How do I submit the Phase II to III Movement Request?

Turn in the original completed form to the DUI Court office by 5:00 p.m. the day before DUI Court. A form turned in later will be considered at the next court date.

Who completes the sections on this form?

The participant completes and signs the request. The treatment team, probation officer, and DUI Court office each complete and verify their designated sections.

What does the participant certify?

The participant certifies completing the approximate 17-week minimum appropriate for the requested phase movement and provides a signature and date.

Lowndes County, GA · Lowndes County

No notary required

Phase II to III Movement Request

DUI Court participants use this form to request movement from Phase II to Phase III and document required approvals from treatment, probation, and court staff.

At a glance

Issued by: City of Lowndes County · Lowndes County, Lowndes County, Georgia
Notarization: Not required: file this form without a notary.
Official source: lowndescounty.com
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form lets a DUI Court participant request movement from Phase II to Phase III at the next court session. It asks the participant to certify completion of the approximate 17-week minimum and sign and date the request; treatment, probation, and DUI Court staff complete their own requirement checks and verifications.

Who needs it

A DUI Court participant seeking movement from Phase II to Phase III must complete the request and obtain signatures from the required team members.

How to submit it

Turn in the original completed form to the DUI Court office no later than 5:00 p.m. the day before DUI Court. Forms received later will be considered at the next court date.

About notarization

This document is signed and dated without a notary; the participant signs, and treatment, probation, and DUI Court staff verify their sections.

How to submit this form

1
Download the Form
Download the Phase II to III Movement Request PDF.
2
Complete the Request
Fill in your name and submission date, certify the minimum time requirement, and sign and date the request.
3
Get Team Signatures
Have the required treatment, probation, and DUI Court team members complete and verify their sections.
4
Submit the Original
Turn in the original completed form to the DUI Court office by 5:00 p.m. the day before DUI Court.

Frequently asked questions

Do I need a notary for the Phase II to III Movement Request?: No. This document is signed and dated without a notary. The participant signs, and treatment, probation, and DUI Court staff verify their sections.
How do I submit the Phase II to III Movement Request?: Turn in the original completed form to the DUI Court office by 5:00 p.m. the day before DUI Court. A form turned in later will be considered at the next court date.
Who completes the sections on this form?: The participant completes and signs the request. The treatment team, probation officer, and DUI Court office each complete and verify their designated sections.
What does the participant certify?: The participant certifies completing the approximate 17-week minimum appropriate for the requested phase movement and provides a signature and date.

Need something notarized?

This Phase II to III Movement Request doesn’t need a notary, but if you have another Lowndes County form that does, a commissioned online notary can help.