for some personal demographic information (name, address, telephone number, etc). This is needed for us to fill out the required form for the North Carolina DMV. Please fill it out completely.

Page 3: Release of Information- Consent for Release of Information This is a release of information for the North Carolina DMV.

 Fill in your name on the top line (Regarding)

 Be sure to sign and date the form at the bottom.

 We will fill in the middle sections

Page 4: Interstate Facility Letter PLEASE PRESENT THIS LETTER TO YOUR TREAMENT FACILITY. Mail it and any documentation that your treatment facility provides, back to us.

Page 5: Credit Card Authorization Print and fill out this form only if you are paying by credit card.