Who completes the Phase III to IV Movement Request?

The participant completes the request section and gets signatures from required team members. Treatment staff, the probation officer, and the DUI Court office each complete their designated verification sections.

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

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

What does the form ask the team to verify?

The form has sections for treatment, probation, and DUI Court staff to verify items such as attendance, payment status, conduct, substance-free status, and other phase progression requirements.

Lowndes County, GA · Lowndes County

No notary required

Phase III to IV Movement Request

DUI Court participants use this request to seek movement from Phase III to Phase IV, also called Aftercare, at the next court session.

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 III to Phase IV (Aftercare) at the next court session. It asks for the participant’s name, submission date, signature, and confirmation of minimum time in the phase. Treatment, probation, and DUI Court staff complete separate sections verifying attendance, payment, conduct, and other phase progression requirements.

Who needs it

A DUI Court participant seeking movement from Phase III to Phase IV 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; later submissions are considered at the next court date.

About notarization

No notary is required; the participant signs and dates the request, and required team members complete and sign their sections.

How to submit this form

1
Download the Form
Download the Phase III to IV Movement Request PDF.
2
Complete the Request
Enter your name and submission date, then sign and date the participant request section.
3
Gather Required Signatures
Ask the required treatment, probation, and DUI Court team members to complete and sign their sections.
4
Submit to the DUI Court Office
Turn in the original completed form by 5:00 p.m. the day before DUI Court.

Frequently asked questions

Who completes the Phase III to IV Movement Request?: The participant completes the request section and gets signatures from required team members. Treatment staff, the probation officer, and the DUI Court office each complete their designated verification sections.
Do I need a notary for the Phase III to IV Movement Request?: No. The document has no notary block; the participant signs and dates the request, and required team members complete and sign their sections.
How do I submit the Phase III to IV Movement Request?: Turn in the original completed form to the DUI Court office no later than 5:00 p.m. the day before DUI Court. Forms submitted later will be considered at the next court date.
What does the form ask the team to verify?: The form has sections for treatment, probation, and DUI Court staff to verify items such as attendance, payment status, conduct, substance-free status, and other phase progression requirements.

Need something notarized?

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